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Part Time Utilization Review Jobs in Kentucky (NOW HIRING)

UHS

Part-Time Intake Referral Coordinator

Louisville, KY

$16.50 - $22.50/hr

... utilization review, marketing, nursing, and data processing. This individual will also be ... This is a Part-time Position Monday- Thursday 4:00 pm to 10:00 pm Benefits Highlights: * Loan ...

UHS

Part-Time Intake Referral Coordinator

Louisville, KY · On-site

$16.50 - $22.50/hr

... utilization review, marketing, nursing, and data processing. This individual will also be ... This is a Part-time Position Monday- Thursday 4:00 pm to 10:00 pm Benefits Highlights: * Loan ...

PACS

Physical Therapist - Part Time

Lexington, KY · On-site

$1K - $1K/wk

... Utilization Review meetings and Rehabilitation Conferences as needed. • Participate in in-services training program for other staff in the facility. • Record evaluations, daily treatment notes ...

Encompass Health Corporation

Case Manager

Louisville, KY · On-site

$18.25 - $23.50/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

Encompass Health Corporation

Case Manager

Lexington, KY · On-site

$17.50 - $22.75/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

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Showing results 1-20

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

Part Time Utilization Review information

See Kentucky salary details

$18

$36

$59

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

As of Jun 14, 2026, the average hourly pay for part time utilization review in Kentucky is $36.72, according to ZipRecruiter salary data. Most workers in this role earn between $29.04 and $42.16 per hour, depending on experience, location, and employer.

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.

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 are the most commonly searched types of Utilization Review jobs in Kentucky? The most popular types of Utilization Review jobs in Kentucky are:
What are popular job titles related to Part Time Utilization Review jobs in Kentucky? For Part Time Utilization Review jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Kentucky look for? The top searched job categories for Part Time Utilization Review jobs in Kentucky are:
What cities in Kentucky are hiring for Part Time Utilization Review jobs? Cities in Kentucky 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 Kentucky as of June 2026, with employment types broken down into 1% As Needed, 63% Full Time, and 36% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $76,384 per year, or $36.7 per hour.

MDS Nurse (LPN or RN)

Metcalfe Nursing and Rehab

Edmonton, KY

$30.25 - $39.50/hr

Part-time

Posted 3 days ago

Job description

MDS Nurse (RN/LPN) – Skilled Nursing Facility

Facility: Metcalfe Nursing and Rehabilitation
Location: Edmonton, KY
Position Type: Part-Time
Experience Required

Position Summary

The MDS Nurse is responsible for coordinating and completing the Resident Assessment Instrument (RAI) process in accordance with federal and state regulations and facility policies. This position works closely with the interdisciplinary team to ensure accurate assessments, appropriate care planning, regulatory compliance, and optimal reimbursement while supporting high-quality resident care in a deficiency-free skilled nursing facility.

Essential Duties and Responsibilities

  • Complete and coordinate Minimum Data Set (MDS) assessments accurately and within required timeframes.

  • Ensure compliance with CMS regulations, Medicare guidelines, and Kentucky state requirements.

  • Coordinate care plan meetings and collaborate with the interdisciplinary team to develop individualized resident care plans.

  • Review clinical documentation to support accurate coding and reimbursement.

  • Monitor resident status changes and initiate appropriate assessment updates.

  • Participate in Medicare and Managed Care documentation and utilization review processes.

  • Maintain accurate and timely records related to assessments and care plans.

  • Assist with survey readiness and support the facility’s deficiency-free standards.

  • Communicate effectively with physicians, nursing staff, therapy, social services, residents, and families.

  • Support quality assurance and performance improvement initiatives related to clinical outcomes and documentation.

Qualifications

  • Current RN or LPN license in the state of Kentucky.

  • Previous MDS experience in a skilled nursing or long-term care setting required.

  • Working knowledge of RAI process, PDPM, Medicare, and Medicaid regulations.

  • Strong assessment, organizational, and documentation skills.

  • Ability to work independently and manage deadlines effectively.

  • Excellent communication and teamwork abilities.

Benefits May Include

  • Competitive pay

  • Flexible part-time schedule

  • Supportive team environment

  • Continuing education opportunities

  • Opportunity to work in a deficiency-free facility focused on quality resident care

Work Environment

This part-time position offers an opportunity to join a dedicated interdisciplinary team committed to clinical excellence, accurate reimbursement practices, and compassionate resident-centered care within a skilled nursing and rehabilitation environment.