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From Home Optum Utilization Review Jobs (NOW HIRING)

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

We are seeking a Utilization Review Specialist to join our corporate team in Pompano Beach, FL. The ... Be a key player in ensuring clients transition successfully from treatment into long-term recovery ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private ...

UHS

Utilization Review Coordinator

Augusta, GA

... apart from many other treatment facilities, and our tenured team includes seasoned medical staff ... The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ...

Lifepoint Health

Utilization Review Director

Englewood, CO · On-site

$52 - $71/hr

Utilization Review Director Job Type: Onsite, Full-time Pay rate: $52-$71 per hour Work Schedule ... Be available to educate staff members from other relevant departments on documentation requirements ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

... apart from many other treatment facilities, and our tenured team includes seasoned medical staff ... The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ...

UHS

Utilization Review Coordinator

Augusta, GA

... apart from many other treatment facilities, and our tenured team includes seasoned medical staff ... The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ...

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From Home Optum Utilization Review information

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How much do from home optum utilization review jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for from home optum utilization review 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 the difference between From Home Optum Utilization Review vs From Home Medical Coder?

AspectFrom Home Optum Utilization ReviewFrom Home Medical Coder
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Certification in medical coding (e.g., CPC, CCS) often required
Work EnvironmentRemote, healthcare insurance or managed care settingRemote, healthcare billing and coding environment
Industry UsageCommon in health insurance, managed care, and utilization managementCommon in medical billing, coding, and healthcare documentation

From Home Optum Utilization Review and From Home Medical Coder roles both operate remotely within the healthcare industry. However, utilization review focuses on assessing medical necessity and approving or denying services, requiring clinical credentials. Medical coders translate healthcare documentation into standardized codes, primarily needing coding certifications. Both roles are essential in healthcare operations but differ in responsibilities and required qualifications.

What cities are hiring for From Home Optum Utilization Review jobs? Cities with the most From Home Optum Utilization Review job openings:
What are the most commonly searched types of Optum Utilization Review jobs? The most popular types of Optum Utilization Review jobs are:
What states have the most From Home Optum Utilization Review jobs? States with the most job openings for From Home Optum Utilization Review jobs include:
From Home Optum Utilization Review jobs near you
Utilization Review Specialist

Utilization Review Specialist

Sharon Regional Health System

Sharon, PA • On-site

Full-time

Posted 5 days ago

Job description

Job Summary
We are seeking a Utilization Review Specialist to join our healthcare team. The Utilization Review Specialist ensures that the appropriate authorization for treatment is secured, and that all pertinent clinical information is present to obtain this authorization. The UR Specialist works with the medical staff and the other members of the interdisciplinary team to assist in the delivery of quality care across the continuum. Planning for individual age-specific needs will occur as it relates to the assigned patient population. Documentation requirements are monitored by the UR Specialist.
Responsibilities
  • Secures authorization for payment of services rendered from all types of primary
  • and secondary insurers.
  • Maintains knowledge of coding and diagnostic standards to ensure appropriate
    service utilization.
  • Ensures the thoroughness of all documentation entered into the medical record.
  • Additional duties to be discussed.
Benefits
  • Valid Registered Nurse (RN) license in the state of practice.
  • Bachelor's degree preferred.
  • Minimum of 2 years' experience.
  • Familiarity with HIPAA regulations and patient confidentiality protocols.
  • Excellent communication skills, both verbal and written.
  • Demonstrated leadership and organizational skills.

Join our team of healthcare professionals dedicated to making a difference in the lives of
our patients!

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