Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Minnetonka, MN · Remote
$70.20K - $120.40K/yr
The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role.To be eligible for consideration, candidates must have a primary ...
Minnetonka, MN · Remote
$70.20K - $120.40K/yr
The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role.To be eligible for consideration, candidates must have a primary ...
Denver, CO · On-site +1
$93K - $117K/yr
Remote : Mondays and Fridays * On-site in our Denver Office: Tuesdays, Wednesdays, and Thursdays The compensation range for this position is based upon candidate experience and market expectations.
Quick apply
Denver, CO · On-site +1
$93K - $117K/yr
Remote : Mondays and Fridays * On-site in our Denver Office: Tuesdays, Wednesdays, and Thursdays The compensation range for this position is based upon candidate experience and market expectations.
Minnetonka, MN · Remote
$70.20K - $120.40K/yr
The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role.To be eligible for consideration, candidates must have a primary ...
Minnetonka, MN · Remote
$70.20K - $120.40K/yr
The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role.To be eligible for consideration, candidates must have a primary ...
$70.20K - $120.40K/yr
The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role. To be eligible for consideration, candidates must have a primary ...
$70.20K - $120.40K/yr
The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role. To be eligible for consideration, candidates must have a primary ...
Nashville, TN · On-site +1
$37.22 - $42.22/hr
... all Utilization Management activities to include review of inpatient and outpatient medical ... Remote Contract to Hire VIVA is an equal opportunity employer. All qualified applicants have an ...
Nashville, TN · On-site +1
$37.22 - $42.22/hr
... all Utilization Management activities to include review of inpatient and outpatient medical ... Remote Contract to Hire VIVA is an equal opportunity employer. All qualified applicants have an ...
Roseburg, OR · On-site +1
$85K - $105.34K/yr
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...
Roseburg, OR · On-site +1
$85K - $105.34K/yr
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...
Roseburg, OR · Remote
$85K - $105.34K/yr
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...
Quick apply
Roseburg, OR · Remote
$85K - $105.34K/yr
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...
THIS IS A REMOTE JOB: Responsibilities: * Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based ...
THIS IS A REMOTE JOB: Responsibilities: * Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Quick apply
Ability to work independently in a remote environment * Proficiency with EMR systems preferred (Epic experience a plus) Job Responsibilities * Perform utilization review of inpatient and outpatient ...
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
Quick apply
Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic preferred) Job Responsibilities * Perform utilization review for inpatient and outpatient services
$11.54 - $13.57
1% of jobs
$13.57 - $15.60
1% of jobs
$15.60 - $17.64
4% of jobs
$17.64 - $19.67
9% of jobs
$20.63 is the 25th percentile. Wages below this are outliers.
$19.67 - $21.70
21% of jobs
The median wage is $23.46 / hr.
$21.70 - $23.73
16% of jobs
$23.73 - $25.76
18% of jobs
$26.78 is the 75th percentile. Wages above this are outliers.
$25.76 - $27.80
10% of jobs
$27.80 - $29.83
10% of jobs
$29.83 - $31.86
6% of jobs
$31.86 - $33.89
4% of jobs
$11
$24
$33
| Aspect | Assistant Remote Utilization Review | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certification in case management or utilization review | Registered Nurse (RN) license, often with additional certifications in case management or utilization review |
| Work Environment | Remote, administrative setting, telehealth or telecommuting | Remote or hospital/clinic settings, primarily telehealth or administrative |
| Employer & Industry | Health insurance companies, managed care organizations, healthcare providers | Hospitals, insurance companies, healthcare organizations |
Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.
$23.15 - $30.03/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 16 days ago
6.3
Based on 268 frontline employees who took The Breakroom Quiz
660th of 864 rated healthcare providers
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
ResponsibilitiesThe Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This position will also serve as a liaison and own the coordination with other UR techs in the team while being responsible for coordinating phone calls, data entry, mailing/faxing appeals and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while working closely with the Corporate/Facility Utilization review teams, Business Office and Case Managers. The Utilization review tech will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO/Medicaid) and other payer audits as assigned. UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the department needs for Release of Information through faxing and mailing, discharge coordination or other duties as assigned.
QualificationsPreferred qualifications:
Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.15 to $30.03. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment StatusFull TimeShiftDaysEqual Employment OpportunityCompany is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy NoticePrivacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Employment Type: FULL_TIMEGet the full story on Breakroom
Sourced by ZipRecruiter
Hospitals
10,000+ Employees
Ontario, CA, US
2001
