SURS is charged with helping the agency review utilization of Medicaid services, detect fraud ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
SURS is charged with helping the agency review utilization of Medicaid services, detect fraud ... We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
Columbus, OH · On-site
$215K - $344K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
Columbus, OH · On-site
$215K - $344K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
Field Medical Director, Radiation Oncology (full-time or part-time)
Columbus, OH · On-site
$130 - $140/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Field Medical Director, Radiation Oncology (full-time or part-time)
Columbus, OH · On-site
$130 - $140/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Quick apply
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Description Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Description Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning ... We also offer our employee assistance program to part time employees. * Your Impact Matters: Join a ...
Inpatient Therapist, PRN
Columbus, OH · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, PRN
Columbus, OH · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, PRN
Dublin, OH · On-site
$1.5K - $2.0K/wk
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, PRN
Dublin, OH · On-site
$1.5K - $2.0K/wk
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, Behavioral Health
Dublin, OH · On-site
$56K - $76K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, Behavioral Health
Dublin, OH · On-site
$56K - $76K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, Behavioral Health
Dublin, OH · On-site
$56K - $76K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, Behavioral Health
Dublin, OH · On-site
$56K - $76K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, PRN
$1.5K - $2.0K/wk
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, PRN
$1.5K - $2.0K/wk
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, PRN
Dublin, OH · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Inpatient Therapist, PRN
Dublin, OH · On-site
Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Case Manager
Westerville, OH · On-site
$19.50 - $25/hr
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
Westerville, OH · On-site
$19.50 - $25/hr
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
$19.25 - $24.75/hr
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
$19.25 - $24.75/hr
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.
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and appropriateness based on patient history and current medications. * Collaborate with Healthcare Providers:
Onsite Pharmacist - Part-Time
Columbus, OH · On-site
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and appropriateness based on patient history and current medications. * Collaborate with Healthcare Providers:
Onsite Pharmacist - Part-Time
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and appropriateness based on patient history and current medications. * Collaborate with Healthcare Providers:
Onsite Pharmacist - Part-Time
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and appropriateness based on patient history and current medications. * Collaborate with Healthcare Providers:
Part Time Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do part time utilization review jobs pay per hour?
As of Jul 29, 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 are popular job titles related to Part Time Utilization Review jobs? For Part Time Utilization Review jobs, the most frequently searched job titles are:
- Part Time Utilization Review Therapist
- Utilization Review Specialist
- Utilization Management
- Evening Optum Health Utilization Review
- Utilization Review Therapist
- Full Time Remote Utilization Review
- Full Time Physician Advisor Utilization Review
- Cvs Health Utilization Management
- Utilization Review Physician
- Full Time Behavioral Health Utilization Review
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:
- Utilization Review Clinician Salary
- Discharge Planner Utilization Review
- Remote Aetna Utilization Review
- Commission Authorization Utilization Review Bcba
- Utilization Review Manager
- Psychiatric Utilization Review
- Full Time Cigna Utilization Review
- Manager Aetna Utilization Review
- Full Time Weekend Utilization Review
- Utilization Review Salary
What cities are hiring for Part Time Utilization Review jobs? Cities with the most Part Time Utilization Review job openings:
What states have the most Part Time Utilization Review jobs? States with the most job openings for Part Time Utilization Review jobs include:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
Columbus, OH • On-site
Full-time
Medical, Dental, Vision, Life, PTO
Re-posted 13 days ago
Job description
What You Will Do At ODM:
Office : Legal Counsel
Bureau : Program Integrity
Classification: Medicaid Health Systems Administrator 1 RN (PN: 20092018 )
Job Overview:
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization of Medicaid services, detect fraud, waste and abuse and recover inappropriate payments to providers. As a Clinical Review Nurse Supervisor your responsibilities will include:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis); Current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code;
Or 12 months experience as Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure.
Note: education & experience is to be commensurate with approved position description on file.
-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Technical Skills: Nursing
Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication
Office : Legal Counsel
Bureau : Program Integrity
Classification: Medicaid Health Systems Administrator 1 RN (PN: 20092018 )
Job Overview:
The Ohio Department of Medicaid (ODM) is seeking a Registered Nurse (RN) to be a part of our Surveillance/Utilization Review Section (SURS). SURS is charged with helping the agency review utilization of Medicaid services, detect fraud, waste and abuse and recover inappropriate payments to providers. As a Clinical Review Nurse Supervisor your responsibilities will include:
- Helping to manage an over $ 7million/ year hospital utilization contract
- Reviewing necessary medical record reviews and making a determination on hospital appeals.
- Supervising and training RNs, Auditors, and Analysts in identifying fraud, waste, and abuse in the Medicaid program.
- Participating/leading meetings with external stakeholders including law enforcement
- Developing and implementing changes to processes and procedures as needed in a team environment
- Evaluating provider clinical compliance with state and federal Program Integrity rules
- Evaluating provider medical documentation and billing practices for fraud, waste and abuse
- Recovering overpayments for medically unnecessary services via administrative procedures and/or referrals to health oversight agencies
- Responding to provider clinical reconsideration (appeal) requests
- Consulting on clinical matters with ODM policy units and other state agencies
- Coordinating clinical Program Integrity efforts with ODM contractors and managed care plans
- Presenting findings from clinical reviews of provider non-compliance
- Responding to inquiries from the public, consumers, providers, and other agencies
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
- Medical Coverage
- Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
- Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
- Childbirth, Adoption, and Foster Care leave
- Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
- Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )
Qualifications
Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis); Current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code;
Or 12 months experience as Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure.
Note: education & experience is to be commensurate with approved position description on file.
-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.
Technical Skills: Nursing
Professional Skills: Collaboration, Confidentiality, Continuous Improvement, Innovation, Verbal Communication, Written Communication
About Ohio Department of Aging
Sourced by ZipRecruiter
The Ohio Department of Aging, based in Columbus, OH, US, is within the healthcare and service industry, primarily serving older individuals and their care providers throughout the state. As a state government agency, its key role is to ensure the provision of quality services and supports that assist older Ohioans to live healthier, safer and more productive lives. The department functions through the official website, ohio.gov. It was established with a mission to position the State of Ohio on the leading edge of solution-driven innovation for the challenges and opportunities presented by Ohio's rapidly aging population.
Industry
Public administration
Company size
51 - 200 Employees
Headquarters location
Columbus, OH, US