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Full Time Care Review Processor Jobs (NOW HIRING)

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Remote Care Review Processor Houston, Texas, United States Or refer someone About the Job Remote Care Review Processor Retuurn Solutions works with members, providers and multidisciplinary team ...

Easy Recruiter

Remote Care Review Processor

Houston, TX · Remote

Remote Care Review ProcessorHouston, Texas, United States Or refer someoneAbout the Job Remote Care Review ProcessorRetuurn Solutions works with members, providers and multidisciplinary team members ...

AltaStaff, LLC

UM Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...

AltaStaff, LLC

Care Review Clinician

Cherry Valley, IL · Remote

$40 - $42/hr

Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...

Every Child Pediatrics

Full-Time Care Navigator

Denver, CO

$21.75 - $27.75/hr

Every Child Pediatrics' Care Navigation is a collaborative process directed toward patient and ... review medical records, and apply health and wellness principles * Bilingual in Spanish/English is ...

Every Child Pediatrics

Full-Time Care Navigator

Denver, CO · On-site

$19.29 - $24.25/hr

Every Child Pediatrics' Care Navigation is a collaborative process directed toward patient and ... review medical records, and apply health and wellness principles * Bilingual in Spanish/English is ...

Molina Healthcare

Care Review Clinician, ABA

Tampa, FL

$26.41 - $51.49/hr

Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...

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Full Time Care Review Processor information

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How much do full time care review processor jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for full time care review processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.

What is the difference between Full Time Care Review Processor vs Part Time Care Review Processor?

AspectFull Time Care Review ProcessorPart Time Care Review Processor
Work HoursTypically 35-40 hours per weekLess than 30 hours per week
CredentialsUsually requires similar certifications and experienceSame certifications, fewer hours
Work EnvironmentOffice or remote, full-time schedulePart-time, flexible hours, same environment
Employer UsageCommon in healthcare and insurance companiesUsed by similar employers for flexible staffing

Full Time Care Review Processors work full-time hours, often with more consistent schedules, while Part Time Care Review Processors work fewer hours with flexible scheduling. Both roles require similar credentials and are employed in healthcare and insurance industries. The main difference lies in the hours worked and scheduling flexibility.

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Full Time Care Review Processor jobs near you
Infographic showing various Full Time Care Review Processor job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 20% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.

Care Review Processor

Integrated Resources INC

El Paso, TX

Full-time

Re-posted 25 days ago

Job description

Job Description

Job Title: Care Review Processor

Duration: 4+ months contract

Location: Texas USA 79902

Hours: Mon- Fri 8:00 AM to 5:00 PM

Top Three Skill Sets: Customer Service, Computer Skills and medical terminology

Job Description:

  • Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and appropriateness, Determine diagnosis and treatment request Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes), Determine COB status, Verify inpatient hospital census-admits and discharges, Perform action required per protocol using the appropriate Database.
  • Respond to requests for authorization of services submitted to CAM via phone, fax and mail according to Client's operational timeframes.
  • Participates in interdepartmental integration and collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term Care.
  • Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.
  • Provide excellent customer service for internal and external customers.
  • Meet department quality standards, including inter-rater reliability (IRR) testing and quality review audit scores.
  • Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member status.
  • Meet productivity standards.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

EDUCATION:

  • Accurate data entry at 40 WPM minimum.
  • Required Education: High School Diploma/GED
  • Required Experience: 1-4 years of experience in a Utilization Review Department in a Managed Care Environment.
  • Previous Hospital or Healthcare clerical, audit or billing experience. Experience with Medical Terminology
Additional Information

All your information will be kept confidential according to EEO guidelines.

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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