ESSENTIAL FUNCTIONS * Reviewing and making approval/denial determinations for all member ... Knowledge of Medicare and Medicaid, community resources, dialysis, and the nursing home placement ...
Quick apply
ESSENTIAL FUNCTIONS * Reviewing and making approval/denial determinations for all member ... Knowledge of Medicare and Medicaid, community resources, dialysis, and the nursing home placement ...
Physician Extender APP, Nephrology
Berwyn, IL · On-site
$111K - $158K/yr
Ability to review patient charts, provide assessments and recommendations for care plan. * Enhances home dialysis utilization for patients with emphasis on increasing de-novo start of home dialysis.
Physician Extender APP, Nephrology
Berwyn, IL · On-site
$111K - $158K/yr
Ability to review patient charts, provide assessments and recommendations for care plan. * Enhances home dialysis utilization for patients with emphasis on increasing de-novo start of home dialysis.
Physician Extender APP, Nephrology
$111K - $158K/yr
Ability to review patient charts, provide assessments and recommendations for care plan. * Enhances home dialysis utilization for patients with emphasis on increasing de-novo start of home dialysis.
Physician Extender APP, Nephrology
$111K - $158K/yr
Ability to review patient charts, provide assessments and recommendations for care plan. * Enhances home dialysis utilization for patients with emphasis on increasing de-novo start of home dialysis.
Physician Extender APP, Nephrology
$111K - $158K/yr
Ability to review patient charts, provide assessments and recommendations for care plan. * Enhances home dialysis utilization for patients with emphasis on increasing de-novo start of home dialysis.
Physician Extender APP, Nephrology
$111K - $158K/yr
Ability to review patient charts, provide assessments and recommendations for care plan. * Enhances home dialysis utilization for patients with emphasis on increasing de-novo start of home dialysis.
Clinical Excellence Manager
Seattle, WA · On-site
... dialysis program. * Prepare for and participate in Clinical Business Reviews (CBRs) for assigned ... drive utilization. * Review, revise, and refine programmatic offerings utilizing the latest ...
Clinical Excellence Manager
Seattle, WA · On-site
... dialysis program. * Prepare for and participate in Clinical Business Reviews (CBRs) for assigned ... drive utilization. * Review, revise, and refine programmatic offerings utilizing the latest ...
RN Dialysis/Apheresis
New Orleans, LA · On-site
Education and Planning: - Educates patient and caregiver on the plan of care as needed. - Reviews ... Utilization of proper body mechanics. * Proper operation of infusion pumps, Dinamaps and fax ...
RN Dialysis/Apheresis
New Orleans, LA · On-site
Education and Planning: - Educates patient and caregiver on the plan of care as needed. - Reviews ... Utilization of proper body mechanics. * Proper operation of infusion pumps, Dinamaps and fax ...
Education and Planning: - Educates patient and caregiver on the plan of care as needed. - Reviews ... Utilization of proper body mechanics. * Proper operation of infusion pumps, Dinamaps and fax ...
Education and Planning: - Educates patient and caregiver on the plan of care as needed. - Reviews ... Utilization of proper body mechanics. * Proper operation of infusion pumps, Dinamaps and fax ...
Assists with concurrent and retrospective utilization review activities including denials and ... dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc.
Assists with concurrent and retrospective utilization review activities including denials and ... dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc.
Assists with concurrent and retrospective utilization review activities including denials and ... dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc.
Assists with concurrent and retrospective utilization review activities including denials and ... dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc.
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
Nursing Supervisor Job Description
Winston Salem, NC · On-site
$39.51 - $50/hr
Familiarity with specialized areas such as dialysis, pediatrics (PICU), geriatrics, behavioral ... Familiarity with case management processes, discharge planning, and utilization review. The Nursing ...
Quick apply
Nursing Supervisor Job Description
Winston Salem, NC · On-site
$39.51 - $50/hr
Familiarity with specialized areas such as dialysis, pediatrics (PICU), geriatrics, behavioral ... Familiarity with case management processes, discharge planning, and utilization review. The Nursing ...
Nursing Supervisor Job Description
$39.51 - $50/hr
Familiarity with specialized areas such as dialysis, pediatrics (PICU), geriatrics, behavioral ... Familiarity with case management processes, discharge planning, and utilization review. The Nursing ...
Quick apply
Nursing Supervisor Job Description
$39.51 - $50/hr
Familiarity with specialized areas such as dialysis, pediatrics (PICU), geriatrics, behavioral ... Familiarity with case management processes, discharge planning, and utilization review. The Nursing ...
... morning meetings, utilization review, etc. * Writes summaries and progress notes as directed ... Experience with Dialysis patients preferred. Social Worker LSW / CSW shift: Full time Join us as a ...
Quick apply
... morning meetings, utilization review, etc. * Writes summaries and progress notes as directed ... Experience with Dialysis patients preferred. Social Worker LSW / CSW shift: Full time Join us as a ...
Nursing Supervisor Job Description
Winston Salem, NC · On-site
$39.51 - $50/hr
Familiarity with specialized areas such as dialysis, pediatrics (PICU), geriatrics, behavioral ... Familiarity with case management processes, discharge planning, and utilization review. The Nursing ...
Quick apply
Nursing Supervisor Job Description
Winston Salem, NC · On-site
$39.51 - $50/hr
Familiarity with specialized areas such as dialysis, pediatrics (PICU), geriatrics, behavioral ... Familiarity with case management processes, discharge planning, and utilization review. The Nursing ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
Social Worker CSW LSW
Wayne, NJ · On-site
... morning meetings, utilization review, etc. * Writes summaries and progress notes as directed ... Experience with Dialysis patients preferred. Social Worker LSW / CSW shift: Full time Join us as a ...
