2

Part Time Utilization Review Jobs in Ohio (NOW HIRING)

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:

Reviews safety reports. * Verifies appropriate driver uniforms and utilization of safe work methods. * Determines employee training needs to produce continuous development plans. * Provides feedback ...

Pharmacy Intern - Contingent

Westerville, OH · On-site

$16.25 - $20/hr

Employment Type: Part time Shift: Description: Position Purpose: The Pharmacy Intern assists the ... reviews, renal dosing, medication utilization reviews, patient rounds with physicians ...

External/Internal Requisition ID: req6895 Employment Type: Part-Time Support Staff Union Position ... Time Utilization * Continuous Improvement PREFERRED QUALIFICATIONS EDUCATION ANDEXPERIENCE/TRAINING

next page

Showing results 1-20

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:
Registered Nurse (RN) Navigator - Women's Imaging Center - The Jewish Hospital

Registered Nurse (RN) Navigator - Women's Imaging Center - The Jewish Hospital

Bon Secours Mercy Health

Cincinnati, OH

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Bon Secours Mercy Health rating

7.0

Company rating: 7.0 out of 10

Based on 466 frontline employees who took The Breakroom Quiz

371st of 872 rated healthcare providers


Job description

Thank you for considering a career at Mercy Health!

Scheduled Weekly Hours:

16

Work Shift:

Days/Afternoons (United States of America)

Part time - 16 hours a week, 0730-1600, 0800-1630, depending on needs

Every Thursday and Friday

Mercy Health

About Us

As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.

Registered Nurse (RN) Navigator - Women's Imaging Center - The Jewish Hospital

Job Summary:

The RN Navigator provides essential support to patients by guiding them through the healthcare system, ensuring they have access to necessary resources, and helping them manage all aspects of their care journey. This role involves assisting patients in understanding their medical condition(s) and treatment plans, including assisting patients with scheduling, overcoming logistical barriers, and connecting them with community resources to ensure a smooth and supportive healthcare experience. Navigators may work in a specific specialty area (ex: oncology, women's/breast health, cardiology, neuro, etc.) based on organizational/patient needs and clinical background, to provide focused patient navigation support.

Essential Functions:

  • Guides patients in understanding their diagnoses, treatment options, and the healthcare process, including developing patient education programs and tools.
  • Serves as the essential link for communication and assessment between patients and all care providers.
  • Coordinates and advocates for care across multidisciplinary teams, ensuring that all medical, social, and psychological needs are addressed. This may involve scheduling multidisciplinary planning conferences, developing concise patient summaries for use by the care team, and documenting recommendations using standardized protocols in accordance with nationally recognized care guidelines.
  • Monitors patient progress and communicates with the care team to adjust treatment plans as necessary.
  • Facilitates appointments for consultations and support services within established service standards, including social workers, dietitians, physicians, etc.
  • Participates in patient education programs, community outreach, and quality improvement initiatives.
  • Tracks patient outcomes, ensuring findings are communicated to patient/providers. May also prepare reports to support quality initiatives and programs.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education:

Bachelor's degree in nursing (preferred)

Licensure/Certification:

  • Licensed Registered Nurse in state of practice (required)
  • BLS Basic Life Support - American Heart Association (preferred upon hire, must obtain from approved source prior to direct patient care at BSMH; required at hire for RSFH)
  • Oncology Nurse Navigator - Certified Generalist (ONN-CG) - Academy of Oncology Nurse & Patient Navigators (preferred, if placed in Oncology department)
  • Breast Health Clinical Navigator (BHCN) - National Consortium of Breast Centers (NCBC) (preferred, if placed in Mammography department)

Experience:

3 years of direct patient care experience as an RN (required)

Experience with discharge planning or utilization review (preferred)

Mercy Health is an equal opportunity employer.

As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

Oncology SL Support - Market - Cincinnati Regional Office

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.


What Bon Secours Mercy Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom