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Part Time Utilization Review Jobs in California (NOW HIRING)

ScionHealth

Case Manager II - PT Days

San Leandro, CA · On-site

$64.55 - $81.87/hr

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...

The Hume Center

Psychiatric Nurse Practitioner

Antioch, CA

$138K - $177K/yr

Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...

The Hume Center

Psychiatric Nurse Practitioner

Antioch, CA · On-site

$138K - $177K/yr

Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...

The Hume Center

Psychiatric Nurse Practitioner

Antioch, CA · On-site

$176K - $215K/yr

Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...

Sutter Health

Care Manager II, Acute

Modesto, CA

$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 ...

Sutter Health

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 ...

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Showing results 21-40

All JobsUtilization Review JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in California

Part Time Utilization Review information

See California salary details

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How much do part time utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for part time utilization review in California is $41.73, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

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 California? The most popular types of Utilization Review jobs in California are:
What are popular job titles related to Part Time Utilization Review jobs in California? For Part Time Utilization Review jobs in California, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in California look for? The top searched job categories for Part Time Utilization Review jobs in California are:
What cities in California are hiring for Part Time Utilization Review jobs? Cities in California 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 California as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, 2% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,795 per year, or $41.7 per hour.

Case Manager II - PT Days

ScionHealth

San Leandro, CA • On-site

$64.55 - $81.87/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 hours ago

ScionHealth rating

5.6

Company rating: 5.6 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

800th of 887 rated healthcare providers

Job description

Kindred Hospital San Francisco Bay Area is a 99-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. For those who need special care, we offer a 10-bed ICu and two negative pressure rooms. We are located about 7 miles east of Oakland International Airport right off MacArthur Freeway (I-580).
Job Summary
Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
Essential Functions
Care Coordination
  • Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
  • Monitors all areas of patients' stay for effective care coordination and efficient care facilitation.
  • Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
  • Appropriately refers high risk patients who would benefit from additional support.
  • Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
  • Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.
  • Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.

Discharge Planning
  • Conducts comprehensive, ongoing assessment of patients to provide timely and safe discharge planning.
  • Provide comprehensive discharge planning for each patient. Utilizes critical thinking to develop and execute effective discharge planning.
  • Coordinate and communicates with patient/family efficient and effectively.

Utilization Management
  • Conducts medical necessity review for appropriate utilization of services from admission through discharge.
  • Promotes effective and efficient utilization of clinical resources.
  • Conducts timely and accurate clinical reviews, care collaboration and coordination of continued stay authorization with payor.

Other
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
  • Serves on Hospital and Division committees when requested.

Knowledge/Skills/Abilities/Expectations
  • Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
  • Knowledge of Medicare benefits and insurance processes and contracts.
  • Knowledge of accreditation standards and compliance requirements.
  • Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
  • Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
  • Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers
  • Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.
  • Approximate percent of time required to travel: 0%
  • Must read, write and speak fluent English.
  • Must have good and regular attendance.
  • Performs other related duties as assigned.

Pay range: $64.55 - $81.87/Hr
ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellne
Qualifications
Education
  • Graduate of an accredited program required for RN.
  • BSN preferred or MSW/BSW with licensure as required by state regulations

Licenses/Certifications
  • Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
  • Certification in Case Management a plus.

Experience
  • Two years of experience in a healthcare setting preferred.
  • Prefer prior experience in case management, utilization review, or discharge planning.

What ScionHealth employees say

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