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Part Time Utilization Review Jobs in Iowa (NOW HIRING)

UnityPoint Health

RN-Case Manager

Marshalltown, IA

RN Case Manager Marshalltown Hospital Shift: Part-Time | 28 Hours per Week | 8:00 AM-4:30 PM ... This role focuses on care coordination, utilization review, and interdisciplinary collaboration to ...

UnityPoint Health

RN-Case Manager

Marshalltown, IA · On-site

Overview RN Case Manager Marshalltown Hospital Shift: Part-Time | 28 Hours per Week | 8:00 AM-4:30 ... This role focuses on care coordination, utilization review, and interdisciplinary collaboration to ...

UnityPoint Health

Clinical Preceptor

Dubuque, IA

Clinical Nurse Preceptor Dubuque Finley Home Care Part Time Benefits 0.5 FTE Variable weekday ... • Reviews skills with new employees to determine level of understanding and re-educates as ...

UnityPoint Health

Clinical Preceptor

Dubuque, IA · On-site

Overview Clinical Nurse Preceptor Dubuque Finley Home Care Part Time Benefits 0.5 FTE Variable ... • Reviews skills with new employees to determine level of understanding and re-educates as ...

UnityPoint Health

Clinical Preceptor

Dubuque, IA · On-site

$37.82 - $56.74/hr

Overview Clinical Nurse Preceptor Dubuque Finley Home Care Part Time Benefits 0.5 FTE Variable ... • Reviews skills with new employees to determine level of understanding and re-educates as ...

UnityPoint Health

Clinical Preceptor

Dubuque, IA

Clinical Nurse Preceptor Dubuque Finley Home Care Part Time Benefits 0.5 FTE Variable weekday ... • Reviews skills with new employees to determine level of understanding and re-educates as ...

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Part Time Utilization Review information

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 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 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 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 most commonly searched types of Utilization Review jobs in Iowa? The most popular types of Utilization Review jobs in Iowa are:
What are popular job titles related to Part Time Utilization Review jobs in Iowa? For Part Time Utilization Review jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Iowa look for? The top searched job categories for Part Time Utilization Review jobs in Iowa are:
Part Time Utilization Review jobs near you
Part Time Staff Pharmacist

Part Time Staff Pharmacist

All Care Health Center

Council Bluffs, IA • On-site

$60 - $65/hr

Part-time

Posted yesterday

Job description

ABOUT US

All Care Health Center’s mission is to provide affordable, comprehensive, high quality health care to the entire community. We will strengthen access to quality-integrated healthcare, by removing barriers for those with the greatest need, and developing community relationships, to enhance the future of our community’s well-being.

POSITION OVERVIEW

The Part Time Staff Pharmacist is responsible for providing comprehensive pharmaceutical care.

SCHEDULE AND PAY

Position is a 0.5 FTE, 20 hour work week

Clinic Open: Monday – Thursday 8AM - 7PM, Friday 8AM – 5PM, and Saturday 8AM -12PM. Scheduling needs will be discussed during interview.

Hourly Rate of $60- $65. Pay offer is based on education, and experience.

DUTIES

  • Responsible for final verification process of prescriptions.
    • Verifies accurate data entry.
    • Completes drug utilization review on prescriptions prior to dispensing.
    • Completes final product verification on prescriptions prior to dispensing.
    • Counsels patients on all new prescriptions.
  • Assists providers and ancillary staff in the selection of prescription and over-the-counter medications.
    • Answers staff questions in a timely manner.
    • Assists with selecting affordable medications for patients.
  • Maintains and oversees inventory levels.
    • Retrieves outdated medications on a monthly basis.
    • Uses the computerized ordering system.
    • Receives, labels and stocks prescription drugs and prescription supplies.
    • Files invoices.
  • Responsible for oversight of the work of pharmacy staff on duty.
    • Oversees work product of pharmacy technicians and pharmacy students.
    • Enforces ACHC Policies and Procedures.
  • Assists with maintaining pharmacy compliance with regulatory bodies (State, Federal, Joint Commission, 340B, etc.) and operations.
    • Ensures medications are stored in the correct areas.
    • Ensures medications are labeled correctly.
    • Maintains daily log book.
    • Completes refrigerator temperature report log.
  • Assists in maintaining pharmacy operations
    • Cleans and maintains the pharmacy area.
    • Prepares and retrieves reports through PioneerRx.
  • Other duties as assigned.

QUALIFICATIONS

  • Possesses a current, valid license as a Pharmacist in the State of Iowa
  • Possesses a Bachelor's of Science in Pharmacy or a Doctorate in Pharmacy

ADDITIONAL JOB INFORMATION

At All Care Health Center, we are committed to providing an environment of equal employment opportunities to all applicants without regard to race, color, religion, marital status, age, national origin, physical or mental disability, pregnancy, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under applicable law.

This employer participates in E-Verify, a federal program that confirms employment eligibility for all new hires. Upon accepting a job offer, you will be required to complete a Form I-9 to verify your identity and employment authorization to work in the United States.

If you need assistance or an accommodation in applying for this or other job postings, please contact the HR department at (712) 325-1990.

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