Utilization Review Associate
Searcy, AR · On-site
Utilization Review Associate Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-25 ... dental, and vision insurance. Free care at any Arcare clinic for employees and covered family ...
Searcy, AR · On-site
Utilization Review Associate Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-25 ... dental, and vision insurance. Free care at any Arcare clinic for employees and covered family ...
Searcy, AR · On-site
Utilization Review Associate Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-25 ... dental, and vision insurance. Free care at any Arcare clinic for employees and covered family ...
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Queens, NY · On-site
$2.8K/wk
Job title: RN - Utilization Review Job location : East Elmhurst, NY 11370-1381 Shift : 8:30 AM-5:00 ... Benefits Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental ...
New
Queens, NY · On-site
$2.8K/wk
Job title: RN - Utilization Review Job location : East Elmhurst, NY 11370-1381 Shift : 8:30 AM-5:00 ... Benefits Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental ...
New
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
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Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Omaha, NE · On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE · On-site
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Englewood, CO · On-site
$26 - $33/hr
As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Englewood, CO · On-site
$26 - $33/hr
As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Sedro Woolley, WA · On-site
$27.45 - $41.18/hr
Dental * Vision Additional coverage after 60 days: * Life * AD&D * Disability Other benefits ... The Utilization Review Coordinator will critically examine guest medical records for completeness ...
Sedro Woolley, WA · On-site
$27.45 - $41.18/hr
Dental * Vision Additional coverage after 60 days: * Life * AD&D * Disability Other benefits ... The Utilization Review Coordinator will critically examine guest medical records for completeness ...
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...
Englewood, CO · On-site
$26 - $33/hr
As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Englewood, CO · On-site
$26 - $33/hr
As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Medical, Dental and Vision plans Life Insurance Flexible Spending Account Other voluntary benefit ...
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Medical, Dental and Vision plans Life Insurance Flexible Spending Account Other voluntary benefit ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Dental and Vision plans • Life Insurance • Flexible Spending Account • Other voluntary ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Dental and Vision plans • Life Insurance • Flexible Spending Account • Other voluntary ...
Hampton, VA · On-site
$62K - $66K/yr
Clinical Coordinator - Utilization Review Annual Salary: $62,406 - $66,000 Work Schedule: Monday ... Health, Vision, and Dental Insurance * Virginia Retirement System * Flexible Spending Account (FSA)
Hampton, VA · On-site
$62K - $66K/yr
Clinical Coordinator - Utilization Review Annual Salary: $62,406 - $66,000 Work Schedule: Monday ... Health, Vision, and Dental Insurance * Virginia Retirement System * Flexible Spending Account (FSA)
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective ... Group Health Insurance (Medical, Dental, and Vision) * Life and AD&D Insurance * Long Term ...
Champaign, IL · On-site
$61K - $71K/yr
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ...
Champaign, IL · On-site
$61K - $71K/yr
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ...
Sedro Woolley, WA · On-site
$27.45 - $41.18/hr
Dental * Vision Additional coverage after 60 days: * Life * AD&D * Disability Other benefits ... The Utilization Review Coordinator will critically examine guest medical records for completeness ...
Sedro Woolley, WA · On-site
$27.45 - $41.18/hr
Dental * Vision Additional coverage after 60 days: * Life * AD&D * Disability Other benefits ... The Utilization Review Coordinator will critically examine guest medical records for completeness ...
$15.63 - $19.08
14% of jobs
$21.93 is the 25th percentile. Wages below this are outliers.
$19.08 - $22.53
14% of jobs
$22.53 - $25.98
17% of jobs
The median wage is $27.88 / hr.
$25.98 - $29.44
11% of jobs
$29.44 - $32.89
8% of jobs
$32.89 - $36.34
6% of jobs
$38.93 is the 75th percentile. Wages above this are outliers.
$36.34 - $39.79
7% of jobs
$39.79 - $43.25
7% of jobs
$43.25 - $46.70
5% of jobs
$46.70 - $50.15
5% of jobs
$50.15 - $53.61
5% of jobs
$15
$31
$53
A Dental Utilization Review job involves evaluating dental insurance claims to ensure treatments are necessary, cost-effective, and align with policy guidelines. Professionals in this role review patient records, X-rays, and treatment plans to determine coverage eligibility. They work closely with dentists, insurance providers, and sometimes patients to clarify decisions. This role helps control costs while ensuring patients receive appropriate care. Strong knowledge of dental procedures and insurance policies is essential.
