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Part Time Utilization Review Jobs in Arizona (NOW HIRING)

Ernest Health

Pharmacist Part Time

Prescott Valley, AZ · On-site

$57 - $68.50/hr

Overview Pharmacist - Part Time - Prescott Valley, Arizona Join Our Team at Mountain Valley ... Conducts drug utilization reviews and prepares drug review criteria for medical staff approval.

giftHEALTH Inc

Onsite Pharmacist - Part-Time

Mesa, AZ · On-site

$51.12 - $63.91/hr

Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and appropriateness based on patient history and current medications. * Collaborate with Healthcare Providers:

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All JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Arizona

Part Time Utilization Review information

What is a Part Time Utilization Review job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review Nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.
What are the most commonly searched types of Utilization Review jobs in Arizona? The most popular types of Utilization Review jobs in Arizona are:
What are popular job titles related to Part Time Utilization Review jobs in Arizona? For Part Time Utilization Review jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Arizona look for? The top searched job categories for Part Time Utilization Review jobs in Arizona are:
What cities in Arizona are hiring for Part Time Utilization Review jobs? Cities in Arizona with the most Part Time Utilization Review job openings:
Part Time Utilization Review jobs near you
Infographic showing various Part Time Utilization Review job openings in Arizona as of June 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution.
Utilization Review Specialist

Utilization Review Specialist

Lifepoint Health

Tucson, AZ • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 258 frontline employees who took The Breakroom Quiz

748th of 872 rated healthcare providers

Job description

Job Description
Your experience matters
El Dorado Springs Behavioral Health is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
A Utilization Review Specialist who excels in this role:
  • Facilitates clinical reviews for all patient admissions and continued stays.
  • Analyzes patient records to determine the appropriateness of admission, treatment, and length of stay, and interfaces with managed care organizations, external reviewers, and other payers.
  • Advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric, or emotional disorders to managed care providers to ensure access to necessary treatment.
  • Contacts external case managers and managed care organizations to obtain certification of insurance benefits throughout the patient's stay and assists the treatment team in understanding requirements for continued stay and discharge planning.
  • Demonstrates knowledge of clinical criteria and managed care requirements for inpatient and outpatient authorization, and advocates for coverage of necessary services.
  • Completes pre-certifications and re-certifications for inpatient and outpatient services; reports denials and authorization information to the appropriate resource.
  • Actively communicates with the interdisciplinary team to obtain pertinent information and provide updates on authorizations.
  • Participates in treatment team meetings to ensure staff understand coverage and to gather information for communication with external agencies.
  • Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met.
  • Ensures appeals are completed thoroughly and in a timely manner.
  • Interfaces with managed care organizations, external reviewers, and other payers.
  • Communicates with physicians to schedule peer-to-peer reviews.
  • Accurately reports denials.

About our Team
Driven by a mission to help individuals regain stability and wellness, our multidisciplinary team works collaboratively to provide compassionate care while fostering a supportive, safety-focused workplace culture for our staff and patients alike.
What we're looking for
Applicants must have a Bachelor's degree (required). Master's degree is preferred. Additional requirements include:
  • Previous utilization review experience in a psychiatric healthcare facility preferred.
  • Current unencumbered clinical license is strongly preferred.
  • CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime

Schedule: PRN (as needed)
This position does not have a set weekly schedule. You'll be called in to work when extra help is needed-such as covering for someone, handling busy periods, or filling gaps in the schedule. Hours can vary from week to week, and there's no guaranteed hours.
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.

More about El Dorado Springs
El Dorado Springs features a state-of-the-art facility with over 100 private and semi-private rooms, providing a secure and therapeutic setting focused on comfort, dignity, and healing. Patients receive 24/7 medically supervised care, evidence-based therapy, medication management, and comprehensive discharge and aftercare planning.
Accredited by The Joint Commission and certified by CMS, El Dorado Springs Behavioral Health is committed to delivering relationship-centered, evidence-based care that improves outcomes and supports long-term recovery.
The hospital offers a full continuum of care, including inpatient psychiatric stabilization, medically assisted detox (MAT), Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP). These programs are designed to support individuals experiencing acute mental health symptoms, substance use disorders, or co-occurring conditions in a safe, structured environment.
EEOC Statement
El Dorado Springs Behavioral Health is an Equal Opportunity Employer. El Dorado Springs Behavioral Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

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Benefits

Hours and flexibility

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

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