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Part Time Utilization Review Jobs in Boca Raton, FL

Encompass Health Corporation

Case Manager

Lake Worth, FL · On-site

$17.75 - $23/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.

Arcadis

Construction Inspector (PTAN)

Plantation, FL · On-site

Arcadis is seeking a Part-time as Needed Construction Inspector , to join our Construction ... Review submittals and other construction documents and recommend technical solutions. * Attend and ...

Chico's FAS, Inc.

Part-Time Manager-Soma

Delray Beach, FL · On-site

$15.50 - $18.75/hr

Ensures team maintains consistent client communication through utilization of customer book ... When we do have an open position, we will review your application to determine if your ...

Chico's FAS

Part-Time Manager-Soma

Delray Beach, FL · On-site

$16 - $19.50/hr

... utilization of customer book, rewards program participation, and customer capture sign up. Talent ... When we do have an open position, we will review your application to determine if your ...

Trinity Health

Lead Cardiology APP

Fort Lauderdale, FL · On-site

Employment Type: Part time Shift: Description: Position Summary: The Lead APP is responsible for ... In collaboration with service line leadership, reviews key performance indicators and assesses ...

All JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Boca Raton, FL

Part Time Utilization Review information

See Boca Raton, FL salary details

$20

$40

$65

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

As of Jun 9, 2026, the average hourly pay for part time utilization review in Boca Raton, FL is $40.12, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $46.06 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 Boca Raton, FL? The most popular types of Utilization Review jobs in Boca Raton, FL are:
What are popular job titles related to Part Time Utilization Review jobs in Boca Raton, FL? For Part Time Utilization Review jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Boca Raton, FL look for? The top searched job categories for Part Time Utilization Review jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Part Time Utilization Review jobs? Cities near Boca Raton, FL 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 Boca Raton, FL as of June 2026, with employment types broken down into 1% As Needed, 63% Full Time, and 36% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $83,458 per year, or $40.1 per hour.
Certified Coder & Auditing (TEXAS BASED ONLY - MUST RESIDE)

Certified Coder & Auditing (TEXAS BASED ONLY - MUST RESIDE)

Dane Street, LLC

West Palm Beach, FL • Remote

$23 - $31.50/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred.

Requirements

We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred.

Responsibilities:

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS)

• Conduct utilization reviews to determine medical necessity and documentation compliance

• Review and prepare demand packages and audit response materials

• Analyze records for payer disputes and recoupments

• Prepare written audit findings and defensible reports

• Provide expert support for depositions and testimony as needed

• Review E/M services under 2021+ guidelines

• Interpret CMS, LCD/NCD, and payer-specific policies

• Identify risk areas and compliance vulnerabilities

Required Qualifications:

• Active CPC certification through the American Academy of Professional Coders (AAPC)

• CPMA preferred

• Minimum 5 years of professional coding experience

• At least 3 years of Texas-based coding experience required

• Strong knowledge of Texas Medicaid (TMHP) and Texas commercial payer policies

• Prior audit and utilization review experience required

• Experience supporting legal cases, depositions, or expert testimony strongly preferred

• Excellent written documentation and reporting skills

• Ability to work independently and meet deadlines

This position may be part-time depending on the candidate's qualifications. Texas residency is a requirement.

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.