In a Dental Utilization Review role, your day typically involves reviewing clinical documentation, dental x-rays, and insurance claims to assess the necessity and appropriateness of proposed dental treatments. You’ll collaborate closely with dentists, insurance adjusters, and sometimes patients to clarify or request additional information as needed. The role often requires you to balance administrative tasks with detailed case analysis, using technology to maintain records and track outcomes. Many professionals in this field work as part of a team within healthcare organizations or insurance companies, benefiting from both individual focus and collaborative efforts. This variety ensures the work is both intellectually stimulating and impactful for patient care decision-making.
To thrive in Dental Utilization Review, you need a background in dental hygiene or dentistry, strong analytical skills, and familiarity with insurance policies and medical terminology. Experience with claims management systems, dental coding, and proficiency in using electronic health records (EHRs) are often required, and certification as a Dental Hygienist (RDH) or Dental Assistant (RDA) can be advantageous. Exceptional attention to detail, critical thinking, and effective communication are vital soft skills in this position. These skills are critical for evaluating treatment necessity, ensuring compliance with guidelines, and facilitating clear communication between dental providers and insurers.
Cities with the most Dental Utilization Review job openings:
The most popular types of Dental Utilization Review jobs are:
States with the most job openings for Dental Utilization Review jobs include:
The top searched job categories for Dental Utilization Review jobs are:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 22 days ago
7.0
Based on 32 frontline employees who took The Breakroom Quiz
421st of 898 rated healthcare providers
Job Title: Utilization Review Associate
Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM)
Travel: 0-25%
POSITION SUMMARY
Assist with planning and coordinating the duties of Utilization Review. This position is responsible for assisting with HEDIS measures, GICA, AWVs, reporting, and other collaborative projects with both internal and external entities such as third-party payers.
ESSENTIAL FUNCTIONS
Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Essential Functions Statement(s)
SKILLS & ABILITIES
Education: High school diploma
Experience: two years experience with Microsoft Office and office work
Computer Skills: Able to learn and utilize electronic medical record, electronic data systems, and electronic communications. Proficient in Microsoft Office.
About Arcare
Founded on the belief that healthcare is a right, not a privilege, Arcare exists to make comprehensive, high-quality care accessible to everyone, especially in rural and underserved communities. What began in the rural Arkansas delta has grown into a multi-state healthcare network, but our mission remains the same: Health for All. That mission drives everything we do, from accepting every patient, regardless of insurance status or ability to pay, to expanding access to care and improving health outcomes in the communities we serve
We believe strong communities start with strong teams. We foster a supportive, collaborative environment where employees are valued, encouraged to grow, and empowered to make a meaningful impact through their work. We invest in our people by supporting professional development, encouraging leadership growth, and providing opportunities to build long-term careers within the organization. A healthy work-life balance and a predictable schedule are part of our workplace culture.
Whether caring for patients in the clinic, supporting operations behind the scenes, or serving communities through outreach and education, our teams are united by a shared purpose: delivering compassionate, accessible care that improves lives.
Arcare offers competitive pay and a strong company-paid benefits package for full-time employees, including:
Work-life balance through a predictable schedule. Schedules are established early and rarely change, so employees enjoy a steady workweek rhythm.
No routine nights or weekends for most positions. (Some clinical roles may have limited weekend coverage based on clinic needs.)
Company-paid employee medical, dental, and vision insurance.
Free care at any Arcare clinic for employees and covered family members enrolled in the Arcare health plan, starting the first day of your employment.
Company-paid life insurance and long-term disability coverage.
96 hours of paid vacation time for full-time employees who work 40 hours per week. Accrual begins on the first day of employment.
96 hours of paid sick time for full-time employees who work 40 hours per week. Accrual begins on the first day of employment.
Paid holidays, including one floating holiday and one birthday holiday to be used during the month of the employee's birthday.
401(k) retirement plan with company matching up to 200% of the employee's contribution of up to 4% after one year of employment.
Company-paid renewal of applicable licenses and certifications, subject to supervisor and HR approval based on the employee's position and job duties.
Possible Continuing Education reimbursement for current employees, subject to supervisor and HR approval based on the employee's position and job duties.
Loan Repayment Opportunities
Many Arcare locations serve medically underserved communities. Eligible clinical team members may qualify for federal loan repayment programs through HRSA, including the National Health Service Corps Loan Repayment Program and the Nurse Corps Loan Repayment Program. Eligibility and award approval are determined by HRSA based on role, location, discipline, and program requirements.
Application Assistance:
If you need assistance with the application process, please email humanresources@arcare.net.
Equal Opportunity Employer:
Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.