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Part Time Utilization Review Jobs in Florida (NOW HIRING)

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 ...

Pacs

$1.4K - $1.9K/wk

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...

Encompass Health

Quality/Risk Director

Kissimmee, FL · On-site

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk ...

Encompass Health

Controller

Wesley Chapel, FL · On-site

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.

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Showing results 21-40

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

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 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 August 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution.

Rehab Clin Case Manager PRN

Sarasota Memorial Health Care System

Sarasota, FL • On-site

Part-time

Re-posted 10 days ago

Sarasota Memorial Health Care System rating

7.5

Company rating: 7.5 out of 10

Based on 104 frontline employees who took The Breakroom Quiz

232nd of 887 rated healthcare providers

Job description

Department
Inpatient Rehab Facility (IRF)
Job Summary

The Rehab Clinical Case Manager assesses the patients' needs upon admission and assists with the coordination of interdisciplinary treatment plans based on CMG, estimated length of stay, and functional efficiency goals to ensure achievement of predicted outcomes, as well as monitoring and updating the interdisciplinary care plans as appropriate.


Required Qualifications

- Require a diploma or Associate of Science in Nursing (ASN) with graduation from an accredited school of nursing. A Bachelor of Science in Nursing (BSN) is preferred.
- Require a minimum of one (1) year of Utilization Review (UR) or Case Management experience in a hospital setting and a minimum of three (3) years of related clinical practice in an acute care or inpatient rehab setting.
- Require previous experience with hospital information systems (order entry, results reporting, case management) as well as proficient experience using commonly used computer applications (word processing a minimum).


Preferred Qualifications

- Prefer active Case Management Certification (CCM or ACM) or within one (1) year of hire and membership in relevant CM organization.
- Prefer demonstrated ability to manage multiple tasks and adjust priorities according to patient needs and department/hospital needs.
- Prefer solid clinical assessment, critical thinking, decision making and organizational skills.
- Prefer strong ability to communicate effectively both verbally and in written work.
- Prefer strong interpersonal skills and ability to work collaboratively with leaders, staff, patients, families, healthcare team, payers and external agencies.


Mandatory Education
Preferred Education
Required License and Certs

FL RN: FL Registered Nurse License


Preferred License and Certs
Employment Screening Requirements
As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/Qualifications:

- Prefer active Case Management Certification (CCM or ACM) or within one (1) year of hire and membership in relevant CM organization.
- Prefer demonstrated ability to manage multiple tasks and adjust priorities according to patient needs and department/hospital needs.
- Prefer solid clinical assessment, critical thinking, decision making and organizational skills.
- Prefer strong ability to communicate effectively both verbally and in written work.
- Prefer strong interpersonal skills and ability to work collaboratively with leaders, staff, patients, families, healthcare team, payers and external agencies.

Education:UNAVAILABLEEmployment Type: PART_TIME

What Sarasota Memorial Health Care System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Sarasota Memorial Health Care System logo

About Sarasota Memorial Health Care System

Sourced by ZipRecruiter

Sarasota Memorial Health Care System, based in Sarasota, FL, US, is a community-owned and operated healthcare provider entrenched in the medical and health services industry. Known for offering a wide array of comprehensive care, their extensive services range from disease prevention and detection to advanced treatment and rehabilitation. The company, established in 1925, began as a 14-bed hospital and has evolved into an 839-bed regional medical center, becoming one of the region's largest public health systems. Sarasota Memorial's mission is to deliver healthcare service of the highest quality in keeping with their core values, including community, excellence, loyalty, innovation, respect, and teamwork.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Sarasota, FL, US

Year founded

1925

Social media

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