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Part Time Utilization Review Jobs in Union, NJ (NOW HIRING)

CareOne

MDS Specialist RN

Morristown, NJ · On-site

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

CareOne

MDS Specialist RN

Morristown, NJ

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

CareOne

MDS Specialist RN

Morristown, NJ · On-site

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

CareOne

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

CareOne

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

CareOne

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple ... We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time ...

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All JobsUtilization Review JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Union, NJ

Part Time Utilization Review information

See Union, NJ salary details

$21

$43

$70

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 Union, NJ is $43.09, according to ZipRecruiter salary data. Most workers in this role earn between $34.04 and $49.47 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 Union, NJ?

The most popular types of Utilization Review jobs in Union, NJ are:

What are popular job titles related to Part Time Utilization Review jobs in Union, NJ?

For Part Time Utilization Review jobs in Union, NJ, the most frequently searched job titles are:

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

The top searched job categories for Part Time Utilization Review jobs in Union, NJ are:

What cities near Union, NJ are hiring for Part Time Utilization Review jobs?

Cities near Union, NJ 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 Union, NJ as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $89,621 per year, or $43.1 per hour.

Physician Reviewer (Part -Time) - Utilization Management

Oscar Health

New York, NY • On-site

$140 - $145/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

264th of 315 rated insurance

Job description

Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management Team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.
About the role:
You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines.
Hours: 8am - 5pm in your local time zone. A minimum commitment of 20-25 hours per week is required.
Call rotation - 16 weekend hours per month
You will report into the Associate Medical Director, Utilization Management.
Work Location: This is a remote position, open to candidates who reside in the United States. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role is: $140-$145 per hour.
Responsibilities:
  • Provide timely medical reviews that meet Oscar's stringent quality parameters.
  • Provide clinical determinations based on evidence-based criteria and Oscar internal guidelines and policies, while utilizing clinical acumen.
  • Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
  • Use correct templates for documenting decisions during case review.
  • Meet the appropriate turn-around times for clinical reviews.
  • Receive and review escalated reviews.
  • Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:
  • Board certification as an MD or DO
  • Licensed in one of these states: FL, NC, AZ OR possess an active Interstate Medical Licensure Compact (IMLC).
  • 6+ years of clinical practice

Bonus points:
  • Licensure in multiple Oscar states
  • 1+ years of utilization review experience in a managed care plan (health care industry)
  • BC in Cardiology, Radiation/Oncology, or Neurology
  • Experience with care management within the health insurance industry.
  • Willing and able to obtain additional state licensure as needed, with Oscar's support

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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