Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Baltimore, MD · On-site
Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Medical, vision & dental insurance * 401(k) matching program * Flexible schedules * Travel ...
Baltimore, MD · On-site
Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Medical, vision & dental insurance * 401(k) matching program * Flexible schedules * Travel ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Saint Louis, MO · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Saint Louis, MO · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Fremont, CA · On-site
$32.35 - $43.63/hr
Utilization Review Liaison Salary Range: $32.35 - $43.63 + applicable differentials Under the ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Utilization Review Liaison Salary Range: $32.35 - $43.63 + applicable differentials Under the ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Gadsden, AL · On-site
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Maintains a working knowledge of contractual and clinical criteria guidelines. Coordinates services ... Considers patient's financial resources for meeting healthcare needs (insurance reimbursement ...
Maintains a working knowledge of contractual and clinical criteria guidelines. Coordinates services ... Considers patient's financial resources for meeting healthcare needs (insurance reimbursement ...
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Voluntary Coverages - Pet insurance, home and auto insurance, family legal services, and more ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...
New
Voluntary Coverages - Pet insurance, home and auto insurance, family legal services, and more ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...
New
Maintains a working knowledge of contractual and clinical criteria guidelines. Coordinates services ... Considers patient's financial resources for meeting healthcare needs (insurance reimbursement ...
Maintains a working knowledge of contractual and clinical criteria guidelines. Coordinates services ... Considers patient's financial resources for meeting healthcare needs (insurance reimbursement ...
Bradenton, FL · On-site
... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...
Bradenton, FL · On-site
... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...
Alpharetta, GA · On-site
Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization Review Nurse ... Communicate with insurance companies, managed care organizations, and third-party payers regarding ...
Alpharetta, GA · On-site
Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization Review Nurse ... Communicate with insurance companies, managed care organizations, and third-party payers regarding ...
Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
Quick apply
Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...
... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...
Maintains a working knowledge of contractual and clinical criteria guidelines. Coordinates services ... Considers patient's financial resources for meeting healthcare needs (insurance reimbursement ...
Maintains a working knowledge of contractual and clinical criteria guidelines. Coordinates services ... Considers patient's financial resources for meeting healthcare needs (insurance reimbursement ...
$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
| Aspect | Contractual Insurance Utilization Review | Insurance Claims Adjuster |
|---|---|---|
| Credentials | Certifications in healthcare or insurance review, such as URAC or AAPC | Adjuster licenses, certifications like AIC or CPCU |
| Work Environment | Healthcare facilities, insurance companies, or third-party review organizations | Insurance companies, claims offices, or independent agencies |
| Primary Focus | Assessing medical necessity and appropriateness of services | Evaluating insurance claims for coverage and settlement |
| Industry Usage | Common in health insurance and managed care | Common in property, casualty, and health insurance claims |
Contractual Insurance Utilization Review focuses on evaluating medical necessity, while Insurance Claims Adjusters handle claims processing and settlement. Both roles require industry-specific certifications and are integral to insurance operations, but they serve different functions within the insurance process.
Cities with the most Contractual Insurance Utilization Review job openings:
The most popular types of Insurance Utilization Review jobs are:
States with the most job openings for Contractual Insurance Utilization Review jobs include:
Other
Medical, Dental, Vision, Retirement
Posted 17 days ago
Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Middleburg Heights, OH and make a real impact in patient care!
In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
If you're ready to elevate your career and make a difference in the lives of others, apply today!
At Prime Time Healthcare, we offer competitive compensation along with a large range of benefits including:
Prime Time Healthcare, LLC is an Equal Opportunity Employer (EOE).
*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
Sourced by ZipRecruiter
PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.
Recruiting and staffing services
51 - 200 Employees
Omaha, NE, US
2012