Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Employment Type: PART_TIME
... Part Time - Day Shift - Weekend Only (Friday, Saturday, and Sunday Only) 8:30AM to 5:00PM Job ... utilization review nurse, patient's physicians and the interdisciplinary care team to provide a ...
... Part Time - Day Shift - Weekend Only (Friday, Saturday, and Sunday Only) 8:30AM to 5:00PM Job ... utilization review nurse, patient's physicians and the interdisciplinary care team to provide a ...
... utilization review nurse, patient's physicians and the interdisciplinary care team to provide a comprehensive assessment of the patient's medical care needs, psychosocial needs, any social ...
... utilization review nurse, patient's physicians and the interdisciplinary care team to provide a comprehensive assessment of the patient's medical care needs, psychosocial needs, any social ...
We are looking for Fulltime days (Mon-Fri 8A-5P), Parttime Days, PRN (6 8-hour days per month) and ... Experience in care coordination, case management, discharge planning, and utilization review ...
We are looking for Fulltime days (Mon-Fri 8A-5P), Parttime Days, PRN (6 8-hour days per month) and ... Experience in care coordination, case management, discharge planning, and utilization review ...
Provide necessary information and documentation to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: Participate in ...
Provide necessary information and documentation to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: Participate in ...
... to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: • Participate in regular clinical supervision and team ...
... to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: • Participate in regular clinical supervision and team ...
Provide necessary information and documentation to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: Participate in ...
Provide necessary information and documentation to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: Participate in ...
Provide necessary information and documentation to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: * Participate ...
Provide necessary information and documentation to the Utilization Review Specialist to support client care and coverage needs. Summary of General Duties, Tasks, and Responsibilities: * Participate ...
Controller
Mcdonough, GA · On-site
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
New
Controller
Mcdonough, GA · On-site
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
New
Quality & Risk Director
Atlanta, GA · On-site
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk ...
Quality & Risk Director
Atlanta, GA · On-site
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk ...
Controller
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Controller
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
Controller
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
New
Controller
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... utilization review. * Relevant experience in budgeting, both capital planning and operations.
New
Case Manager
Atlanta, GA · On-site
$19.25 - $24.75/hr
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Atlanta, GA · On-site
$19.25 - $24.75/hr
Medical
Dental
Vision
Retirement
PTO
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Management Director
Mcdonough, GA · On-site
Medical
Dental
Vision
Retirement
PTO
... part-time employees and their families. • Generous paid time off that accrues over time. • ... including Utilization Review and Discharge Planning experience. • May be required to work ...
Case Management Director
Mcdonough, GA · On-site
Medical
Dental
Vision
Retirement
PTO
... part-time employees and their families. • Generous paid time off that accrues over time. • ... including Utilization Review and Discharge Planning experience. • May be required to work ...
Credit Representative
Covington, GA · On-site
Job Type Part-time Description The purpose of this classification is to perform work functions ... PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize ...
Credit Representative
Covington, GA · On-site
Job Type Part-time Description The purpose of this classification is to perform work functions ... PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize ...
Sales Person
Covington, GA · On-site
Job Type Part-time Description The purpose of this classification is to perform work functions ... PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize ...
Sales Person
Covington, GA · On-site
Job Type Part-time Description The purpose of this classification is to perform work functions ... PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize ...
Sales Person
Griffin, GA · On-site
Job Type Part-time Description The purpose of this classification is to perform work functions ... PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize ...
Sales Person
Griffin, GA · On-site
Job Type Part-time Description The purpose of this classification is to perform work functions ... PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize ...
... rounds, case review, etc); completion of timely documentation and promotion of a respectful ... utilization to promote safe, quality patient care including initiating and/or leading such ...
... rounds, case review, etc); completion of timely documentation and promotion of a respectful ... utilization to promote safe, quality patient care including initiating and/or leading such ...
... rounds, case review, etc); completion of timely documentation and promotion of a respectful ... utilization to promote safe, quality patient care including initiating and/or leading such ...
... rounds, case review, etc); completion of timely documentation and promotion of a respectful ... utilization to promote safe, quality patient care including initiating and/or leading such ...
... rounds, case review, etc); completion of timely documentation and promotion of a respectful ... utilization to promote safe, quality patient care including initiating and/or leading such ...
... rounds, case review, etc); completion of timely documentation and promotion of a respectful ... utilization to promote safe, quality patient care including initiating and/or leading such ...
Part Time Utilization Review information
See Stockbridge, GA salary details
$18.24 - $21.93
2% of jobs
$21.93 - $25.62
9% of jobs
$28.15 is the 25th percentile. Wages below this are outliers.
$25.62 - $29.31
21% of jobs
The median wage is $32.30 / hr.
$29.31 - $33
23% of jobs
$33 - $36.69
13% of jobs
$39.56 is the 75th percentile. Wages above this are outliers.
$36.69 - $40.38
10% of jobs
$40.38 - $44.07
8% of jobs
$44.07 - $47.76
5% of jobs
$47.76 - $51.45
5% of jobs
$51.45 - $55.14
2% of jobs
$55.14 - $58.83
2% of jobs
$18
$36
$58
How much do part time utilization review jobs pay per hour?
What is a part time utilization review?
What are some common challenges faced in a part time utilization review role and how can I effectively manage them?
What is the difference between Part Time Utilization Review vs Part Time Case Management?
| Aspect | Part Time Utilization Review | Part Time Case Management |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials) | Often requires social work, nursing, or healthcare certifications, with some overlap |
| Work Environment | Healthcare facilities, insurance companies, or third-party review organizations | Hospitals, insurance companies, or community health agencies |
| Employer & Industry Usage | Used mainly in insurance and healthcare to evaluate medical necessity | Used 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?
What are the most commonly searched types of Utilization Review jobs in Stockbridge, GA?
The most popular types of Utilization Review jobs in Stockbridge, GA are:
What are popular job titles related to Part Time Utilization Review jobs in Stockbridge, GA?
For Part Time Utilization Review jobs in Stockbridge, GA, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Stockbridge, GA look for?
The top searched job categories for Part Time Utilization Review jobs in Stockbridge, GA are:
What cities near Stockbridge, GA are hiring for Part Time Utilization Review jobs?
Cities near Stockbridge, GA with the most Part Time Utilization Review job openings:

Job description
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
ResponsibilitiesESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
Employment Type: PART_TIMEAbout RiverWoods Behavioral Health System
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
51 - 200 Employees
Headquarters location
Riverdale, GA, US