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Part Time Utilization Review Jobs (NOW HIRING)

On Demand

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 ...

St. Joseph's Health

Physician Advisor

Paterson, NJ

An enhanced case review by the PA is necessary to reduce denials and resource utilization issues ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...

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 ...

Asante

Case Management Specialist

Medford, OR · On-site

$23.28 - $32.02/hr

... utilization review, and denials management activities as defined by the RN Discharge Coordinator ... Medical, dental, and vision coverage for part-time and above employees and their eligible ...

Corewell Health

RN Care Coordinator Rehab inpatient

Taylor, MI · On-site

$34.50 - $41.75/hr

Identifies patients that need care management services (i.e. utilization review; care coordination ... Part time Shift Day (United States of America) Weekly Scheduled Hours 20 Hours of Work 8:00 a.m. to ...

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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 Jul 6, 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.

How to make an extra 2000 a month as a nurse?

A part time utilization review nurse can increase income by taking on additional shifts, working overtime, or handling cases outside regular hours. Developing specialized skills or certifications, such as in case management or insurance review, can also qualify for higher-paying opportunities or freelance work, helping to reach the extra income goal.

How to get a utilization review job?

To obtain a utilization review position, candidates typically need a background in healthcare, such as nursing, health administration, or related fields, along with knowledge of insurance and medical billing. Relevant certifications like the Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM) can improve job prospects, and strong analytical and communication skills are essential. Experience with medical records and utilization review software is also beneficial.

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.

Is utilization review a stressful job?

Utilization review is a role that involves evaluating healthcare services for appropriateness and coverage, which can be stressful due to strict deadlines, high accuracy requirements, and the need to handle complex cases. The level of stress varies depending on the work environment, workload, and individual coping skills, but it generally requires attention to detail and strong communication skills. Some professionals find the job manageable with proper time management and support systems in place.

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.

What jobs pay 4000 a week without a degree?

Part Time Utilization Review roles typically do not pay $4,000 a week; such high earnings usually require full-time positions or specialized skills. Jobs that can reach this level without a degree often include sales, real estate, or certain freelance consulting roles, but they generally demand experience, certifications, or a strong network. Most high-paying roles without a degree involve sales, entrepreneurship, or skilled trades with commission or performance-based pay structures.
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:
What states have the most Part Time Utilization Review jobs? States with the most job openings for Part Time Utilization Review jobs include:
What job categories do people searching Part Time Utilization Review jobs look for? The top searched job categories for Part Time Utilization Review jobs are:
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.
Clinical Audit Specialist

Clinical Audit Specialist

On Demand

Austintown, OH • On-site

Part-time

PTO

Posted 17 days ago

Job description

Recovery Management Services is seeking a detail-oriented and clinically experienced Clinical Audit Specialist to support behavioral health payer audit and denial management, utilization review, and medical necessity appeals for its counseling and residential detox organizations, On Demand Counseling and New Day Recovery.
This role is ideal for a clinician with strong documentation review skills, knowledge of ASAM Criteria, and experience navigating Medicaid, Medicare, MCO, and commercial payer requirements.
Hybrid or remote and flexible scheduling is available for qualified candidates seeking 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 clinical documentation
  • Defend medical necessity and level-of-care determinations using ASAM Criteria
  • Conduct peer-to-peer reviews and manage payer appeal processes
  • Monitor audit trends, documentation concerns, and compliance risks
  • Collaborate with clinical, compliance, and revenue cycle teams to improve payer outcomes and audit readiness
  • Provide documentation guidance and education related to medical necessity standards

REQUIRED QUALIFICATIONS:
  • Must be at least 18 years of age.
  • Successful completion of BCI/FBI background check and pre-employment drug screen
  • Active or eligible Ohio clinical licensure preferred, including LPC/LPCC, LSW/LISW, or related behavioral health credentials. Independent licensure preferred.
  • Clinical background with expertise in behavioral health documentation, medical necessity review, ASAM Criteria, and utilization review activities including audits and appeals.

SKILLS AND ABILITIES:
  • Strong clinical reasoning, critical thinking, and decision-making skills.
  • In-depth knowledge of behavioral health documentation standards and medical necessity criteria.
  • Working knowledge of HIPAA and 42 CFR Part 2 as they relate to audits and disclosures.
  • Proficiency with EHR systems and Microsoft Office.
  • Ability to manage multiple priorities and meet strict payer deadlines.
  • Clear, professional written and verbal communication skills.

BENEFITS
  • PTO begins accruing immediately.

EOO/DFWP

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