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Part Time Weekend Utilization Review Jobs in Georgia

Planet Fitness

Part Time Weekend

Cedartown, GA · On-site

We will review applications and if we feel as though your application meets our qualifications we will reach out to you to schedule an interview. Please fill out application and submit resume. If one ...

Ascensa Health

Nurse Case Manager

Atlanta, GA · On-site

$30 - $35/hr

Ascensa Health is currently hiring a Part Time (28 hours/ week) Nurse Case Manager for our ... Manage utilization review processes to ensure that healthcare services are medically necessary and ...

Incredible Health

Nurse Case Manager (RN)

Macon, GA

$59K - $99K/yr

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift, and mid shift * Job types available: full time, part time, and per diem * Employer features: Academic ...

Incredible Health

Nurse Case Manager (RN)

Macon, GA · On-site

$59K - $99K/yr

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift, and mid shift * Job types available: full time, part time, and per diem * Employer features: Academic ...

Incredible Health

Nurse Case Manager (RN)

Macon, GA · On-site

$59K - $99K/yr

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift, and mid shift * Job types available: full time, part time, and per diem * Employer features: Academic ...

Incredible Health

Nurse Case Manager (RN)

Macon, GA · On-site

$59K - $99K/yr

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift, and mid shift * Job types available: full time, part time, and per diem * Employer features: Academic ...

Incredible Health

Nurse Case Manager (RN)

Macon, GA

$59K - $99K/yr

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift, and mid shift * Job types available: full time, part time, and per diem * Employer features: Academic ...

Incredible Health

Nurse Case Manager (RN)

Macon, GA

$59K - $99K/yr

Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift, and mid shift * Job types available: full time, part time, and per diem * Employer features: Academic ...

Journey

Nurse (RN/LPN) - Part Time Weekends

Stone Mountain, GA · On-site

$24.75 - $33.50/hr

Available Shifts: We're currently hiring for part time weekend positions , with openings on the ... For further information, please review the Know Your Rights notice from the Department of Labor.

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All JobsPart Time Weekend Utilization Review JobsPart Time Weekend Utilization Review Jobs in Georgia

Part Time Weekend Utilization Review information

How do I get into a utilization review?

To become a part-time weekend utilization review specialist, typically a healthcare professional such as a registered nurse or licensed therapist needs relevant clinical experience and knowledge of insurance or healthcare policies. Certification in case management or utilization review, along with familiarity with medical records and documentation, can improve job prospects. Applying through healthcare organizations, insurance companies, or staffing agencies that offer part-time roles is common.

What job makes $10,000 a month without a degree?

A Part Time Weekend Utilization Review role typically does not pay $10,000 a month; such high earnings usually require full-time positions, specialized skills, or certifications. Jobs that can reach this income level without a degree often include sales, real estate, or certain entrepreneurial ventures, but they generally demand experience, strong networks, or business acumen.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as high-level consultants, surgeons, or senior executives, often requiring extensive experience, advanced skills, or certifications. Freelance or contract work in fields like software development, legal consulting, or financial advising may also reach this level with sufficient expertise and client volume.

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

A part-time weekend utilization review nurse can increase income by taking on additional shifts, working overtime, or offering telehealth services if permitted. Gaining specialized certifications or experience can also command higher pay rates, helping to reach the extra $2000 monthly goal.

What is the difference between Part Time Weekend Utilization Review vs Part Time Weekend Medical Coder?

AspectPart Time Weekend Utilization ReviewPart Time Weekend Medical Coder
CertificationsUtilization Review Certification, Medical License (if applicable)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHealthcare facilities, insurance companies, remote optionsHospitals, clinics, remote coding jobs
Job FocusReviewing medical necessity, authorizing servicesTranslating medical records into billing codes
Industry UsageInsurance, healthcare managementMedical billing and coding

Part Time Weekend Utilization Review involves assessing medical necessity and authorizing healthcare services, often requiring specific utilization review certifications. In contrast, Part Time Weekend Medical Coder focuses on translating medical records into billing codes, requiring coding certifications. Both roles are common in healthcare but serve different functions within the industry.

What cities in Georgia are hiring for Part Time Weekend Utilization Review jobs? Cities in Georgia with the most Part Time Weekend Utilization Review job openings:
Part Time Weekend Utilization Review jobs near you
Utilization Specialist

Utilization Specialist

RiverWoods Behavioral Health

Riverdale, GA

Part-time

Posted 7 days ago

Job description

Overview

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  

Responsibilities

ESSENTIAL 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. 
Qualifications

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_TIME

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