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Part Time Utilization Review Jobs in Florida (NOW HIRING)

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 ...

Pacs

$65 - $75/hr

Occupational Therapist (OT) Status: Part-Time Location: Kern River Transitional Care - Bakersfield ... Participate in Patient Care Conferences, Utilization Review meetings, and Rehabilitation ...

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All JobsUtilization Review 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 July 2026, with employment types broken down into 1% As Needed, 64% Full Time, 33% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.
Utilization Review Specialist (Remote)

Utilization Review Specialist (Remote)

Coronis Health

Delray Beach, FL • On-site

$60K - $62K/yr

Full-time, Part-time

Posted 3 days ago

Coronis Health rating

7.7

Company rating: 7.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

167th of 487 rated business services

Job description

Title: Utilization Review Specialist/Behavioral Health Substance Abuse (Remote)
Reports to: UR Manager
FLSA Classification: Exempt
Full-Time or Part-Time: Full-Time
Salary Range: $60,000 to $62,000
Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.

Position Overview:
The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The role involves providing appropriate client information to third-party payers regarding the medical necessity of treatment in a timely manner. The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews, and appeal reviews as needed.

Key Responsibilities:

  1. Act as the agency liaison with insurance and managed care companies for the authorization of treatment costs, representing the company in a positive and professional manner.
  2. Participate in staff meetings as needed.
  3. Ensure clear communication with supervisors, co-workers, and facilities.
  4. Keep abreast of changes and monitor compliance with State and Federal laws and regulations in areas of insurance and third-party payers.
  5. Protect the confidentiality of patients and the privacy of staff.
  6. Use a computer to type correspondence, reports, and other items as requested, ensuring accuracy.
  7. Process data in conjunction with a compliance consultant to present it effectively using established statistical methods.
  8. Demonstrate the willingness to accept responsibility.
  9. Perform other duties as assigned by the Director of Utilization Review.

Qualifications:

Minimum Education/Certifications/OTJ Experience:

  • BA in Psychology or a related field.
  • Three to five (5) years of experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, Case Manager, or Utilization Review Coordinator).

Knowledge of Subject Matter:

  • Prior Utilization Review experience in a Substance Abuse environment is mandatory.
  • Knowledge of ASAM guidelines.
  • Knowledge of medical terminology.
  • Knowledge of State and Federal Statutes regarding patient confidentiality laws.
  • Knowledge of Drug-Free Workplace Policies, Corporate Integrity, and Compliance Programs.
  • Knowledge of state guidelines and accreditation agency standards.

Skills:

  • Ability to establish rapport and supervise employees and professional staff.
  • Ability to work under stressful conditions and be flexible in relation to department needs.
  • Demonstrates proficiency in verbal and written communication skills.
  • KIPU experience required; Best Notes experience is a plus.

Abilities/Attributes:

  • Demonstrates willingness to accept responsibility and perform tasks with minimal supervision.

Additional Information:
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.


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