... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
... Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case ... Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be ...
LTC Staff Pharmacist
$53.25 - $62.50/hr
Provide clinical oversight and drug utilization review to ensure appropriate therapy * Collaborate ... Flexible full-time or part-time opportunities available * Call rotation required (evenings/weekends ...
LTC Staff Pharmacist
$53.25 - $62.50/hr
Provide clinical oversight and drug utilization review to ensure appropriate therapy * Collaborate ... Flexible full-time or part-time opportunities available * Call rotation required (evenings/weekends ...
Mental Health Associate Therapist (Part-time)
Houston, TX · On-site
$23 - $26/hr
Provides utilization reviews to insurance companies, providing appropriate clinical information to ... Must possess a current driver's license and be in good standing Employment Status: Part-time ...
Mental Health Associate Therapist (Part-time)
Houston, TX · On-site
$23 - $26/hr
Provides utilization reviews to insurance companies, providing appropriate clinical information to ... Must possess a current driver's license and be in good standing Employment Status: Part-time ...
Fulfillment Pharmacist- Part time
Dallas, TX · On-site
$52 - $65/hr
Accelerate Your Career as You You'll provide comprehensive and accurate clinical utilization review ... Texas Benefits: Part-time employees are provided accrued paid vacation and sick time and 11 paid ...
Fulfillment Pharmacist- Part time
Dallas, TX · On-site
$52 - $65/hr
Accelerate Your Career as You You'll provide comprehensive and accurate clinical utilization review ... Texas Benefits: Part-time employees are provided accrued paid vacation and sick time and 11 paid ...
Dallas Type: Part-Time / Fractional About Plutus Health Inc.: Plutus Health Inc. is a premier ... Oversee all financial departments, including Accounting, Reimbursement and Utilization Review.
Dallas Type: Part-Time / Fractional About Plutus Health Inc.: Plutus Health Inc. is a premier ... Oversee all financial departments, including Accounting, Reimbursement and Utilization Review.
Physical Therapist Part time
Brownsville, TX · On-site
$1.2K - $1.6K/wk
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training program for other staff in the facility. Record ...
Physical Therapist Part time
Brownsville, TX · On-site
$1.2K - $1.6K/wk
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training program for other staff in the facility. Record ...
OT Part Time PRN
$34 - $44.75/hr
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...
OT Part Time PRN
$34 - $44.75/hr
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...
Physical Therapist Part-Time/PRN
$55 - $60/hr
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...
Physical Therapist Part-Time/PRN
$55 - $60/hr
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...
Physical Therapist Assistant Senior Living
Grapevine, TX · On-site
$32 - $38/hr
Flexible Part-Time with Benefits Summary: Provide Physical Therapy and related services for ... care, utilization review, case management, administrative staff / department head, and family ...
Physical Therapist Assistant Senior Living
Grapevine, TX · On-site
$32 - $38/hr
Flexible Part-Time with Benefits Summary: Provide Physical Therapy and related services for ... care, utilization review, case management, administrative staff / department head, and family ...
Physical Therapist Assistant Senior Living
Grapevine, TX · On-site
$32 - $38/hr
Flexible Part-Time with Benefits Summary: Provide Physical Therapy and related services for ... care, utilization review, case management, administrative staff / department head, and family ...
Physical Therapist Assistant Senior Living
Grapevine, TX · On-site
$32 - $38/hr
Flexible Part-Time with Benefits Summary: Provide Physical Therapy and related services for ... care, utilization review, case management, administrative staff / department head, and family ...
Four years of experience in Medicaid or Chip utilization review may be substituted for the 3 years ... LVN, PT, OT or ST license. * Must be currently certified and in good standing or obtain ...
Four years of experience in Medicaid or Chip utilization review may be substituted for the 3 years ... LVN, PT, OT or ST license. * Must be currently certified and in good standing or obtain ...
Occupational Therapist Part-Time/PRN
$55 - $60/hr
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...
Occupational Therapist Part-Time/PRN
$55 - $60/hr
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the facility. Record ...
Controller
Happy, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Quick apply
Controller
Happy, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Controller
Stinnett, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Quick apply
Controller
Stinnett, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Controller
Fritch, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Quick apply
Controller
Fritch, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Controller
Borger, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Quick apply
Controller
Borger, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Controller
Canyon, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Quick apply
Controller
Canyon, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Controller
Panhandle, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Quick apply
Controller
Panhandle, TX · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Quick apply
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Part Time Utilization Review information
See Texas salary details
$19.93 - $23.96
2% of jobs
$23.96 - $27.99
9% of jobs
$30.75 is the 25th percentile. Wages below this are outliers.
