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Part Time Utilization Review Jobs (NOW HIRING)

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Clinical Audit Specialist

Austintown, OH · On-site

... part-time work. ESSENTIAL FUNCTIONS: * Coordinate and manage behavioral health payer audits, denials, and utilization review activities * Prepare and submit audit responses, appeals, and supporting ...

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 ...

Corewell 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 ...

ScionHealth

ZZZ - Case Manager Part Time

Melbourne, FL · On-site

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...

Centene

Remote Medical Director, Appeals

Saint Louis, MO · On-site +1

$236K - $449K/yr

Performs medical review activities pertaining to utilization review, quality assurance, and medical ... or part-time status. Total compensation may also include additional forms of incentives. Benefits ...

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Part Time Utilization Review information

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

As of Jun 26, 2026, the average hourly pay for part time utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

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 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, 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.
More about Part Time Utilization Review jobs
What cities are hiring for Part Time Utilization Review jobs? Cities with the most Part Time Utilization Review job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
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Part Time Utilization Review jobs near you
Infographic showing various Part Time Utilization Review job openings in the United States as of June 2026, with employment types broken down into 5% As Needed, 27% Full Time, 27% Part Time, and 41% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Peer Review Nurse

Peer Review Nurse

Madera Community Hospital

Madera, CA • On-site

Part-time

Posted 4 days ago

Job description

Salary: $46-$61.91/hourly

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.


Position Summary:

The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ensure they meet quality standards, regulatory requirements, and medical necessity. Will identify opportunities to improve care, reduce risk, and prepare data for medical staff review committees. Will conduct comprehensive reviews of Electronic Medical Records (EMR) to assess the appropriateness and timeliness of care provided. Identifies trends, risks, and variations in clinical performance, preparing summary reports for committees. Will facilitate the peer review process and attend peer review meetings.


Part Time Position with flexible schedule.


Qualifications:

Requires completion of Registered Nurse program, prefer BSN. Requires Minimum 5 years clinical nursing experience, including experience in quality improvement and utilization review. Requires proficiency in data abstraction, EHR systems, and critical thinking.

Requires Current State of California Board of Registered Nursing License, Current American Heart Association BCLS certificate.


Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.