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Part Time Utilization Review Jobs in Mississippi

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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 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 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 most commonly searched types of Utilization Review jobs in Mississippi?

The most popular types of Utilization Review jobs in Mississippi are:

What are popular job titles related to Part Time Utilization Review jobs in Mississippi?

For Part Time Utilization Review jobs in Mississippi, the most frequently searched job titles are:

What job categories do people searching Part Time Utilization Review jobs in Mississippi look for?

The top searched job categories for Part Time Utilization Review jobs in Mississippi are:

Part Time Utilization Review jobs near you
Infographic showing various Part Time Utilization Review job openings in Mississippi as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution.

RN Inpatient- Children's of Mississippi- NICU- PRN

University of Mississippi Medical Center

Jackson, MS • On-site

Part-time

Re-posted 29 days ago

University Of Mississippi Medical Center rating

7.4

Company rating: 7.4 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

348th of 1,061 rated hospitals

Job description

Hello,
Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:
  • Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it.
  • You must meet all of the job requirements at the time of submitting the application.
  • You can only apply one time to a job requisition.
  • Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process.
  • Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted.

After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile.
Thank you,
Human Resources
Important Applications Instructions:
Please complete this application in entirety by providing all of your work experience, education and certifications/
license. You will be unable to edit/add/change your application once it is submitted.
Job Requisition ID:
R00051039
Job Category:
Nursing
Organization:
NICU
Location/s:
Main Campus Jackson
Job Title:
RN Inpatient- Children's of Mississippi- NICU- PRN
Job Summary:
To assess, develop, implement and evaluate the nursing care and treatment for patients in an assigned clinical area. To coordinate the operations of a clinical area including patient scheduling, maintaining patient records and managing the patient admissions process. To counsel with patients and family members on treatment and conditions of patients. To act as liaison on between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties in accordance with the medical center's purpose. This job profile may require call subject to the department's discretion.
Education & Experience
Certifications, Licenses or Registration Required: Valid RN license. Position may require Cert/Reg; however, no pay will be associated with the PRN position.
Knowledge, Skills & Abilities
Knowledge of clinical nursing care procedures and protocols. Verbal and written communication skills. Interpersonal skills. Knowledge and understanding of computer systems, tools and programs. Ability to work in a team environment.
Responsibilities
  • Provides patient care by assessing, planning, implementing and evaluating treatments and interventions for patients.
  • Educates patients (and possibly family members) on topics such as the nature and status of patient's condition, diet and associated side effects of medication/treatments and the importance of complying with medication schedules.
  • Ensures the safety of patients.
  • Coordinates referrals to other services within and outside of immediate area or unit.
  • Maintains accurate patient records.
  • Functions as a preceptor in accordance with UMMC guidelines.
  • Reports patients issues or concerns to supervisor as appropriate.
  • Serves on at least one nursing council, hospital, or medical center committee, task force, or project team to improve patient care or work area. Demonstrates core standards of exceptional customer service.
  • The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands
Requires frequent exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional exposure to biohazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional working hours significantly beyond regularly scheduled hours, occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, constant work produced subject to precise measures of quantity and quality, frequent bending, occasional lifting and carrying more than 100 pounds, occasional climbing, occasional crawling, frequent crouching/stooping, occasional driving, occasional kneeling, frequent pushing/pulling, frequent reaching, occasional sitting, constant standing, frequent twisting, and constant walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)
Time Type:
Part time
FLSA Designation/Job Exempt:
No
Pay Class:
Hourly
FTE %:
0
Work Shift:
Benefits Eligibility:
Grant Funded:
Job Posting Date:
08/4/2026
Job Closing Date (open until filled if no date specified):

What University Of Mississippi Medical Center employees say

Pay

Benefits

Hours and flexibility

Workplace

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University of Mississippi Medical Center logo

About University of Mississippi Medical Center

Sourced by ZipRecruiter

The University of Mississippi Medical Center (UMMC) is the state's sole academic medical center, focused on enhancing the lives of Mississippi residents through education, research, and healthcare. UMMC houses seven health science schools with over 3,000 enrolled students, and its researchers are renowned for their contributions to areas like heart disease, diabetes, hypertension, and cancer treatment. Their efforts not only improve health outcomes but also drive economic growth and job opportunities in the state.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Jackson, MS, US

Year founded

1955

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