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Part Time Utilization Review Jobs in Boca Raton, FL

Open Competitive Opportunity** Part-Time OPS Position $91.00 per hour Your Specific ... Two (2) years of medical/dental records utilization review experience. * Current Advanced ...

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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 Sep 6, 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?

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 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 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 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:

Infographic showing various Part Time Utilization Review job openings in Boca Raton, FL as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $83,458 per year, or $40.1 per hour.

OPS SENIOR DENTIST - 64858665 1

MyFlorida

Boca Raton, FL

$91/hr

Full-time, Part-time, Temporary

Retirement

Posted 9 days ago


Job description

Requisition No: 882644 

Agency: Department of Health

Working Title: OPS SENIOR DENTIST - 64858665 1

 Pay Plan: Temp

Position Number: 64858665 

Salary:  $91.00 hourly 

Posting Closing Date: 10/27/2026 

Total Compensation Estimator Tool

Department of Health

Division of Medical Quality Assurance

Bureau of Enforcement

Investigative Services Unit - TBA

**Open Competitive Opportunity**

Part-Time OPS Position

$91.00 per hour

Your Specific Responsibilities:

Incumbent serves under the direction of the Investigations/Consumer Services Administrator. This is work examining, evaluating, inspecting, monitoring and/or investigating eligibility and/or conformity with laws and regulations governing legal compliance of licenses, licensees, permits, and permit holders, examining various business entities and financial records, and other compliance and enforcement activities not classified elsewhere.

  • Conducts onsite inspections prior to approval for permitting new dental sedation permits and change of location requests to determine compliance with applicable rules and regulations. Ensures procedures are adequate and adhere to policies and procedures established for the facility.
  • Conducts dental sedation inspections and specialized cases involving dentistry. Investigates violations discovered during the inspection process.
  • Conducts trainings and gives presentations regarding dental sedation and dentistry related investigations to investigative staff and licensees.
  • Provides technical assistance to MQA investigators in specialized cases involving dentistry investigations. Reviews sedation procedures to ensure compliance with rules and regulations pursuant to written policy and procedure for the facility.
  • Provides technical expertise in rule making and statutory review as requested. Works with Department enforcement programs.
  • Prepares investigative reports, audit reports and probation reports.
  • Testifies at hearings, provides professional assistance to the legal staff, investigative staff and other regulatory agencies.
  • Serves subpoenas and administrative complaints.
  • Answers public inquiries, makes referrals, make public speaking engagements, make professional contacts, and promote the goals and mission of the Department including participation in Sterling related activities and events.
  • Performs other related duties as required including providing assistance as needed in response to and recovery following natural or man-made disasters.

Required Knowledge, Skills, and Abilities:

Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of laws, legal codes, court procedures and government rules & regulations; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; communicating effectively with others in writing; talking to others to effectively convey information; ability to establish and maintain effective working relationships with others. Ability to review medical records for components of patient assessments and treatment plans in relation to a medical diagnosis in accordance with the Dental Practice Act; ability to understand and apply applicable rules, regulations, policies and procedures relating to the inspection of operational and management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a regular basis; ability to plan, organize and prioritize work assignments; ability to travel as necessary, providing own transportation; ability to work independently. Skill in reading and writing; investigating and researching; knowing how to find information and identifying essential information; finding ways to structure or classify multiple pieces of information; inspecting and evaluating the quality of products; ability to maintain a high degree of accuracy and close attention to detail; ability to maintain strict confidentiality.

This occupation requires licensure as a Dentist in accordance with Chapter 466, Florida Statutes.

 

Minimum Qualifications:

  • Clear and active Florida Dentist license with no disciplinary action taken within the last five (5) years; AND
  • Currently hold or have held a Florida Sedation Permit for General Anesthesia; AND
  • Two (2) years of experience in a dental sedation setting, both assisting during dental sedation and recovery; AND
  • Two (2) years of medical/dental records utilization review experience.
  • Current Advanced Cardiovascular Life Support (ACLS) or Pediatric Advanced Life Support (PALS) certifications
  • Have completed a Commission on Dental Accreditation (CODA) approved Basic Airway Management course and Medical Emergency Preparedness course within two (2) years prior to appointment.
  • Must be willing to be physically in the office to perform duties and responsibilities of this position.

Additional Requirement:

  • Must have a valid driver's license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.

 

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the Healthiest State in the Nation.

Values:

I nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

 

Where You Will Work:

Office location - Statewide

Main counties covered by office - Statewide

 

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. As an OPS employee, the benefits below are available:

  • State of Florida 401(a) FICA Alternative Plan (mandatory)
  • Participation in state group insurance (upon meeting eligibility requirements.  Consult with People First and/or the serving HR office)
  • Workers' Compensation (mandatory, if needed)
  • Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)
  • Deferred Compensation (voluntary)
  • Employee Assistance Program (voluntary)
  • And more!

For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.  

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov 

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida.  Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.  E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.   

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.  

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. 

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. 

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. 

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.    

 

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.