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Part Time Utilization Review Jobs in Ocoee, FL (NOW HIRING)

MyFlorida

OPS SENIOR DENTIST - 64858665 1

Ocoee, FL · On-site

$91/hr

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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All JobsUtilization Review JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Ocoee, FL

Part Time Utilization Review information

See Ocoee, FL salary details

$18

$37

$60

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 Ocoee, FL is $37.18, according to ZipRecruiter salary data. Most workers in this role earn between $29.38 and $42.69 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 Ocoee, FL?

The most popular types of Utilization Review jobs in Ocoee, FL are:

What job categories do people searching Part Time Utilization Review jobs in Ocoee, FL look for?

The top searched job categories for Part Time Utilization Review jobs in Ocoee, FL are:

What cities near Ocoee, FL are hiring for Part Time Utilization Review jobs?

Cities near Ocoee, 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 Ocoee, FL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $77,327 per year, or $37.2 per hour.

Physician / Chief Medical Officer / Florida / Permanent / CMO-Part-Time Job

26Health

Orlando, FL • On-site

Part-time

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Job titleChief Medical OfficerReports toChief Executive OfficerFounded in April 2011, 26Health (formerly known as Two Spirit Services, Inc.) is a non-profit, 501c3 corporation providing mental health, behavioral, substance abuse, primary medical care, family practice medicine, transgender health and related services to individuals in the LGBT community. We pride ourselves on having a diverse staff that promotes optimum health and wellness. We provide a broad variety of integrated and culturally competent services for the Mind, Body and Spirit, regardless of insurance. We focus on the LGBTQ+ and Ally community, including all members of the sexual orientation and gender identity spectrum.

Job purposeThe Chief Medical Officer (CMO) responsibility is to serve as the healthcare administrator who oversees the effective management of 26Health. They are responsible for managing clinical operations, liaising between the administration and medical staff, and ensuring that patients receive the highest standard of medical care.

Duties and responsibilitiesBalancing the duties of a physician with those of an administrator. Direct involvement and oversight of 26Health quality initiatives and utilization review. Medical staff performance and governance issues. They work closely with the medical, behavior and clinical staff to coordinate respective activities. Provide oversight of medical staff and clinical activities at 26Health Lead medical staff in initiatives (formal and informal) to improve clinical practices, eliminate variance, and improve clinical outcomes.

Ensure that all healthcare regulations and safety standards are met by leading hospital quality and safety programs. Ensure that medical care evaluation and utilization review functions are performed. Oversee and assess medical practice ensuring that patients receive the highest standard of medical care by establishing and following guidelines to promote evidence-based practice and the use of metric-driven standards.

Assist the medical staff organization in its application, credentialing, privileging, and reapplication activities. Promote continuous learning, medical staff growth, and development through orientation, formal programs of continuous medical education and supervision of the medical staff. Monitor and participate in medical staff disciplinary matters. Participate in recruiting and mentoring physicians. Keep medical staff educated on new and emerging healthcare regulations, trends and best practices. Participate in the development of proposed priorities for services and programs of 26Health. Develop and manage budget activities.

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