Position Summary In this role, you will coordinate and manage insurance utilization review activities for hospitalized clients. You'll work closely with clinical teams, insurance representatives, and ...
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Position Summary In this role, you will coordinate and manage insurance utilization review activities for hospitalized clients. You'll work closely with clinical teams, insurance representatives, and ...
Quick apply
Position Summary In this role, you will coordinate and manage insurance utilization review activities for hospitalized clients. You'll work closely with clinical teams, insurance representatives, and ...
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or ... UNAVAILABLEEmployment Type: FULL_TIME
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or ... UNAVAILABLEEmployment Type: FULL_TIME
Tampa, FL · On-site
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or ... Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on ...
Tampa, FL · On-site
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or ... Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on ...
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
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Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
... insurance company reimbursement policies. Performs utilization review and management, including ... quality review, case review for third party payers' requirements. Ensures optimal reimbursement ...
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... insurance company reimbursement policies. Performs utilization review and management, including ... quality review, case review for third party payers' requirements. Ensures optimal reimbursement ...
Las Vegas, NV · On-site
$41 - $60/hr
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Ensure compliance with Medicare, Medicaid, commercial insurance, and regulatory requirements.
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Las Vegas, NV · On-site
$41 - $60/hr
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Ensure compliance with Medicare, Medicaid, commercial insurance, and regulatory requirements.
Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday Friday ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
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Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday Friday ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday - Friday ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
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Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday - Friday ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
$25 - $35/hr
... experienced full-time Utilization Review Representative to our growing Utilization Review ... Benefit from a wide range of options, including dental, health, vision, and disability insurance ...
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$25 - $35/hr
... experienced full-time Utilization Review Representative to our growing Utilization Review ... Benefit from a wide range of options, including dental, health, vision, and disability insurance ...
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
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Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
Director of Utilization Review Under the direction of the Director of Utilization Review, the ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
Director of Utilization Review Under the direction of the Director of Utilization Review, the ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
Kingston, PA · On-site
$25 - $35/hr
... experienced full-time Utilization Review Representative to our growing Utilization Review ... and insurance companies or other third party payers to manage authorizations and claims. • ...
Kingston, PA · On-site
$25 - $35/hr
... experienced full-time Utilization Review Representative to our growing Utilization Review ... and insurance companies or other third party payers to manage authorizations and claims. • ...
Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Comprehensive benefits including medical, dental, and vision insurance; whole and term life ...
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Pompano Beach, FL · Remote
$50K - $65K/yr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Comprehensive benefits including medical, dental, and vision insurance; whole and term life ...
South Burlington, VT · On-site
$135K - $155K/yr
After a 60-day waiting period, full-time employees are eligible for a comprehensive benefits ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
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South Burlington, VT · On-site
$135K - $155K/yr
After a 60-day waiting period, full-time employees are eligible for a comprehensive benefits ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
Director of Utilization Review Under the direction of the Director of Utilization Review, the ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
Director of Utilization Review Under the direction of the Director of Utilization Review, the ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... insurance and long-term disability coverage * 96 hours of paid vacation time for full-time ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... insurance and long-term disability coverage * 96 hours of paid vacation time for full-time ...
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Comprehensive benefits including medical, dental, and vision insurance; whole and term life ...
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Comprehensive benefits including medical, dental, and vision insurance; whole and term life ...
Exeter, NH · On-site
$135K - $155K/yr
After a 60-day waiting period, full-time employees are eligible for a comprehensive benefits ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
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Exeter, NH · On-site
$135K - $155K/yr
After a 60-day waiting period, full-time employees are eligible for a comprehensive benefits ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
4.8
Based on 5 frontline employees who took The Breakroom Quiz
Behavioral Health Utilization Review Specialist I
Aspire Health Partners, Inc.
Make a Difference in Behavioral Health Care
At Aspire Health Partners, we are dedicated to transforming lives through compassionate, high-quality behavioral healthcare. As Florida’s largest nonprofit behavioral health provider, we serve diverse populations across Central Florida and are committed to clinical excellence and meaningful impact.
We are currently seeking a Utilization Review Specialist to join our team and play a key role in ensuring our clients receive the care they need while supporting effective coordination with insurance providers.
Position Summary
In this role, you will coordinate and manage insurance utilization review activities for hospitalized clients. You’ll work closely with clinical teams, insurance representatives, and internal departments to ensure timely authorizations, support treatment planning, and contribute to high-quality patient outcomes.
Key Responsibilities
Qualifications
Required:
Preferred:
Why Join Aspire?
Equal Opportunity Employer
Aspire Health Partners is a drug-free workplace and an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will be considered without regard to race, color, religion, national origin, sex, age, disability, or veteran status.
PI5b065a71482a-25405-32331851
Get the full story on Breakroom
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Health care and social assistance
501 - 1,000 Employees
Orlando, FL, US
2014