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Part Time Utilization Review Jobs in Rochester, NY

Arch Systems

Be Seen First

Site Inspector Specialist

Rochester, NY · On-site

$40 - $50/hr

On-site (local) Type: Part-Time - as per your availability Role Highlights: * Flexible scheduling ... services, utilization review, care coordination, health information management, and medical ...

DePaul

Residential Assistant

Henrietta, NY · On-site

$21 - $21.30/hr

Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ... Work Environment This part-time position is on the weekend overngith shift. Benefits This position ...

DePaul

Residential Assistant

Henrietta, NY

$21 - $21.30/hr

Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ... This part-time position is on the weekend overngith shift. This position is eligible for 403B with ...

DePaul

Residential Assistant

Rochester, NY

$21 - $21.30/hr

Ridgeview Commons, a DePaul Treatment Apartment Program, is now hiring a part-time Residential ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY · On-site

$21 - $21.30/hr

Overview Ridgeview Commons, a DePaul Treatment Apartment Program, is now hiring a part-time ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

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Part Time Utilization Review information

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$21

$41

$68

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

As of May 30, 2026, the average hourly pay for part time utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

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 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 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 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 Rochester, NY? The most popular types of Utilization Review jobs in Rochester, NY are:
What are popular job titles related to Part Time Utilization Review jobs in Rochester, NY? For Part Time Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Rochester, NY look for? The top searched job categories for Part Time Utilization Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Part Time Utilization Review jobs? Cities near Rochester, NY with the most Part Time Utilization Review job openings:
Part Time Utilization Review jobs near you
Site Inspector Specialist

Site Inspector Specialist

Arch Systems

Rochester, NY • On-site

$40 - $50/hr

Part-time

Posted 9 days ago

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Job description

Role: Site Inspector

Company: Arch Systems

Client: Centre for Medicare and Medicaid Services (CMS)

Location: On-site (local)

Type: Part-Time - as per your availability


Role Highlights:

  • Flexible scheduling
  • Field-based inspections
  • Opportunity to work with an established organization


This is not a traditional 9–5 position, as you will have the flexibility to create and manage your own schedule. This opportunity is ideal for professionals seeking part-time work or supplemental income.


Position Overview

The Site Inspector II is responsible for conducting physical and observational site inspections to verify the operational status of Medicare and Medicaid providers and suppliers. This role follows strict CMS protocols and requires strong attention to detail, professionalism, and compliance with federal standards.

Inspectors conduct both Physical Observation and In-Depth (IDTF) inspections, documenting findings through the FSA mobile application in real time. The position requires frequent fieldwork, adherence to defined service-level agreements (SLAs), and consistent application of CMS-approved procedures.

This role is well suited for law enforcement and healthcare professionals with experience in clinical care, diagnostic imaging, laboratory services, utilization review, care coordination, health information management, and medical administration, who are skilled in documentation review, regulatory compliance, and on-site observation.

Key Responsibilities

  • Perform on-site inspections of Medicare and Medicaid provider and supplier locations, verifying operational status per CMS guidelines.
  • Conduct Physical Observation and In-Depth (IDTF) visits as assigned.
  • Confirm business operations through direct observation, document review, and brief interviews with authorized personnel.
  • Capture and upload required documentation, including geo-tagged photographs, into the FSA mobile application in real time.
  • Maintain compliance with CMS protocols, reporting standards, confidentiality requirements, and safety guidelines at all times.
  • Capture required inspection data, geo-tagged photographs, and supporting documentation.
  • Communicate clearly and professionally with providers, suppliers, and internal teams.
  • Maintain accurate records of all site visit findings and ensure timely submission.
  • Participate in required CMS-approved training and maintain ongoing certification.


Note: An official badge will be provided along with all necessary legal documentation required to perform inspections. You will also receive proper training for this role, including a two-day online training program to ensure you are fully prepared.

Company Description

HIGH Growth, small business. Check us out at https://archsystemsinc.com/
Arch Systems LLC is committed to diversity in its workforce and is proud to be an equal opportunity employer. Arch Systems LLC considers qualified applicants without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, marital status, pregnancy, sex, gender expression or identity, sexual orientation, or any other legally protected class. Arch Systems LLC is an Affirmative Action and Equal Opportunity Employer.