Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cincinnati, OH · On-site
$80 - $100/hr
Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...
Posted today
Cincinnati, OH · On-site
$80 - $100/hr
Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the Utilization Management ...
Posted today
Mason, OH · On-site
AS/BS in Nursing * Experience in acute clinical care * Experience with medical record review/utilization review/utilization management Additional Information Are you an experienced Registered Nurse ...
Mason, OH · On-site
AS/BS in Nursing * Experience in acute clinical care * Experience with medical record review/utilization review/utilization management Additional Information Are you an experienced Registered Nurse ...
Mason, OH · On-site
This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote ...
Mason, OH · On-site
This is a utilization review position. Nurses will be responsible for collaborating with healthcare providers and members to promote quality member outcomes to optimize member benefits and to promote ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Columbus, OH · On-site
Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...
Columbus, OH · On-site
$58K - $62K/yr
Must have LPCC, LSW, LCDC III or RN. Utilization Review Specialist Requirements * Salary commensurate with experience * Medical, Vision, & Dental * Paid time off * 11 paid holidays * 403 (b) ...
Quick apply
Columbus, OH · On-site
$58K - $62K/yr
Must have LPCC, LSW, LCDC III or RN. Utilization Review Specialist Requirements * Salary commensurate with experience * Medical, Vision, & Dental * Paid time off * 11 paid holidays * 403 (b) ...
Middleburg Heights, OH · On-site
$1.9K - $2.1K/wk
Now Hiring: RN Utilization Review - Middleburg Heights, OH Job ID: JOB-414060 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range: $1936.30-$2164.10wk Weekly pay ranges of $1936.30 ...
Middleburg Heights, OH · On-site
$1.9K - $2.1K/wk
Now Hiring: RN Utilization Review - Middleburg Heights, OH Job ID: JOB-414060 Weekly Pay Range: Contact us for Pay Information Weekly Pay Range: $1936.30-$2164.10wk Weekly pay ranges of $1936.30 ...
This role will review patient medical records to ensure accurate documentation, proper level of ... nursing experience, with strong preference for experience in case management, utilization review ...
This role will review patient medical records to ensure accurate documentation, proper level of ... nursing experience, with strong preference for experience in case management, utilization review ...
This role will review patient medical records to ensure accurate documentation, proper level of ... nursing experience, with strong preference for experience in case management, utilization review ...
This role will review patient medical records to ensure accurate documentation, proper level of ... nursing experience, with strong preference for experience in case management, utilization review ...
This role will review patient medical records to ensure accurate documentation, proper level of ... nursing experience, with strong preference for experience in case management, utilization review ...
This role will review patient medical records to ensure accurate documentation, proper level of ... nursing experience, with strong preference for experience in case management, utilization review ...
Columbus, OH · On-site
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
Columbus, OH · On-site
$24 - $32/hr
High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...
Cleveland, OH · On-site
$2.3K/wk
Our client is looking to add a Registered Nurse to their team. Job Details: * Location: Middleburg Heights, Ohio * Duration: 13 Weeks * Start Date: 09/21/2026 * Shift: 5x8 * Estimated Gross Weekly ...
Cleveland, OH · On-site
$2.3K/wk
Our client is looking to add a Registered Nurse to their team. Job Details: * Location: Middleburg Heights, Ohio * Duration: 13 Weeks * Start Date: 09/21/2026 * Shift: 5x8 * Estimated Gross Weekly ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
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Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
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Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
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Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
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Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
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Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
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The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
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The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
New
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
New
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
New
$20.34 - $24.45
2% of jobs
$24.45 - $28.57
9% of jobs
$31.38 is the 25th percentile. Wages below this are outliers.
$28.57 - $32.68
21% of jobs
The median wage is $36.01 / hr.
$32.68 - $36.79
23% of jobs
$36.79 - $40.91
13% of jobs
$44.11 is the 75th percentile. Wages above this are outliers.
$40.91 - $45.02
10% of jobs
$45.02 - $49.13
8% of jobs
$49.13 - $53.25
5% of jobs
$53.25 - $57.36
5% of jobs
$57.36 - $61.48
2% of jobs
$61.48 - $65.59
2% of jobs
$20
$40
$65
| Aspect | Entry Level Utilization Review Nurse | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, possibly some certification | RN license, often with additional certifications |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Insurance companies, healthcare organizations |
| Job Responsibilities | Assist in reviewing patient cases, gather data, support senior staff | Evaluate medical necessity, review patient records, make coverage decisions |
The Entry Level Utilization Review Nurse typically supports the more experienced Utilization Review Nurse by gathering information and assisting in case reviews. Both roles require an RN license and work within healthcare or insurance settings, but the entry-level position involves more support tasks, while the Utilization Review Nurse makes critical coverage decisions.
The most popular types of Utilization Review Nurse jobs in Ohio are:
For Entry Level Utilization Review Nurse jobs in Ohio, the most frequently searched job titles are:
The top searched job categories for Entry Level Utilization Review Nurse jobs in Ohio are:
Cities in Ohio with the most Entry Level Utilization Review Nurse job openings:

Other
Medical, Dental, Vision, Retirement
Re-posted 4 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