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Part Time Utilization Review Jobs in Rochester Hills, MI

Spectrum Health

Social Work Care Manager

Royal Oak, MI · On-site

... perform utilization review for this patient population * 2. Provides discharge planning and ... Type Part time Shift Day (United States of America) Weekly Scheduled Hours 0.01 Hours of Work ...

Archdiocese of Detroit

Clinical Therapists

Southfield, MI

$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 ...

Henry Ford Health

CT Technologist

Detroit, MI · On-site

Schedule: Part Time Nights, 10:30 PM - 6:30 AM, Rotating every third weekend Location: Henry Ford ... Reviews clinical data on requisition and performs appropriate examination. Obtains additional ...

Chico's FAS

Part Time Manager - Chico's

Novi, MI · On-site

... 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 ...

Henry Ford Health

CT Technologist

Detroit, MI · On-site

Schedule: Part Time Days Location: Henry Ford Hospital, Detroit GENERAL SUMMARY: Under general ... Reviews clinical data on requisition and performs appropriate examination. Obtains additional ...

Henry Ford Health

CT Technologist

Detroit, MI

Schedule: Part Time Days Location: Henry Ford Hospital, Detroit GENERAL SUMMARY: Under general ... Reviews clinical data on requisition and performs appropriate examination. Obtains additional ...

Henry Ford Health

CT Technologist

Detroit, MI · On-site

Schedule: Part Time Days Location: Henry Ford Hospital, Detroit GENERAL SUMMARY: Under general ... Reviews clinical data on requisition and performs appropriate examination. Obtains additional ...

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Showing results 21-40

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 Sep 4, 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 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 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 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $80,950 per year, or $38.9 per hour.

RN Case Manager - Inpatient Case Management - Weekends Only

Henry Ford Health System

Detroit, MI

Full-time, Part-time

Re-posted 25 days ago

Henry Ford Health rating

6.9

Company rating: 6.9 out of 10

Based on 573 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Part -Time Benefit Eligible

Dedicated to weekends - Saturday and Sunday 8 am - 6:30 pm

On site only.

GENERAL SUMMARY:

The Case Manager-RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This position requires strong clinical judgment, excellent communication skills, and a deep understanding of healthcare systems. The Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize patient outcomes and promote efficient resource utilization.

Orientation:

Monday through Friday 8 - 4:30 pm for 6 weeks and within those six weeks the new hire will need one weekend orientation consisting of onsite Sat/Sun 7:30-4pm. The new hire will get one day off during the week before Saturday worked, and one day off during the week after for the Sunday worked. It is a full-time during the 6-week orientation that may run a little longer to make sure the new hire is comfortable and able to perform the role independently. Weekends only include SAT and SUN, but there are current opportunities to pick up days.

Key Responsibilities:

Clinical Care Coordination:

  • Conduct comprehensive patient assessments to identify individualized needs and develop personalized care plans.
  • Collaborate with the healthcare team to ensure timely and appropriate interventions, including specialty consultations and referrals.
  • Monitor patient progress, identify potential barriers to care, and implement strategies to address them proactively.
  • Facilitate patient education and support to empower patients and families in their healthcare decisions.

Discharge Planning:

  • Develop and implement comprehensive discharge plans that address the patient's physical, social, and financial needs.
  • Coordinate with community resources and post-acute care providers to ensure a smooth transition of care.
  • Advocate for patients' rights and ensure access to necessary services and support.

Quality Improvement:

  • Analyze patient outcomes and identify opportunities for improvement in care processes.
  • Participate in quality improvement initiatives and contribute to the development of best practices.
  • Stay updated on relevant regulations, guidelines, and industry trends to ensure compliance and optimize care delivery.

Interdisciplinary Collaboration:

  • Collaborate effectively with physicians, nurses, social workers, therapists, and other healthcare professionals to deliver coordinated care.
  • Facilitate communication and information sharing among team members to ensure optimal patient outcomes.
  • Build strong relationships with community partners to support patient needs beyond the hospital setting.

By joining our team as a Case Manager-RN, you will have the opportunity to make a significant impact on the lives of patients and their families. Your expertise in clinical care, discharge planning, and quality improvement will be instrumental in ensuring that patients receive the highest quality care possible.

EDUCATION/EXPERIENCE REQUIRED:

Education:

  • Bachelor's degree in Nursing (BSN) is preferred.
  • Associate's degree in Nursing (ADN) with at least two years of acute care case management experience is acceptable.
  • ADN candidates must enroll in an accredited BSN program within three years of hire and complete it within five years.

Experience:

  • Minimum of three years of recent acute care nursing experience.
  • Prior case management experience is highly preferred.

Certifications:

  • Certification in Case Management (CCM) by the Commission for Case Management Certification or Accredited Case Manager (ACM) by the American Case Management Association is required within one year of hire.

Knowledge and Skills:

  • Strong clinical knowledge and understanding of medical literature and research methodology.
  • Familiarity with financial and reimbursement issues in healthcare.
  • Excellent communication and interpersonal skills, including the ability to collaborate effectively with diverse teams.
  • Strong organizational and time management skills.
  • Proficiency with computers, electronic health records (EHR), database systems, and utilization review/case management documentation systems.
  • Knowledge of CMS, commercial payer requirements, and hospital financial/reimbursement processes is desirable.
  • Demonstrated ability to think critically, solve problems creatively, and plan effectively.
  • Self-direction, flexibility, and the ability to work in a fast-paced environment.

Licenses and Certifications:

  • Registered Nurse (RN) with a valid, unrestricted State of Michigan license.
  • Adherence to Henry Ford Health's Customer Service Policy and standards.

Personal Qualities:

  • Self-direction and commitment to teamwork.
  • Initiative and willingness to learn.
  • Openness to new experiences and respect for diversity.
  • Demonstrated customer service values.

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About Henry Ford Health

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Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915

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