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Part Time Utilization Review Jobs in Florida (NOW HIRING)

Incredible Health

Nurse Case Manager (RN)

Naples, FL

$59K - $83K/yr

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift * Job types available: full time, part time, and per diem * Employer features: Career Advance Program, Cross ...

Pacs

$70/hr

Speech-Language Pathologist (SLP) - Part-Time Kern River Transitional Care - Bakersfield, CA Pay ... Participate in Patient Care Conferences, Utilization Review meetings, and Rehabilitation ...

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All JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Florida

Part Time Utilization Review information

How to make an extra 2000 a month as a nurse?

A part time utilization review nurse can increase income by taking on additional shifts, working overtime, or handling cases outside regular hours. Developing specialized skills or certifications, such as in case management or insurance review, can also qualify for higher-paying opportunities or freelance work, helping to reach the extra income goal.

How to get a utilization review job?

To obtain a utilization review position, candidates typically need a background in healthcare, such as nursing, health administration, or related fields, along with knowledge of insurance and medical billing. Relevant certifications like the Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM) can improve job prospects, and strong analytical and communication skills are essential. Experience with medical records and utilization review software is also beneficial.

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.

Is utilization review a stressful job?

Utilization review is a role that involves evaluating healthcare services for appropriateness and coverage, which can be stressful due to strict deadlines, high accuracy requirements, and the need to handle complex cases. The level of stress varies depending on the work environment, workload, and individual coping skills, but it generally requires attention to detail and strong communication skills. Some professionals find the job manageable with proper time management and support systems in place.

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 jobs pay 4000 a week without a degree?

Part Time Utilization Review roles typically do not pay $4,000 a week; such high earnings usually require full-time positions or specialized skills. Jobs that can reach this level without a degree often include sales, real estate, or certain freelance consulting roles, but they generally demand experience, certifications, or a strong network. Most high-paying roles without a degree involve sales, entrepreneurship, or skilled trades with commission or performance-based pay structures.
What are the most commonly searched types of Utilization Review jobs in Florida? The most popular types of Utilization Review jobs in Florida are:
What are popular job titles related to Part Time Utilization Review jobs in Florida? For Part Time Utilization Review jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Florida look for? The top searched job categories for Part Time Utilization Review jobs in Florida are:
What cities in Florida are hiring for Part Time Utilization Review jobs? Cities in Florida 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 Florida as of June 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution.
Utilization Review Specialist Senior

Utilization Review Specialist Senior

BayCare Health System

Clearwater, FL • On-site

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 393 frontline employees who took The Breakroom Quiz

227th of 877 rated healthcare providers

Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
The Utilization Review Specialist Senior responsibilities include:
  • Functions as the primary liaison between the funding agents and all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and the utilization of ancillary services
  • Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.
  • Preferred experience includes Critical Care or Emergency Nursing RN.

Position details:
  • Location: Hybrid - Morton Plant Hospital/Clearwater, FL
  • Status: Part time, 24 hours per week
  • Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM
  • Weekend Requirement: Every
  • On Call: No

Certifications and Licensures:
  • Required RN (Registered Nurse)
  • Preferred ACM (Case Management)
  • Preferred CCM (Case Manager)

Education:
  • Required Associates in Nursing or
  • Required Bachelors in Nursing
  • Preferred Masters in Nursing or Business

Experience:
  • Required 2 years in Utilization Review or
  • Required 2 years in Case Management or
  • Required 3 years Registered Nurse
  • Preferred experience in Critical Care or Emergency Service

Benefits:
  • Benefits (Health, Dental, Vision)
  • Paid time off
  • Tuition reimbursement
  • 401k match and additional yearly contribution
  • Yearly performance appraisals and team award bonus
  • Community discounts and more

Equal Opportunity Employer Veterans/Disabled

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