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Part Time Utilization Review Manager Jobs in Boise, ID

V2V MANAGEMENT SOLUTIONS INC

Finance Manager

Boise, ID · On-site

$31.50 - $38.50/hr

... margins, and utilization metrics * Support pricing strategies and contract financial review ... Manage external relationships (CPA firm, auditors, tax advisors) Process Improvement * Identify and ...

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All JobsUtilization Review JobsPart Time Utilization Review Manager JobsPart Time Utilization Review Manager Jobs in Boise, ID

Part Time Utilization Review Manager information

See Boise, ID salary details

$37.1K

$86.6K

$159.4K

How much do part time utilization review manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for part time utilization review manager in Boise, ID is $86,621.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,600.00 and $104,200.00 per year, depending on experience, location, and employer.

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 are popular job titles related to Part Time Utilization Review Manager jobs in Boise, ID? For Part Time Utilization Review Manager jobs in Boise, ID, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review Manager jobs in Boise, ID look for? The top searched job categories for Part Time Utilization Review Manager jobs in Boise, ID are:
Part Time Utilization Review Manager jobs near you
Infographic showing various Part Time Utilization Review Manager job openings in Boise, ID as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $86,621 per year, or $41.6 per hour.

Clinical Resource Manager Case Manager

Trinity Health

Boise, ID • On-site

Part-time

Re-posted yesterday

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

571st of 887 rated healthcare providers

Job description

Employment Type:
Part timeShift:
Day Shift
Description:
CLINICAL RESOURCE MANAGER / CASE MANAGER
Part-time, Friday, Saturday, Sunday and Monday, E/O Week
Boise Regional Medical Center
SUMMARY:
Provides hospital case management/utilization review and discharge planning collaboratively determining level of care needs beyond acute care, providing decision support to patients/families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. Coordinates the integration of social services into patient care as appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals, objectives, standards of practice, and policies and procedures. Ensures quality patient care and adheres to regulatory compliance. Provides concurrent assistance and support to physicians and other clinical members of the health care team in coordinating the delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians, nursing, and ancillary care givers to establish specific treatment, cost, and transition targets and to facilitate transition planning.
REQUIREMENTS:
  • Colleague must have an RN license, as defined by their primary work state (Idaho or Oregon)

  • IDAHO ONLY: If a nurse moves to Idaho from another compact state, they must apply for licensure by endorsement and update their primary state of residence to Idaho within 60 days of being hired.

  • All colleagues must provide licensure or proof of application for secondary state within 90 days of hire.

  • BSN required. A master's degree is preferred.

  • A minimum of 2 years of varied hospital clinical experience is required.

  • Experience in case management, home health, and/or the insurance industry preferred.

WHAT YOU WILL DO:
  • Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.

  • Demonstrates knowledge and skills to competently care for all assigned age groups (Neonate, Child, Adolescent, Adult, Geriatric as applicable).

  • Revenue Management: ensures the accuracy of documenting services and supplies provided to the patients.

  • Coordinates the integration of social services/case management functions into patient care, discharge, and home planning process with other hospital departments, external service organizations, agencies and healthcare facilities.

  • Completes a screening/assessment of physician assigned cases to determine medical necessity/status determinations and transition needs. Reassesses, monitors, and modifies transition needs as appropriate.

  • Conducts concurrent medical record review using established medical necessity criteria to determine correct level of care for acute patients. Assists physicians with completing transfer and discharge orders. Maintains knowledge of federal, state, and private agency review requirements and regulations.

  • Provides education to all health care team members including physicians regarding requirements to meet regulatory standards.

  • Promotes effective and efficient utilization of clinical resources from admission to discharge.

  • Initiates and presents "denial letters" as appropriate. Completes PASRRs for admission to skilled nursing facilities. Delivers Condition Code 44 letters to patients and educates them on Medicare benefits.

  • Researches and locates resources for patients for example: assistance in competing medication applications for financial assistance through pharmaceutical companies, works closely with our Patient Financial Advocates in the Medicaid pending process, and works closely with outside facilities to obtain equipment in situations when patients have limited funding available to them.

  • Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians to maintain appropriate cost, cases, and desired patient outcomes.

  • Introduces self to patient and family and explains clinical resource manager role and the process for patient and family to contact clinical resource manager.

  • Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.

  • Participates in multidisciplinary patient care rounds and/or conferences as appropriate to review treatment goals, optimize resource utilization, provides family education and identification of post-hospital needs.

  • Utilizes physician advisor referral as appropriate.

  • Adheres to department established process in reviewing 30 day re-admissions.

  • Follows established patient choice policy.

  • Documents assessment of primary and back up plans along with communications to patient, family and care team.

  • Documents interventions taken to meet the needs of their individual patients in Power Chart.

  • Actively participates in department staff meetings and department sub teams.

  • Ensures discharge planning compliance with Medicare Conditions of Participation/regulations and Joint Commission standards.

Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.
Visit www.saintalphonsus.org/careers to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System.
Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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About Trinity Health

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Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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