Utilization Review Specialist-Remote
Brookfield, WI · On-site +1
Vision insurance
Utilization Review Specialist
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Contacts external case managers and managed care organizations to obtain certification of insurance ...
Utilization Review Specialist
Tucson, AZ · On-site
As a Utilization Review Specialistjoining our team, you're embracing a vital mission dedicated to ... Contacts external case managers and managed care organizations to obtain certification of insurance ...
RN - Utilization Review
Kinston, NC · On-site
Experience in Denials Management Insurance Denials, Peer-to-peer, Appeals is preferred. Experience with completing Utilization Review in the hospital setting and using InterQual and MCG evaluation ...
RN - Utilization Review
Kinston, NC · On-site
Experience in Denials Management Insurance Denials, Peer-to-peer, Appeals is preferred. Experience with completing Utilization Review in the hospital setting and using InterQual and MCG evaluation ...
Utilization Review Nurse
Dallas, TX · Remote
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Utilization Review Nurse
Dallas, TX · Remote
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
... 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 ...
RN - Utilization Review
Kinston, NC · On-site
$2.3K/wk
The RN in this role works with healthcare providers, insurance companies, and patients to review ... Utilization Review and Clinical Evaluation : * Review patient medical records, treatment plans, and ...
RN - Utilization Review
Kinston, NC · On-site
$2.3K/wk
The RN in this role works with healthcare providers, insurance companies, and patients to review ... Utilization Review and Clinical Evaluation : * Review patient medical records, treatment plans, and ...
... 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 ...
Performs preadmission review on admissions when required by insurance companies/agencies to comply ... Reviews hospital records daily to determine if utilization resources could be served in a better ...
Quick apply
Performs preadmission review on admissions when required by insurance companies/agencies to comply ... Reviews hospital records daily to determine if utilization resources could be served in a better ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
... 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 ...
Performs preadmission review on admissions when required by insurance companies/agencies to comply ... Reviews hospital records daily to determine if utilization resources could be served in a better ...
Performs preadmission review on admissions when required by insurance companies/agencies to comply ... Reviews hospital records daily to determine if utilization resources could be served in a better ...
... 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 ...
The Manager, Utilization Review is responsible for overseeing the daily operations of the ... regulations, insurance processes, and quality improvement methodologies. • Proficiency in ...
The Manager, Utilization Review is responsible for overseeing the daily operations of the ... regulations, insurance processes, and quality improvement methodologies. • Proficiency in ...
... 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 ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
The information collected by the Utilization Review Coordinator will be used to contact insurance/review companies to obtain certification for the hospital stay. Benefit Highlights: * Challenging and ...
The information collected by the Utilization Review Coordinator will be used to contact insurance/review companies to obtain certification for the hospital stay. Benefit Highlights: * Challenging and ...
Utilization Review Specialist
Holyoke, MA · On-site
$33.22 - $44.85/hr
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... UR contacts external case managers/managed care organizations for certification of insurance ...
Utilization Review Specialist
Holyoke, MA · On-site
$33.22 - $44.85/hr
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... UR contacts external case managers/managed care organizations for certification of insurance ...
... 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 ...
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Entry Level Insurance Utilization Review information
See salary details
$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
How much do entry level insurance utilization review jobs pay per hour?
As of Jul 11, 2026, the average hourly pay for entry level insurance utilization review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.
More about Entry Level Insurance Utilization Review jobs
What are the most commonly searched types of Insurance Utilization Review jobs? The most popular types of Insurance Utilization Review jobs are:
What job categories do people searching Entry Level Insurance Utilization Review jobs look for? The top searched job categories for Entry Level Insurance Utilization Review jobs are:
- Coordinator Aetna Utilization Review
- Temporary Aetna Utilization Review Nurse
- Seasonal Remote Utilization Review
- Online Utilization Review
- Lpn Utilization Review Nurse
- Lpn Utilization Review Work From Home
- Utilization Review Manager
- Utilization Review
- Senior Rn Utilization Review Nurse
- Director Optum Utilization Review
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
Job description
Utilization Review Specialist – Behavioral Health Facility
We are seeking a confident, detail-oriented Utilization Review Specialist to join our behavioral health team. This role involves reviewing clinical documentation, ensuring medical necessity, managing insurance authorizations, and collaborating with providers to support appropriate and timely care for our clients.
Responsibilities:
Conduct utilization reviews and obtain prior authorizations from insurance companies
Monitor continued stay and discharge criteria for clients
Communicate effectively with clinical and administrative teams
Maintain accurate and up-to-date documentation
Ensure all documentation meets insurance and regulatory compliance standards and is completed accurately and on time.
Qualifications:
Background or experience in social work, counseling, or behavioral health is preferred
Experience in utilization review or case management for behavioral health is preferred
Strong communication and organization skills
Ability to work efficiently in a fast-paced environment
Confident, proactive, and dedicated work ethic
Benefits: Competitive salary Opportunities for professional development and career advancement Supportive and collaborative work environment Fulfilling work helping individuals with mental health or substance abuse issues
Benefits:
401(k)
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance