Utilization Review Physician
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Wichita, KS · On-site
$18/hr
Job Summary The Utilization Review department manages all aspects of a patient's stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR ...
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Wichita, KS · On-site
$18/hr
Job Summary The Utilization Review department manages all aspects of a patient's stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR ...
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle ...
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle ...
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...
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Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
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The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...
The Utilization Review case manager collaborates with all components of the healthcare system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal ...
The Utilization Review case manager collaborates with all components of the healthcare system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal ...
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 ...
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 ...
Manhattan, NY · Remote
$95K - $105K/yr
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is ...
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Manhattan, NY · Remote
$95K - $105K/yr
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is ...
A Utilization Review (UR) Director at Freedom Behavioral Hospital is responsible for overseeing utilization review and discharge planning processes in compliance with CMS, federal, and state ...
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A Utilization Review (UR) Director at Freedom Behavioral Hospital is responsible for overseeing utilization review and discharge planning processes in compliance with CMS, federal, and state ...
Utilization Review Nurse Location: Las Vegas, NV Willing to relocate to Las Vegas. With Benefits! Job Requirement Education/Experience: Graduation from an accredited school of nursing and five (5) ...
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Utilization Review Nurse Location: Las Vegas, NV Willing to relocate to Las Vegas. With Benefits! Job Requirement Education/Experience: Graduation from an accredited school of nursing and five (5) ...
Schedule | Full - Time Monday - Friday Remote/Hybrid What You'll Do Provide Utilization Review and Case Management to the Emergency Department population who present with social and or discharge ...
Schedule | Full - Time Monday - Friday Remote/Hybrid What You'll Do Provide Utilization Review and Case Management to the Emergency Department population who present with social and or discharge ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Description The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation.
Description The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation.
Manhattan, NY · On-site
$95K - $105K/yr
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is ...
Manhattan, NY · On-site
$95K - $105K/yr
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is ...
As the Utilization Review Coordinator, you will develop and implement systems for authorizations for Inpatient, RTC, PHP and IOP Services. You will conduct pre-certs, concurrent and extended reviews.
As the Utilization Review Coordinator, you will develop and implement systems for authorizations for Inpatient, RTC, PHP and IOP Services. You will conduct pre-certs, concurrent and extended reviews.
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
$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
| Aspect | Hourly Weekend Utilization Review | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RHIT or RHIA | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or utilization review organizations, often during weekends | Medical offices, billing companies, or hospitals, primarily weekdays |
| Job Focus | Assessing patient care and resource utilization during weekends | Processing insurance claims, coding, and billing |
Hourly Weekend Utilization Review involves evaluating patient care and resource use during weekends, often requiring healthcare certifications. In contrast, Medical Billing Specialists focus on coding and billing processes, mainly during weekdays. Both roles are essential in healthcare operations but differ in focus, credentials, and work hours.
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Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.
Health care and social assistance
11 - 50 Employees
Dublin, CA, US
2016