Social Worker CSW LSW
Wayne, NJ · On-site
... morning meetings, utilization review, etc. * Writes summaries and progress notes as directed ... Experience with Dialysis patients preferred. Social Worker LSW / CSW shift: Full time Join us as a ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
... review and/or direct supervisory observation. * Develops a plan of care that describes ... Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in ...
Clinical Excellence Manager
Seattle, WA · On-site
... dialysis program. * Prepare for and participate in Clinical Business Reviews (CBRs) for assigned ... drive utilization. * Review, revise, and refine programmatic offerings utilizing the latest ...
Clinical Excellence Manager
Seattle, WA · On-site
... dialysis program. * Prepare for and participate in Clinical Business Reviews (CBRs) for assigned ... drive utilization. * Review, revise, and refine programmatic offerings utilizing the latest ...
Dialysis Utilization Review information
See salary details
$932.69 - $1.1K
1% of jobs
$1.1K - $1.3K
4% of jobs
$1.3K - $1.5K
7% of jobs
$1.7K is the 25th percentile. Wages below this are outliers.
$1.5K - $1.7K
17% of jobs
$1.7K - $1.9K
20% of jobs
The median wage is $1.9K / yr.
$1.9K - $2.1K
18% of jobs
$2.3K is the 75th percentile. Wages above this are outliers.
$2.1K - $2.3K
12% of jobs
$2.3K - $2.5K
7% of jobs
$2.5K - $2.8K
7% of jobs
$2.8K - $3K
4% of jobs
$3K - $3.2K
2% of jobs
$932
$2.1K
$3.2K
How much do dialysis utilization review jobs pay per week?
As of Jun 7, 2026, the average weekly pay for dialysis utilization review in the United States is $2,076.69, according to ZipRecruiter salary data. Most workers in this role earn between $1,711.54 and $2,375.00 per week, depending on experience, location, and employer.
What are the main challenges faced by professionals in Dialysis Utilization Review, and how can they be effectively managed?
Professionals in Dialysis Utilization Review often encounter challenges such as balancing clinical best practices with cost-effectiveness, staying current with frequently changing guidelines, and communicating complex findings to both clinical staff and administrative teams. Effective management involves strong analytical skills, continuous education on regulatory updates, and developing clear communication strategies to ensure alignment across departments. Building collaborative relationships with nephrologists, dialysis nurses, and case managers also helps facilitate smooth workflow and effective patient care.
What is the difference between Dialysis Utilization Review vs Dialysis Nurse?
| Aspect | Dialysis Utilization Review | Dialysis Nurse |
|---|---|---|
| Credentials | RN, Certification in Utilization Review | RN, Dialysis Certification |
| Work Environment | Utilization review departments, insurance companies, healthcare organizations | Dialysis clinics, hospitals, outpatient centers |
| Primary Focus | Assessing medical necessity, reviewing treatment plans, ensuring appropriate resource use | Providing direct patient care, administering dialysis treatments, monitoring patient health |
While both roles require RN credentials, Dialysis Utilization Review focuses on evaluating treatment appropriateness and resource utilization, often in administrative or insurance settings. Dialysis Nurses provide hands-on patient care during dialysis sessions. Understanding these differences helps clarify career paths and job expectations in the dialysis industry.
What are the key skills and qualifications needed to thrive as a Dialysis Utilization Review nurse, and why are they important?
To thrive as a Dialysis Utilization Review nurse, you need a strong clinical background in nephrology, expertise in dialysis treatment protocols, and an active RN license. Familiarity with clinical documentation systems, utilization review software, and knowledge of CMS guidelines or payer requirements is essential. Critical thinking, attention to detail, and effective communication enable collaboration with providers and payers while advocating for optimal patient care. These skills ensure accurate case evaluations, regulatory compliance, and efficient resource management for patients undergoing dialysis.
What is Dialysis Utilization Review?
Dialysis Utilization Review is a process used in healthcare to evaluate the appropriateness, effectiveness, and efficiency of dialysis treatments provided to patients with kidney failure. The goal is to ensure that patients receive the right type and amount of dialysis based on clinical guidelines and individual needs. This review is often conducted by medical professionals who analyze patient records, treatment plans, and outcomes to identify areas for improvement and cost-effectiveness. It helps ensure high-quality care while minimizing unnecessary or inappropriate dialysis sessions.
Full-time
Posted 6 hours ago
Verida rating
5.0
Based on 11 frontline employees who took The Breakroom Quiz
Job description
Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines.
ESSENTIAL FUNCTIONS
- Reviewing and making approval/denial determinations for all member transportation requests that are outside of the geographical mileage guidelines and reviewing requests to non-covered Medicaid services and or locations.
- Review for approval/denial determinations for facilities wishing to participate in the organization’s Subscription/Standing Order Transportation Program.
- Process subscription/Standing order transportation requests from approved facilities for NEMT.
- Investigates transportation provider complaints lodged against Medicaid members during transportation and issuance of Member Warning Letters as warranted.
- Responsible for completing the three departmental reports: daily denial letters, member no-show letters, and monthly denial summary.
- Run Monthly Denial Summary Report for covered regions and send to the client.
Required Skills and Abilities
- Knowledge of Medicare and Medicaid, community resources, dialysis, and the nursing home placement process.
- Must possess entry to mid-level proficiency in Microsoft Word and Excel.
- Excellent written and verbal communication skills.
- Possesses and demonstrates multi-tasking skills in a high-stress environment while working with multiple internal departments, as well as external entities.
- Analytical thinker with good judgment.
- Well-organized, self-directed individual, who is flexible and takes direction well.
- Possesses a high level of interpersonal skills to handle sensitive and confidential situations.
Minimum Required Education/Training
- High School graduate or equivalent.
- 2 years of customer service experience and or employment in the healthcare industry.
About Verida
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