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Free Utilization Review Training Jobs (NOW HIRING)

Wood County Hospital

... RN Utilization Review / Utilization Review / Per Diem Reviews patient records for medical ... EDUCATION, TRAINING AND EXPERIENCE Graduate of an accredited program for nursing education ...

Olaro

Travel Utilization Review Nurse

Atlanta, GA · On-site

Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Utilization Review (UR) - Critical Need About ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Provide training and mentorship on UM protocols and workflows * Maintain relationships with ...

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Free Utilization Review Training information

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How much do free utilization review training jobs pay per hour?

As of Jun 23, 2026, the average hourly pay for free utilization review training in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is free utilization review training?

Free utilization review training refers to educational programs or courses that teach individuals the fundamentals of utilization review without requiring payment. Utilization review is a process used in healthcare to assess the necessity, efficiency, and appropriateness of medical services, procedures, or admissions. These free training options are often available online and can help nurses, case managers, or other healthcare professionals gain the skills needed to pursue roles in utilization management. Training typically covers topics such as clinical guidelines, insurance protocols, and regulatory compliance. Completing such training can enhance career opportunities in healthcare case management and insurance settings.

What is the difference between Free Utilization Review Training vs Utilization Review Nurse?

AspectFree Utilization Review TrainingUtilization Review Nurse
CredentialsTypically no formal credentials required; focus on training programsRegistered Nurse (RN) license required, with possible certifications like CCM or UR-specific credentials
Work EnvironmentTraining sessions, online courses, workshopsHospitals, insurance companies, healthcare facilities
Employer & Industry UsageUsed for skill development and certification prepPerforming reviews, making coverage decisions, ensuring appropriate care

Free Utilization Review Training provides foundational knowledge and skills for those interested in entering or advancing in utilization review roles. In contrast, a Utilization Review Nurse is a licensed healthcare professional actively performing review duties in clinical settings. The training is often a prerequisite or supplement to the nurse's practical work, which requires licensure and clinical experience.

How to become a utilization reviewer?

To become a utilization reviewer, typically one needs a healthcare-related degree such as nursing, health administration, or a related field, along with experience in clinical or insurance settings. Certification in utilization review or case management, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong analytical skills, knowledge of medical policies, and familiarity with electronic health records are also important.

How to make an extra $2000 a month as a nurse?

Nurses can increase their income by pursuing specialized certifications such as case management or utilization review, which can lead to higher-paying roles. Working additional shifts, taking on per diem or travel nursing assignments, or engaging in telehealth services can also help earn extra income, especially if they have skills in utilization review or case management. Developing expertise in these areas can open opportunities for higher-paying side jobs or part-time roles.

Can you get a job with a free certificate?

Having a free utilization review training certificate can help demonstrate foundational knowledge for roles in utilization review, but employers often prefer candidates with industry-recognized certifications or relevant work experience. A free certificate alone may not be sufficient to qualify for a job, as many positions require specific credentials or licensing. It can serve as a useful starting point to build skills and enhance your resume.

Where to get utilization review certification online free?

Free online utilization review certification programs are limited, but some organizations and platforms offer free introductory courses or resources to learn about utilization review processes. However, obtaining a recognized certification typically requires paid courses or exams from accredited bodies such as the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) or other professional organizations, which may offer scholarships or discounts. It is important to verify the credibility of any free program to ensure it meets industry standards for certification.

What are the key skills and qualifications needed to thrive as a Utilization Review Nurse, and why are they important?

To thrive as a Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and knowledge of insurance and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and possibly certifications like Certified Utilization Review Nurse (CURN) are typically expected. Excellent communication, analytical thinking, and attention to detail are standout soft skills in this position. These abilities are crucial for ensuring appropriate patient care, compliance, and cost-effective healthcare delivery.

What are some common challenges faced by professionals during utilization review training, and how can they be overcome?

During utilization review training, professionals often encounter challenges such as adapting to complex healthcare regulations, learning to interpret medical records efficiently, and effectively applying clinical guidelines to decision-making. Overcoming these challenges requires strong attention to detail, ongoing engagement with training modules, and seeking mentorship from experienced utilization review nurses or case managers. Actively participating in case discussions and staying updated with industry standards can also help trainees build confidence and competence for a successful career in utilization review.
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Free Utilization Review Training jobs near you
Infographic showing various Free Utilization Review Training job openings in the United States as of June 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 79% In-person, 5% Hybrid, and 16% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Specialist

