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Part Time Utilization Review Jobs in Baltimore, MD

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Part Time Utilization Review information

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$21

$42

$68

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

As of Aug 7, 2026, the average hourly pay for part time utilization review in Baltimore, MD is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $33.22 and $48.27 per hour, depending on experience, location, and employer.

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 Baltimore, MD? The most popular types of Utilization Review jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Part Time Utilization Review jobs? Cities near Baltimore, MD with the most Part Time Utilization Review job openings:
Infographic showing various Part Time Utilization Review job openings in Baltimore, MD as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,387 per year, or $42 per hour.

$17.68 - $24.76/hr

Part-time

Posted 3 days ago

New


Job description

Job Requirements

Patient Access Representative II, Part Time, Evenings (Every Other weekend 2:00PM-1030PM)

University of Maryland St. Joseph Medical Center - 7601 Osler Drive Towson, MD 21204 


Performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties in accordance with department-specific standards for data entry and patient selection. In addition to the duties of the Facility Admission Coordinator role, this position includes verification of insurance benefit eligibility, insurance pre-certification and authorization, and the creation and/or finalization of cost estimates.


The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job responsibilities performed.

  • Works with care teams and the revenue cycle to identify and eliminate barriers to access, reimbursement, and affordable care.
  • Provides education to patients and families regarding the financial clearance process and offers information related to estimated costs of services and available financial assistance opportunities.
  • Performs specific administrative and Admission, Discharge, and Transfer (ADT) functions and carries out these duties across multiple clinics and registration areas within the institution.
  • Serves as the first point of contact for patients and visitors who enter the facilities and is responsible for customer service in Patient Access/Patient Administrative Services areas in a manner that ensures a customerfocused, qualityconscious work climate, recognizing that patient visits are often filled with anxiety and uncertainty.
  • Primary functions include applying strong interpersonal skills, data collection, and the ability to assess situations, as well as assisting the team in developing solutions to achieve excellence in customer service while ensuring the financial viability of the hospital.
  • Collects and verifies patient and insurance demographics; verifies insurance benefits and coverage by reviewing benefits information in Epic; provides cost estimates; secures precertifications and/or prenotifications for patient services; collects copays and deposits prior to services; and provides financial assistance information to patients.
  • Provides wayfinding to all clinics for which Patient Administrative Services provides registration assistance. Staff must be knowledgeable of clinic locations to safely and efficiently guide patients to their appointments.
  • Maintains regulatory and functional knowledge of all required registration information to ensure timely and accurate reporting and billing; obtains all required signatures; and performs clerical duties as necessary.
  • Educates patients regarding adequate insurance coverage. Understands applicable hospital and physician billing requirements and communicates proper procedures and requirements to patients.
  • Communicates coverage issues to service areas and works with patients and staff to resolve them.
  • Ensures accuracy and completion of paperwork prior to filing admissions. Contacts physician and clinical staff to resolve incomplete patient registration documentation and distributes admission documents as required.
  • Maintains department scheduling templates for applicable providers in outpatient department locations, ensuring appropriate scheduling utilization.
  • Maintains consistent contact with the Care Management and Social Work departments to ensure required information has been obtained for reimbursement and that preadmission and precertification requirements are followed.
  • Acts as an official training resource for departmental training of new and existing employees.
  • Perform all other duties as assigned.

Work Experience

Required

  • High school diploma or GED.
  • Two (2) years of work experience in a clerical, customer service, or receptionist position.

Preferred

  • Certification and membership in local or national professional organizations such as AAHAM, NAHAM, etc., are preferred.
  • Four (4) years of work experience in a clerical, customer service, or receptionist position.
  • Previous experience in a healthcare setting.

All your information will be kept confidential according to EEO guidelines.

Compensation:

  • Pay Range: $17.68 - $24.76
  • Other Compensation (if applicable):
  • Review the 2025-2026 UMMS Benefits Guide

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Employment Type: PART_TIME