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Part Time Utilization Review Manager Jobs in California

Case Manager II - PT Days

San Leandro, CA · On-site

$64.55 - $81.87/hr

Utilization Management * Conducts medical necessity review for appropriate utilization of services ... from admission through discharge. * Promotes effective and efficient utilization of clinical ...

CDI Physician Advisor

Visalia, CA · On-site

$139.76 - $209.64/hr

Collaborates with case management and utilization review teams to optimize patient flow and resource use. Reviews patient cases for medical necessity, appropriate level of care, and length of stay.

CDI Physician Advisor

Visalia, CA · On-site

$139.76 - $209.64/hr

Collaborates with case management and utilization review teams to optimize patient flow and resource use. Reviews patient cases for medical necessity, appropriate level of care, and length of stay.

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness of ... Days Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every ...

Care Manager, Registered Nurse

Roseville, CA · On-site

$82.48 - $115.46/hr

Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ... Days Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every ...

Care Manager, Registered Nurse

Roseville, CA · On-site

$82.48 - $115.46/hr

Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ... Days Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every ...

Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness of ... Days Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every ...

Showing results 21-40

Part Time Utilization Review Manager information

What is the difference between Part Time Utilization Review Manager vs Utilization Review Nurse?

AspectPart Time Utilization Review ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license and management experienceRegistered Nurse (RN) license required
Work EnvironmentOversees review teams, manages processes, and collaborates with healthcare providersConducts patient chart reviews, assesses medical necessity, and communicates with providers
Industry UsageCommonly employed in healthcare organizations, insurance companies, and third-party review firmsPrimarily found in hospitals, insurance companies, and healthcare facilities

While both roles involve reviewing medical cases for insurance or healthcare purposes, the Part Time Utilization Review Manager focuses on overseeing review processes and managing teams, whereas the Utilization Review Nurse directly assesses patient cases and medical necessity. Understanding these differences helps clarify career paths and employer expectations in healthcare review roles.

What job categories do people searching Part Time Utilization Review Manager jobs in California look for?

The top searched job categories for Part Time Utilization Review Manager jobs in California are:

What cities in California are hiring for Part Time Utilization Review Manager jobs?

Cities in California with the most Part Time Utilization Review Manager job openings:

AOD Outpatient Counselor/Case Manager

First Steps Recovery

El Dorado Hills, CA • On-site

$24 - $30/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago


Job description

Description

  Join a Mission. Build a Future. Save Lives

At First Steps Recovery, we don't just offer jobs - we offer purpose. As a leading, accredited behavioral health and substance use disorder treatment facility, our work changes lives daily. If you're driven by compassion, grounded in integrity, and thrive in a supportive, recovery-focused environment, you're exactly who we're looking for.


When you join First Steps Recovery, you become part of a tight-knit, multidisciplinary team that values empathy, growth, and evidence-based care. Whether you're working directly with clients or behind the scenes, every role here matters - and every day is an opportunity to make a difference.


Besides being an amazing company to work for, we also offer: 


Medical, Dental, Vision benefits for full time employees

PTO / Sick Leave Plans for full time and part time employees

Free Employee Assistance Program for full time and part time employees

Free Legal consultations and benefits for full time and part time employees

Free Life Insurance for full time employees

Generous 401K program for full time and part time employees


If you're ready to be part of something bigger, we invite you to take your next step with us!


POSITION SUMMARY 

AODC Counselors are responsible for coordinating and providing Individual counseling and clinical services, group sessions, individual sessions and intake assessment services to residents both at inpatient and outpatient levels of care if applicable. The AODC Counselor provides development of resident resources, vocational counseling, discharge/continuing care planning, and placement of residents if applicable. Counselors will work in collaboration with the treatment team to plan and coordinate the resident's progress through the continuum of care.

