Top 208 Utilization Reviewer Part Time Jobs

Physician Reviewer (Part Time)
CareCentrix —Remote
- $150 - $170 an hour
- Part-time
- Remote
- Medicine
- BC/BE
- 3 years
Medical Consultant Reviewer - Internist PRN or Part-Time
COMAGINE HEALTH —Washington, DC
- $140 - $148 an hour
- Part-time
- Remote
- Medicine
- Internal Medicine
- Travel
- Paid parental leave
- Health insurance
Quick Apply
Oncology Nurse Navigator – Physician Aligned, BMG Oncology Elkhart, Full-time Days
Beacon Health System —Elkhart, IN
- Full-time
- Nursing
- RN License
- Mid-level
- 403(b) matching
- Health insurance
Quick Apply
BCBA Clinical Director
GBE Alliance —Hopkinsville, KY
- Full-time
- Background check
- 3 years
- Master's degree
- Paid holidays
- Dental insurance
Quick Apply
Behavioral Health Physician Reviewer
Toney HealthCare Consulting, LLC —Remote
- $175 - $200 an hour
- Part-time
- Remote
- Medicine
- Psychiatry
- Senior level
Quick Apply
(Part-Time) Legal Nurse Case Reviewer | Orthopaedics / Neurosurgery | Onsite |
Shimspine —Oldsmar, FL
- Part-time
- Nursing
- RN License
- 5 years
- Paid training
- Flexible schedule
Quick Apply
7d
Utilization Management Physician Reviewer
Oak Street Health —Illinois
- $174,070 - $374,920 a year
- Full-time
- Remote
- Medicine
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Utilization Review Manager
Forest View Hospital —Grand Rapids, MI
- Full-time
- Management
- Psychiatry
- RN License
- Continuing education credits
- Health savings account
Quick Apply
Clinical Leader/Assistant Nurse Manager RN (ICU/CCU & Stepdown) - Nights
CentraState Healthcare System —Freehold, NJ
- $107,250 - $182,330 a year
- Full-time
- Acute care
- Nursing
- RN License
- 403(b) matching
- AD&D insurance
Equipment Rental and Yard Manager
JT Wimsatt Contracting Company, Inc —Colton, CA
- $120,000 - $140,000 a year
- Full-time
- Microsoft Excel
- Construction site
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Therapist (AMFT, ASW, APCC) Santa Clarita - Mental Health and Substance Use
Santa Clarita Behavioral Health —Valencia, CA
- $33 - $40 an hour
- Part-time
- Background check
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Director -- Part Time Contracted
Ventura County Health Care Plan —Oxnard, CA
- $156,000 - $195,000 a year
- Part-time
- Medicine
- BC/BE
- 3 years
Quick Apply
13d
Utilization Management Clinician I
Community Health Plan of Washington —Seattle, WA
- $35.92 - $55.67 an hour
- Full-time
- Mid-level
- Analysis skills
- Critical & Intensive Care
- Paid jury duty
- Health savings account
Quick Apply
Care Plan Reviewer- OhioRISE
CVS Health —Ohio
- $60,522 - $129,615 a year
- Full-time
- LMFT
- Mid-level
- Outpatient experience
- Health insurance
- Dental insurance
7d
Endocrinologist - Independent Reviewer for Disability Appeals
Emperion —Remote
- $100 - $1,000 an hour
- Part-time
- Remote
- Mid-level
- 3 years
- Communication skills
Quick Apply
Board-Certified Physician for Disability Appeal Reviews
Emperion —Remote
- Part-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Neurology
Quick Apply
Initial Clinical Reviewer
Enlyte —Remote
- $59,000 - $73,000 a year
- Full-time
- Remote
- Clinic experience
- Mid-level
- Analysis skills
- Health savings account
- AD&D insurance
1d
Physician Reviewer-Radiology (Part Time)
Evolent Health —Remote
- $95 - $100 a day
- Part-time
- Background check
- Medicine
- Computer literacy
- Health insurance
Part-time Pharmacy Technician (Remote)
DOCS Management Services —Oregon
- $20.16 - $24.86 an hour
- Part-time
- Background check
- Research
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Physician Reviewer Internal Medicine-Field Medical Director, Radiology (Part Time)
Evolent Health —Remote
- $95 - $100 a day
- Part-time
- Background check
- Medicine
- Computer literacy
- Health insurance

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Physician Reviewer (Part Time)

CareCentrix -
Remote

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Job Details

Part-time
$150 - $170 an hour

Qualifications

Direct patient care
Inpatient experience
BC/BE
Utilization management
Resource utilization in healthcare
Medical License

Full Job Description

Overview:

As a Permanent Part-Time Physician Reviewer, you will conduct utilization reviews to determine medical necessity across our different lines of business, including Post-Acute Care, Home Health, Durable Medical Equipment (DME), Home Infusion Therapy, Sleep services.

In this role, you will collaborate, as needed, with internal staff, providers, and ordering physicians to support appropriate, evidence-based care decisions.

Position Details:

Title: Physician Reviewer (Part-Time, Permanent)
Pay: $150 to $170 per hour
Hours: 25 hours per week
Schedule: Consistent weekday schedule, between 8:00 a.m. and 6:00 p.m. EST, with flexibility to work additional hours as needed to meet business demands (including evenings, weekends, and holidays)

Responsibilities:

Conduct medical necessity reviews for cases that may not meet established criteria and issue adverse determinations when appropriate
Evaluate requests across post-acute care services in alignment with clinical and regulatory standards
Meet or exceed Service Level Agreements (SLA) and performance guarantees required by health plan clients
Apply sound clinical judgment and maintain integrity in all determinations and interactions
Collaborate effectively with internal and external stakeholders, including providers and physicians
Perform other duties as assigned

Qualifications:

MD or DO with an active, unrestricted medical license (in states aligned with CareCentrix client payer requirements)
Current and unexpired board certification in a relevant specialty
Minimum 3+ years of utilization management (UM) experience
Minimum 3+ years of clinical practice experience, including inpatient care
Experience using evidence-based clinical guidelines (e.g., Milliman/InterQual), as well as CMS and state-specific regulatory criteria, preferred

CareCentrix maintains a drug-free workplace

We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.

CareCentrix accepts applications on an ongoing basis until a candidate is identified.

#IDCC

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Refine Your Search

Utilization Reviewer Part Time jobs

Physician Reviewer (Part Time)

Medical Consultant Reviewer - Internist PRN or Part-Time

Oncology Nurse Navigator – Physician Aligned, BMG Oncology Elkhart, Full-time Days

BCBA Clinical Director

Behavioral Health Physician Reviewer

(Part-Time) Legal Nurse Case Reviewer | Orthopaedics / Neurosurgery | Onsite |

Utilization Management Physician Reviewer

Utilization Review Manager

Clinical Leader/Assistant Nurse Manager RN (ICU/CCU & Stepdown) - Nights

Equipment Rental and Yard Manager

Therapist (AMFT, ASW, APCC) Santa Clarita - Mental Health and Substance Use

Medical Director -- Part Time Contracted

Utilization Management Clinician I

Care Plan Reviewer- OhioRISE

Endocrinologist - Independent Reviewer for Disability Appeals

Board-Certified Physician for Disability Appeal Reviews

Initial Clinical Reviewer

Physician Reviewer-Radiology (Part Time)

Part-time Pharmacy Technician (Remote)

Physician Reviewer Internal Medicine-Field Medical Director, Radiology (Part Time)

I want to receive the latest job alert for Utilization Reviewer Part Time

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