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Part Time Utilization Review Jobs in Ohio (NOW HIRING)

... part-time work. ESSENTIAL FUNCTIONS: * Coordinate and manage behavioral health payer audits, denials, and utilization review activities * Prepare and submit audit responses, appeals, and supporting ...

Onsite Pharmacist - Part-Time

Columbus, OH · On-site

$51.12 - $63.91/hr

Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...

Onsite Pharmacist - Part-Time

Columbus, OH · On-site

$51.12 - $63.91/hr

Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...

Inpatient Therapist, PRN

Columbus, OH

$1.5K - $2.0K/wk

Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

Inpatient Therapist, PRN

Dublin, OH · On-site

$1.5K - $2.0K/wk

Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

Case Manager

Westerville, OH · On-site

$19.50 - $25/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.

Onsite Pharmacist - Part-Time

Columbus, OH · On-site

$51.12 - $63.91/hr

Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and appropriateness based on patient history and current medications. * Collaborate with Healthcare Providers:

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Part Time Utilization Review information

See Ohio salary details

$20

$40

$65

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

As of Jun 16, 2026, the average hourly pay for part time utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 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 Ohio? The most popular types of Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Part Time Utilization Review jobs? Cities in Ohio with the most Part Time Utilization Review job openings:
RN Discharge Planner/UR

Part-time

Medical, Dental, Vision, Life, Retirement

Posted 6 days ago


Salem Regional Medical Center rating

5.4

Company rating: 5.4 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

898th of 999 rated hospitals


Job description

SRMC Has an Exciting Opportunity for Qualified Candidates!
Position: Part Time Utilization Review/RN Case Manager
Department: Case Management
Shift: Days
PURPOSE
The UR/RN Case Manager serves as a role model for professional nursing and assists with ensuring that the needs of the patient are met. This may include educating physicians, nursing staff, or collaborating with other interdisciplinary team members. This role must have good communication and problem-solving skills. Duties will include conducting medical certification review for medical necessity for acute care facility and services. They will use nationally recognized, evidence-based guidelines approved by medical staff to recommend a level of care to the physician and serve as a resource to the medical staff on issues related to admission qualifications, resource utilization, national and local coverage determinations, and documentation improvement activities. The RN Case Manager will assist with discharge planning and address any needs a patient may have on discharge.
QUALIFICATIONS
  • Graduate of an approved professional school of nursing and currently licensed as a Registered Nurse in the State of Ohio.
  • At least three-five years of nursing experience.
  • Working knowledge of general computer skills.
  • Expert knowledge of MCG or InterQual Level of Care Criteria and knowledge of local and national coverage determinations
  • Hospital Case Management Experience preferred
  • Eligibility to remain in position requires a 90% proficiency rating based on chart audits.

BENEFITS
• Competitive wages
• Medical/prescription insurance
• Dental insurance
• Vision insurance
• Accident and critical insurance
• Employer paid life insurance
• 403 (b) retirement with employer matching
• Tuition reimbursement
• Continuing education reimbursement
• Cafeteria discounts
• Employee Assistance Program
• Shift differential

What Salem Regional Medical Center employees say

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