$27.99 - $32.03
21% of jobs
The median wage is $35.29 / hr.
$32.03 - $36.06
23% of jobs
$36.06 - $40.09
13% of jobs
$43.22 is the 75th percentile. Wages above this are outliers.
$40.09 - $44.12
10% of jobs
$44.12 - $48.15
8% of jobs
$48.15 - $52.18
5% of jobs
$52.18 - $56.21
5% of jobs
$56.21 - $60.24
2% of jobs
$60.24 - $64.28
2% of jobs
$19
$39
$64
How much do part time utilization review jobs pay per hour?
How to make an extra 2000 a month as a nurse?
How to get a utilization review job?
What is a Part Time Utilization Review job?
What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?
Is utilization review a stressful job?
What is the difference between Part Time Utilization Review vs Part Time Case Management?
| Aspect | Part Time Utilization Review | Part Time Case Management |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials) | Often requires social work, nursing, or healthcare certifications, with some overlap |
| Work Environment | Healthcare facilities, insurance companies, or third-party review organizations | Hospitals, insurance companies, or community health agencies |
| Employer & Industry Usage | Used mainly in insurance and healthcare to evaluate medical necessity | Used 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?
What jobs pay 4000 a week without a degree?
- Medical Review Nurse
- Full Time Optum Health Utilization Review
- Flexible Cvs Utilization Management Nurse
- Remote Utilization Management Pharmacist
- Remote Utilization Management Nurse
- Utilization Review Specialist
- Evening Optum Health Utilization Review
- Night Utilization Review Nurse
- Behavioral Health Utilization Review
- Utilization Review Physician
- Remote Utilization Review
- Utilization Review Manager
- Cigna Utilization Review Remote
- Therapy Utilization Review
- Utilization Review Case Manager
- Remote Optum Utilization Review
- Volunteer Navihealth Utilization Review
- Insurance Utilization Review
- Remote Cigna Utilization Review Nurse
- Temporary Aetna Utilization Review Nurse

Part-time
Re-posted 27 days ago
Cook Children's Health Care System rating
7.7
Based on 74 frontline employees who took The Breakroom Quiz
158th of 886 rated healthcare providers
Job description
Medical Center - Fort Worth
Department:
Case Management
Shift:
First Shift (United States of America)
Standard Weekly Hours:
8
Summary:
The RN Case Manager uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; and (5) information gathering for Quality & Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators. The Case Manager will assist with the identification of appropriate providers and facilities throughout the continuum of care, to ensure that resources of both CCMC and the patient are used in a timely and cost-effective manner to meet the healthcare needs of the patient.
This position will fill-in and help cover all units including Surgery/Trauma, Oncology, Rehab/Transitional care, neuro, ICU, Respiratory, Med/Surge, Cardiology and Endocrinology.
Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be 8:00 am-4:30 pm M-F, 8:00am -6:30 pm Sa-Su
Note: Selected candidate would need to be available to train full time for the first 6-8 wks with a total of 12 weeks training to cover all units.
Education and Experience:
- Associate degree in nursing required, BSN preferred.
- At least (3) three years of any combination of experiences working in/with case management, care coordination, utilization review, patient intake, discharge planning and troubleshooting fund resources, quality assurance, clinical pathways, continuous quality improvement, or state and federal health plans or commercial insurance plans in a clinical or managed care environment.
- Strong case management skills preferred.
- Must be computer literate, and have effective organizational, interpersonal, written, and oral communication skills.
- Must be familiar with various community resources and charitable organizations.
- Must be flexible and able to adapt to changing healthcare environments and work with all members of the healthcare team to achieve positive outcomes.
- Must have experience using or navigating electronic medical records (e.g., EPIC, Meditech, Healthy Planet, etc.).
- English/Spanish speaking is preferred.
Licensure, Registration, and/or Certification:
- Current RN license from Texas Board of Nursing.
- Basic Life Support (BLS) certification for Health Care Providers within 30 days of employment and must maintain this certification as per Medical Center Policy, MC 175*.
- Case Manager Certification (CCM) preferred.
About Us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
What Cook Children's Health Care System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Cook Children's Health Care System
Sourced by ZipRecruiter
Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Fort Worth, TX, US
Year founded
1918