Utilization Review Specialist

Clearfork Academy

Fort Worth, TX

Full-time

Posted 7 days ago

Job description

Help Adolescents Build a New Legacy
At Clearfork Academy, we provide high-quality substance abuse and mental health treatment for adolescents and young adults. We're seeking a detail-oriented, analytical, and relationship-focused Utilization Review Specialist who enjoys solving complex authorization challenges, collaborating with clinical teams, and advocating for clients' access to care.
This role is ideal for someone who thrives in a fast-paced environment, enjoys balancing independent work with team collaboration, and excels at navigating insurance requirements while ensuring clients receive the treatment they need. If you enjoy troubleshooting, communicating with multiple stakeholders, and finding creative solutions to complex problems, we'd love to hear from you.
What You'll Do
  • Verify insurance benefits and eligibility prior to client admission
  • Coordinate and manage authorization requests, concurrent reviews, and re-certifications with insurance providers
  • Review clinical documentation and treatment plans to support medical necessity and level-of-care determinations
  • Advocate for appropriate treatment authorization and prepare appeals when necessary
  • Maintain accurate records of authorizations, denials, approvals, and insurer communications
  • Collaborate with therapists, nursing staff, medical providers, and administrative teams to support quality care and treatment continuity
  • Communicate clinical information effectively to insurance case managers and healthcare partners
  • Participate in treatment team meetings and support discharge planning efforts
  • Monitor client charts and documentation to ensure compliance with payer requirements
  • Assist with resolving authorization discrepancies and reimbursement issues
  • Respond promptly to emails, phone calls, and requests related to utilization review
  • Support billing and collections processes through accurate and timely authorization management
  • Contribute ideas and process improvements that enhance efficiency and treatment outcomes
What Makes Someone Successful in This Role?
You may be a great fit if you:
  • Enjoy analyzing clinical information and solving complex insurance-related challenges
  • Like having a balance of structure and independence in your workday
  • Thrive when managing multiple priorities and working within deadlines
  • Are naturally persuasive and confident when advocating for clients and treatment needs
  • Enjoy troubleshooting issues, finding solutions, and moving efficiently to the next challenge
  • Communicate effectively with both clinical professionals and insurance representatives
  • Value collaboration while also being comfortable working independently
  • Can adapt quickly to changing priorities and evolving client needs
  • Enjoy variety in your work and prefer a role that keeps you engaged with different situations and stakeholders
  • Use logic and critical thinking to make informed decisions
  • Are resourceful, innovative, and willing to explore new approaches when obstacles arise
  • Maintain professionalism and composure in high-pressure situations
What We're Looking For
Education, Training, and Experience
  • Bachelor's Degree in Social Work, Psychology, Nursing, Healthcare Administration, or related field
  • 1-3 years of experience in utilization review, medical billing, insurance authorization, healthcare administration, medical office operations, or related healthcare settings required
  • LCDC, Nursing, Social Work, Counseling, or other relevant clinical licensure preferred
  • Experience working in behavioral health, substance abuse treatment, mental health services, or healthcare settings preferred
Knowledge, Skills, and Abilities
  • Knowledge of insurance guidelines, authorization processes, and payer requirements
  • Familiarity with CPT, ICD-10 coding, DSM-5 diagnoses, and ASAM criteria preferred
  • Strong problem-solving and critical-thinking skills
  • Excellent verbal and written communication abilities
  • Ability to prioritize multiple tasks and manage competing deadlines
  • Strong organizational skills and attention to detail
  • Ability to effectively handle denials, appeals, and authorization challenges
  • Knowledge of medical terminology and behavioral health treatment concepts
  • Customer service skills when communicating with families, clients, and insurance representatives
  • Proficiency with Microsoft Office applications and electronic medical records
  • Ability to work independently with minimal supervision while remaining a collaborative team member
  • Understanding of confidentiality, patient rights, and healthcare compliance standards
Why Clearfork Academy?
  • Meaningful work that directly impacts adolescents, young adults, and families
  • Opportunity to advocate for clients and support access to life-changing treatment
  • Collaborative, mission-driven treatment environment
  • Fast-paced role with variety and opportunities to solve new challenges daily
  • Supportive leadership team committed to excellence and professional growth
  • Culture that values initiative, innovation, and continuous improvement
  • Opportunity to work alongside dedicated clinical and healthcare professionals
  • Organization committed to helping clients build healthier futures

If you're an organized and driven professional who enjoys analytical problem-solving, effective communication, and making a meaningful impact behind the scenes of patient care, we encourage you to apply.
Clearfork Academy
Leading Adolescents to a New Legacy
EEOC Statement
It is our policy to abide by all Federal and State laws, as well as the requirements of 41 CFR 60-1.4(a), 60-300.5(a), and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on race, color, religion, sex, sexual orientation, gender identity, or national origin.

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