Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Competitive compensation and weekly direct deposit * Compliance Support Specialist & Onboarding ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Competitive compensation and weekly direct deposit * Compliance Support Specialist & Onboarding ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Competitive compensation and weekly direct deposit * Compliance Support Specialist & Onboarding ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for ... Competitive compensation and weekly direct deposit * Compliance Support Specialist & Onboarding ...
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for ... Competitive compensation and weekly direct deposit * Compliance Support Specialist & Onboarding ...
Kotzebue, AK · On-site
Submits Quarterly reports to CMO and CNO for Board of Director meetings. * Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review ...
Kotzebue, AK · On-site
Submits Quarterly reports to CMO and CNO for Board of Director meetings. * Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review ...
... The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility's inpatient, partial hospitalization, and ...
... The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility's inpatient, partial hospitalization, and ...
Canton, MA · On-site
$55 - $60/hr
Collaborate with Medical Directors for complex cases, denial recommendations, and clinical ... Utilization Management (UM) * Medical Necessity Review * Prior Authorization * Precertification
Canton, MA · On-site
$55 - $60/hr
Collaborate with Medical Directors for complex cases, denial recommendations, and clinical ... Utilization Management (UM) * Medical Necessity Review * Prior Authorization * Precertification
Eagleville, PA · On-site
This position reports to the Utilization Review Director Objectives / Responsibilities * Reviews admissions to determine medical necessity and appropriateness of treatment. * Reviews patient records ...
Eagleville, PA · On-site
This position reports to the Utilization Review Director Objectives / Responsibilities * Reviews admissions to determine medical necessity and appropriateness of treatment. * Reviews patient records ...
Tampa, FL · On-site
$59K - $76K/yr
Registered Nurse (RN) or chiropractor with a valid license in the state of Florida. * Minimum of 2 years of utilization review experience; or an advanced degree without experience. * Knowledge of ...
Tampa, FL · On-site
$59K - $76K/yr
Registered Nurse (RN) or chiropractor with a valid license in the state of Florida. * Minimum of 2 years of utilization review experience; or an advanced degree without experience. * Knowledge of ...
Tampa, FL · On-site
$59K - $76K/yr
Registered Nurse (RN) or chiropractor with a valid license in the state of Florida. * Minimum of 2 years of utilization review experience; or an advanced degree without experience. * Knowledge of ...
Tampa, FL · On-site
$59K - $76K/yr
Registered Nurse (RN) or chiropractor with a valid license in the state of Florida. * Minimum of 2 years of utilization review experience; or an advanced degree without experience. * Knowledge of ...
Eagleville, PA · On-site
This position reports to the Utilization Review Director Objectives / Responsibilities * Reviews admissions to determine medical necessity and appropriateness of treatment. * Reviews patient records ...
Eagleville, PA · On-site
This position reports to the Utilization Review Director Objectives / Responsibilities * Reviews admissions to determine medical necessity and appropriateness of treatment. * Reviews patient records ...
Franklin, TN · On-site +1
Maintains frequent and close working relationships with the Director of Utilization Review, Utilization Review Coordinators, Revenue Cycle team members, Admissions team members, Nursing leadership ...
Franklin, TN · On-site +1
Maintains frequent and close working relationships with the Director of Utilization Review, Utilization Review Coordinators, Revenue Cycle team members, Admissions team members, Nursing leadership ...
Maintains frequent and close working relationships with the Director of Utilization Review, Utilization Review Coordinators, Revenue Cycle team members, Admissions team members, Nursing leadership ...
Maintains frequent and close working relationships with the Director of Utilization Review, Utilization Review Coordinators, Revenue Cycle team members, Admissions team members, Nursing leadership ...
Santa Ana, CA · On-site
Performs administrative duties for the Utilization Management Department, and directed in several ... Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement ...
Santa Ana, CA · On-site
Performs administrative duties for the Utilization Management Department, and directed in several ... Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement ...
Syracuse, NY · On-site
... director that require additional expertise). Coordinate denials with physician advisors (10%) ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
Syracuse, NY · On-site
... director that require additional expertise). Coordinate denials with physician advisors (10%) ... Utilization Review Experience, the nurse can come from a Hospital, Home Health, or Managed Care ...
Utilization Review Nurse Integrated Resources, Inc., is led by a seasoned team with combined ... Medical Director for review and final determination • Communicates with providers to initiate ...
New
Utilization Review Nurse Integrated Resources, Inc., is led by a seasoned team with combined ... Medical Director for review and final determination • Communicates with providers to initiate ...
New
New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up ... Escalate any potential disputes or denial of accounts to Director of Revenue or designee * Trends ...
Quick apply
New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up ... Escalate any potential disputes or denial of accounts to Director of Revenue or designee * Trends ...
$28.5K - $33.2K
6% of jobs
$33.2K - $38K
6% of jobs
$42K is the 25th percentile. Wages below this are outliers.
$38K - $42.7K
15% of jobs
$42.7K - $47.4K
22% of jobs
The median wage is $47.7K / yr.
$47.4K - $52.1K
18% of jobs
$55.3K is the 75th percentile. Wages above this are outliers.
$52.1K - $56.9K
13% of jobs
$56.9K - $61.6K
9% of jobs
$61.6K - $66.3K
4% of jobs
$66.3K - $71K
4% of jobs
$71K - $75.8K
2% of jobs
$75.8K - $80.5K
1% of jobs
$28.5K
$52.3K
$80.5K
| Aspect | Director Chiropractic Utilization Review | Chiropractic Utilization Review |
|---|---|---|
| Credentials | Typically requires advanced degrees, certifications, and leadership experience | Requires chiropractic license and certification, with less emphasis on leadership |
| Work Environment | Oversees teams, manages policies, and strategic planning | Performs case reviews, evaluates claims, and ensures compliance |
| Employer & Industry Usage | Used in insurance companies, healthcare organizations, and large clinics | Commonly employed in insurance companies, third-party administrators, and healthcare providers |
The main difference is that the Director Chiropractic Utilization Review holds a leadership role overseeing review teams and policies, while Chiropractic Utilization Review focuses on performing case evaluations and claims assessments. The director's role involves strategic management, whereas the review role is more operational and case-specific.

Other
Medical, Dental, Vision, Retirement
Posted 9 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