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Part Time Utilization Review Jobs in Virginia (NOW HIRING)

Alpha Corporation

Proposal Manager

Virginia Beach, VA · On-site

$90K - $95K/yr

Hybrid in Virginia Beach or Dulles, VA We are currently seeking a Part-Time or Full-Time Proposal ... Utilization of MS Teams and/or SharePoint to manage proposal documents and reviews in a ...

Alpha Corporation

Proposal Manager

Virginia Beach, VA · On-site +1

$90K - $95K/yr

Hybrid in Virginia Beach or Dulles, VA We are currently seeking a Part-Time or Full-Time Proposal ... Utilization of MS Teams and/or SharePoint to manage proposal documents and reviews in a ...

Alpha Corporation

Proposal Manager

Dulles, VA · On-site +1

$90K - $95K/yr

Hybrid in Virginia Beach or Dulles, VA We are currently seeking a Part-Time or Full-Time Proposal ... Utilization of MS Teams and/or SharePoint to manage proposal documents and reviews in a ...

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

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 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?

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 Virginia? The most popular types of Utilization Review jobs in Virginia are:
What are popular job titles related to Part Time Utilization Review jobs in Virginia? For Part Time Utilization Review jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Virginia look for? The top searched job categories for Part Time Utilization Review jobs in Virginia are:
What cities in Virginia are hiring for Part Time Utilization Review jobs? Cities in Virginia 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 Virginia as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Internal Medicine Physician

22nd Health Care LLC

Norfolk, VA • On-site

Part-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Title: Medical Director / On-Site Primary Care Physician Location: Norfolk, VA 23510 Duration: 01 Year to long term Shifts: 12/8 hour All shifts Job responsibilities: • Oversee and supervise all on-site medical services program • Maintain NCCHC accreditation for on-site medical services program • Establish utilization management program for review of on-site services and off-site referrals • Review initial health assessment findings and identify problems • Initiate therapy and immunizations when appropriate • Establish policies for initial inmate assessments (acceptable to NSO) • Establish policies for non-emergency medical treatment (sick call) • Review all sick call slips within eight (8) hours • Schedule inmates for medical evaluation within 24 hours (weekdays) or 72 hours (weekends) • Respond immediately to any area of jail for emergency medical requests • Provide first aid and CPR services on-site • Identify preferred providers for off-site emergency services • Provide quarterly emergency medical response drills • Provide on-site specialty clinics (Optometry 8 hrs/mo, Podiatry 8 hrs/mo, PT/OT 8 hrs/mo, OB/GYN 8 hrs/mo, ENT 4 hrs/mo) • Provide on-site hemodialysis services as ordered • Provide necessary laboratory tests as ordered • Provide necessary radiological studies as ordered • Establish policies for referring inmates for on-site, telehealth and off-site treatment • Generate Request for Consultation forms for off-site services • Provide medical information and payments to preferred providers (pay within 30 days) • Establish policies for chronic illness and infectious disease care • Notify Officer in Charge of Health Services of infectious disease diagnoses • Provide TB surveillance program • Provide Hepatitis C surveillance and treatment program • Provide mental health services including assessment of mentally ill and suicidal/homicidal inmates • Ensure health care staff trained on symptoms and treatment of suicidal/homicidal inmates • Establish policies for on-site treatment and referral of suicidal/homicidal inmates • Provide dental care program under licensed dentist • Provide eye examinations and corrective lenses when medically necessary • Cooperate with food service contractor for medically necessary clinical diets • Design and provide ongoing health education program to inmates • Conduct annual physicals on inmates incarcerated over one year • Provide and use EHR system compliant with HIPAA and HITECH • Provide access and transfer of data to NSO upon termination at no cost • Maintain and retain complete standardized medical records • Respond in writing to medical grievances within 48 hours • Respond to emergency medical grievances immediately • Follow NSO policies for inmate co-payments • Complete cost recovery forms and witness inmate signatures • Provide four emergency response/disaster boxes • Provide monthly inventory and re-stocking of supplies • Provide staffing per Minimum Daily Staffing plan (Attachment N) • Notify Officer in Charge of Health Services of any lapse or expiration of licensure for staff • Verify Virginia licensure of health care providers prior to hiring • Provide copy of license to NSO prior to hiring • Ensure no health care provider hired has had adverse action by any licensing board • Remove and dispose of medical hazardous waste • Provide QI program and form QI committee (meet quarterly) • Participate in quarterly Medical Advisory Committee (MAC) meetings • Submit to periodic records review by NSO's quality assurance contractor Requirements: • Active Board certification • Active DEA. • Active Physician License. • Active BLS.

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