Reasonable Accommodations Statement 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions: 

  • Uphold and enforce First Steps Recovery standards, policies and procedures, resident rights, and professional code of ethics and conduct.
  • Ability to utilize agency comprehensive assessment tools in KIPU (Initial Treatment Plan, Discharge Planning, Initial Intake Assessment). 
  • Identify and prioritize individual needs and problems of the patient.
  • Prepare comprehensive interpretive clinical summaries (as seen in KIPU).
  • Develop person-centered care plans, including prioritized problem lists, SNAP, resident-reported goals, measurable and achievable objectives, and interventions.
  • Provide individual and group counseling sessions utilizing Evidence Based Practices.
  • Document resident progress toward treatment plan goals and objectives in Golden Thread.
  • Prepare effective care level step-down Transition notes.
  • Develop strong discharge plans and summaries for assigned caseload.
  • Prepare clinical documentation accurately and within agency time frames, including completion and documentation of groups.
  • Intervene during crisis intervention situations.
  • Cooperate with health insurance clinical utilization reviews. Provide daily Progress Notes and detailed Clinical Notes to assist with UR's.
  • Participate in weekly Clinical Treatment team meetings with other team members as needed.
  • Participate in the agency's Orientation training, staff meetings, and in-service training.
  • Provide information to and Spouses/Family Members on the resident's behalf.
  • Provide appropriate treatment interventions relative to the specific needs of each resident.
  • Provide for discharge planning, contacting referring agency as needed. 
  • Adhere to code of ethics, legal aspects of clinical practice, professional standards, duty to warn, abuse and neglect reporting policies and procedures, and exercise professionalism at all times.
  • Exercise awareness in cultural competency, resident satisfaction, quality of services, resident needs, and overall health and safety staff and residents.


Competencies: 

  • Ability to perform duties as a counselor (12 Core Functions). Competencies: with respect to screening, assessment, individualized treatment planning, crisis intervention, group and individual counseling, referral, discharge summaries, clinical documentation, and professional ethics.
  • Ability to establish and maintain cooperative working relationships with supervisors, utilization review, managed health care clinicians, medical and mental health professionals.
  • Ability to positively interact and develop rapport with residents and their families.


Education:  

  • Preferred AA or Bachelor's degree from an accredited college in the Human Services or Behavioral Health 
  • Registered as an AOD intern or a RADT-1 Intern
  • Drug and Alcohol Counseling Certification Desired. (CCAPP,CAADE,CADTP or Affiliate)


Experience:  

  • 1-2 years experience in the field of addiction and mental health or equivalent human services work experience preferred. 
  • Experience in co-occurring disorders treatment a plus


Computer Skills: 

  • Computer Literacy in doc, spreadsheet, and email.  
  • Proficiency in KIPU Systems Resident Management Software 


Certificates & Licenses:  

  • CPR/First AID
  • Drug and Alcohol Counseling Credential or Internship Required


Other Requirements:

  • Negative TB test results  
  • Medical Clearance to work  
  • Ability to pass pre-employment drug screenings


PHYSICAL DEMANDS

Frequently: Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

  • Standing
  • Walking
  • Sitting
  • Transverse Stairs
  • Handling / Using Fingers

Occasionally: Occupation requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

  • Reach Outward
  • Reach Above Shoulder
  • Squat or Kneel
  • Bend or Twist

Other Physical Demands:

  • Ability to lift/carry 20-50 lbs, Ability to push/pull 20-50 lbs 
  • Moderate frequency of computer keyboarding, 
  • Moderate frequency of viewing a computer monitor
  • Daily cleaning including but not limited to: wiping, sweeping, mopping, vacuuming, scrubbing, washing dishes
  • Assisting in meal preparation, installing water containers for consumption, and shopping as necessary including pushing of carts and carrying grocery boxes/bags.
  • Conducting garbage disposal, recycling, and collection.
  • Occasional walks, hikes, and sports outings with residents for physical activities.
  • Frequent support of residents in gym environment