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Part Time Utilization Review Jobs in Arizona (NOW HIRING)

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Gilbert, AZ · On-site

Whether you're looking for a flexible, part-time job or the pathway to a lasting career, you'll ... Review and adhere to residents' dietary needs, restrictions, and preferences as outlined by the ...

Registered Dietitian (RD) or (RDN)

Chandler, AZ · On-site

$30.75 - $41.25/hr

Chandler, Arizona Part time: In person clinic role (Not Remote) About Us: Join our thriving team at ... Technology & Systems Utilization · Proficiently use EMR systems, scheduling software, CRM tools ...

TL;DR Full & Part time available As a Clinical Research Assistant, you love to-do lists ... You will be responsible for reviewing patient charts for enrolling trials, creating telephone ...

Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration ... Benefits for All Associates (Full-Time, Part-Time & Per Diem): * Competitive Pay * 401(k) with ...

Showing results 41-60

Part Time Utilization Review information

What is a part time utilization review?

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?

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 cities in Arizona are hiring for Part Time Utilization Review jobs?

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

Infographic showing various Part Time Utilization Review job openings in Arizona as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution.

Part-time

Re-posted 6 days ago


Job description

At The CORE Institute, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

  • Competitive Health & Welfare Benefits (Medical, Dental, Vision, Supplemental)
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA/FSA with qualifying HDHP plans with company match for HSA
  • 401k plan first of month after hire date with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events
  • Employee Discounts
  • Free Lunch Fridays
  • Closed on Holidays

    ESSENTIAL FUNCTIONS

    • Establishes and maintains effective communication and collaboration with other hospital departments.
    • Establishes and implements policies and procedures and maintains departmental compliance with accreditation and regulatory agencies.
    • Investigates all incidents and accidents taking the appropriate action to ensure the safety of patients, physicians, and employees.
    • Promotes the mission, vision, and values of the hospital.
    • Reviews short-term and long-term plans, strategies, and systems that identify and utilize available resources to efficiently manage daily operations, accomplish goals and objectives with specific target dates.
    • Oversees management of department operationally and fiscally.
    • Provides administrative and financial accountability for planning, directing, staffing, coordinating, and controlling the functions and activities of all phases of the perioperative services departments.
    • Reviews daily the proposed OR schedule. Communicates with OR scheduling for clarification of unique procedures, protocols, and inventory descriptions to facilitate the scheduling process. Maintains continuous communication with schedulers to help solve scheduling problems and/or OR utilization.
    • Coordinates schedule and staffing needs to ensure proper staff coverage and sterile equipment are ready and available.
    • Serves as a liaison with physicians, allied health personnel, and organizational vendors to identify and prioritize specialty service supply, instrument, and equipment needs for patient procedures. Reviews future OR schedule to prepare required equipment and resolve supply and equipment conflicts, providing a general overview of the physicians and their needs.
    • Promotes/supports growth of others through precepting, mentoring, and orientation when appropriate. Serves as a positive, clinical role model to facilitate staff development, providing pertinent feedback to CNO and hospital Administration. Determines the competence and qualifications of the team and providing and implementing continuing education programs, and in-services to meet the needs of the department.
    • Maintains supply inventory, including assuring the procurement of necessary supplies, equipment and expertise, and the timely delivery of needed care, and alerting administration of these needs in a timely manner.
    • Monitors and continuously improves metrics by collecting and analyzing data related to quality or performance improvement projects that apply to perioperative services, providing solutions and actions plans to reach departmental metrics and goals.
    • Facilitates or serves as a member of a multidisciplinary team in planning and providing direct patient care, acts as a patient advocate and maintains privacy and confidentiality of appropriate information. Ensures safe patient care within the perioperative unit, ensuring that proper patient identification, time outs, resources, and supplies are available to maintain a safe environment.
    • Assists perioperative personnel in evaluating practice and creating strategies for further improvement. Helps, if necessary, to assess the patient’s condition after a surgical procedure and works with a physician to develop the care plan for the patient during the surgery.
    • Participates actively in professional organizations that provide evidence-based education and resources for the perioperative setting. These organizations include, but are not limited to, Association of peri Operative Registered Nurses (AORN) and American Society of Post-Anesthesia Nursing (ASPAN).
    • Assumes other related responsibilities as required and assigned.

    EDUCATION

    • Bachelor of Science in Nursing is required, or an Associate Degree in Nursing (from an accredited program) with an equivalent level of working experience will be accepted as having met this requirement. Master’s preferred.
    • CNOR certification is preferred, or possession of the knowledge and skills associated to obtain certification.

    EXPERIENCE

    • A minimum of five years of nursing experience is required. Five to seven years is preferred.
    • Previous RN experience in the orthopedics and/or spine is preferred.
    • A minimum of five - ten years OR management experience is required, senior leadership experience preferred including performing as a leader of leaders. Demonstrated progressive nurse leadership experience at manager or director level, including oversight of SPD, overseeing complex systems, extensive customer relations, and proven experience leading process improvement, clinical services and interdepartmental projects and collaboration.

    REQUIREMENTS

    • Current RN licensure in the state of Arizona required.
    • Certifications in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), or obtained within 90 days of hire.