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Commission Optum Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Manager

Grand Rapids, MI · On-site

We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring ... Utilization Review Manager. Position Description: The Utilization Manager is responsible for ...

UHS

UTILIZATION REVIEW COORDINATOR (URC)

Flowood, MS · On-site

We are accredited by the Joint Commission of Accreditation of Healthcare Organizations and ... the hospital's utilization review plan to ensure the effective and efficient use of hospital ...

UHS

UTILIZATION REVIEW COORDINATOR (URC)

Flowood, MS · On-site

We are accredited by the Joint Commission of Accreditation of Healthcare Organizations and ... the hospital's utilization review plan to ensure the effective and efficient use of hospital ...

UHS

UTILIZATION REVIEW COORDINATOR (URC)

Flowood, MS · On-site

We are accredited by the Joint Commission of Accreditation of Healthcare Organizations and ... the hospital's utilization review plan to ensure the effective and efficient use of hospital ...

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How much do commission optum utilization review jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for commission optum 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.
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Commission Optum Utilization Review jobs near you
Infographic showing various Commission Optum Utilization Review job openings in the United States as of May 2026, with employment types broken down into 6% As Needed, 11% Full Time, 22% Part Time, and 61% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

RN - Utilization Review - Apple Valley, CA - RN26-06574

NavitasPartners

San Bernardino, CA • On-site

$40 - $47/hr

Full-time, Contractor

Posted 5 days ago

Job description

Job Title: Registered Nurse – Utilization Review
Location: Apple Valley, CA
Type: Contract

Position Overview:
Navitas Healthcare, LLC is seeking Registered Nurse – Utilization Review for an exciting Travel or Local job in Apple Valley, CA.

Responsibilities:

  • Perform utilization review activities for inpatient admissions and continued stays
  • Evaluate medical necessity using established clinical criteria and guidelines
  • Collaborate with physicians, case managers, social workers, and interdisciplinary teams to support appropriate patient care and resource utilization
  • Conduct concurrent reviews and identify opportunities to improve patient throughput and length of stay
  • Ensure compliance with CMS, regulatory, and payer requirements
  • Document utilization review findings accurately and timely
  • Participate in discharge planning discussions and care coordination activities
  • Monitor denials, appeals, and authorization processes as required
  • Maintain communication with insurance providers and healthcare teams regarding patient status and coverage determinations

Requirements:

  • Minimum 3 years of acute care Utilization Review and/or Care Management experience required
  • Must have recent hospital-based utilization review experience
  • Experience with health plans, insurance companies, or medical groups alone will not be considered
  • Previous travel assignment experience required
  • Active California Registered Nurse (RN) License required
  • Pending California RN License accepted; must be active prior to start date

Preferred Qualifications:

  • Seasoned traveler strongly preferred

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.