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Contract Utilization Review Jobs in Ohio (NOW HIRING)

talent4health

RN - Utilization Review

Cleveland, OH · On-site

$2.2K/wk

... Utilization Review Job ID 18807560 Job Title RN - Utilization Review Weekly Pay $2214.0 Shift ... Middleburg Heights, Ohio Shift: 8 Hour Flex, 07:00:00-15:00:00 Contract Length: 12.71 weeks Start ...

Sevita

Utilization Review Specialist

Akron, OH · On-site

$40K/yr

SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate ... Maintains knowledge of updated funding Rules and Contracts * Notifies internal stakeholders for any ...

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How much do contract utilization review jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for contract utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in contract utilization review?

To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.

What does a contract utilization review do?

A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.

What is a contract utilization review?

A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.

What are the most commonly searched types of Utilization Review jobs in Ohio? The most popular types of Utilization Review jobs in Ohio are:
What are popular job titles related to Contract Utilization Review jobs in Ohio? For Contract Utilization Review jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Contract Utilization Review jobs in Ohio look for? The top searched job categories for Contract Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Contract Utilization Review jobs? Cities in Ohio with the most Contract Utilization Review job openings:
Contract Utilization Review jobs near you
Infographic showing various Contract Utilization Review job openings in Ohio as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

RN - Utilization Review

talent4health

Cleveland, OH • On-site

$2.2K/wk

Other

Posted 10 days ago

Job description

Details
Client Name
Southwest General Hospital Center Southwest General Health Center
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Utilization Review
Job ID
18807560
Job Title
RN - Utilization Review
Weekly Pay
$2214.0
Shift Details
Shift
8 Hour Flex
Scheduled Hours
40
Job Order Details
Start Date
07/20/2026
End Date
10/19/2026
Duration
13 Week(s)
Job Description
Job Title
RN Utilization Specialist
City/State: Middleburg Heights, Ohio
Shift: 8 Hour Flex, 07:00:00-15:00:00
Contract Length: 12.71 weeks
Start Date: 07/20/2026
Job Description:
Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p, as well as every 3rd weekend.
Requirements:
  • Graduation from an accredited School of Nursing. BSN preferred.
  • Current licensure by Ohio State Board of Nursing.
  • Minimum of five (5) years recent experience in clinical nursing or related nursing field.
  • Previous Care Management, Case Management, or Utilization Management Experience.
  • Experience with doing 30+ reviews a day.
  • Previous experience with screening criteria including Cerner, InterQual, and MCG.
  • Excellent critical thinking and communication skills.
  • Strong computer skills.
  • ACM/CCM Certification helpful.

Client Details
Address
18697 Bagley Rd, Middleburg Heights, OH 44130
City
Middleburg Heights
State
OH
Zip Code
44130

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