ZipRecruiter

Log In

2

Part Time Utilization Review Jobs in Rochester Hills, MI

Spectrum Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Part time- 20 hours a week Scope of Work: Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and ...

Trinity Health

Case Manager

Livonia, MI · On-site

$18.75 - $24/hr

Employment Type: Part time Shift: Rotating Shift Description: An Opportunity to Join our Remarkable ... in utilization review/management/discharge planning or case management. • Current knowledge of ...

Trinity Health

Case Management

Livonia, MI · On-site

Employment Type: Part time Shift: Day Shift Description: An Opportunity to Join our Remarkable Care ... in utilization review/management/discharge planning or case management. • Current knowledge of ...

SKLD

MDS RN Float - Part Time

West Bloomfield, MI · On-site

$34.50 - $41.75/hr

Requirements Part Time RN MDS Float - 3 days a week Facility: MediLodge of West Bloomfield We ... Facilitate the weekly utilization review of patients on skilled services for Medicare A, Medicare B ...

Trinity Health

Pharmacist - Inpatient - Livonia

Livonia, MI · On-site

$54.50 - $65.50/hr

Employment Type: Part time Shift: Rotating Shift Description: GENERAL SUMMARY AND PURPOSE: A ... utilization reviews, pharmacoeconomic analysis, and monitors medication therapy outcomes as ...

Archdiocese of Detroit

Clinical Therapists

Southfield, MI · On-site

$54K - $73K/yr

... ongoing utilization and clinical reviews of client progress, and any other compliance issue ... This is a part-time OR full-time position, minimum 20-25 hours per week if part-time, and a minimum ...

next page

Showing results 1-20

All JobsUtilization Review JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Rochester Hills, MI

Part Time Utilization Review information

See Rochester Hills, MI salary details

$19

$38

$63

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 Rochester Hills, MI is $38.92, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $44.71 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 Rochester Hills, MI? The most popular types of Utilization Review jobs in Rochester Hills, MI are:
What are popular job titles related to Part Time Utilization Review jobs in Rochester Hills, MI? For Part Time Utilization Review jobs in Rochester Hills, MI, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Rochester Hills, MI look for? The top searched job categories for Part Time Utilization Review jobs in Rochester Hills, MI are:
What cities near Rochester Hills, MI are hiring for Part Time Utilization Review jobs? Cities near Rochester Hills, MI 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 Rochester Hills, MI as of August 2026, with employment types broken down into 6% Full Time, and 94% Part Time. Highlights an 100% In-person job distribution, with an average salary of $80,950 per year, or $38.9 per hour.

Utilization Management Specialist

Corewell Health

Southfield, MI • On-site

Part-time

Medical, Vision, Retirement

Posted 21 days ago

Corewell Health rating

7.0

Company rating: 7.0 out of 10

Based on 774 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers

Job description

Job Summary
Under general direction, assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement.
Essential Functions
  • Understands and accesses insurance websites. Completes required duties as defined for specific payers to obtain authorization numbers for payment.
  • Provides clerical support for Utilization Management; sorting faxes and mail, obtaining authorization numbers, completing follow-up on outstanding cases, and delivery of letters associated with outpatient or inpatient status.
  • Utilizes electronic medical record work queues that support Utilization Management functions.
  • Answers incoming calls or places outbound calls with appropriate communication skills. Triages all calls to the appropriate person for resolution and action or completes appropriate follow-up.
  • Problem solves issues that are received via phone, fax or email.
  • Other duties as assigned.

Qualifications
Required
  • High School Diploma or equivalent

Preferred
  • 2 years of relevant experience healthcare experience
  • Preferred Post high school training and/or academic coursework leading toward associate's or bachelor's degree.

About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status

Primary Location
SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd
Department Name
Utilization Management - Diversified East WB Mkt
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
8
Hours of Work
8:00 a.m. - 4:30 p.m.
Days Worked
Monday - Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.

What Corewell Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply