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Insurance Utilization Review Slp Jobs (NOW HIRING)

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Medical, vision & dental insurance * 401(k) matching program * Flexible schedules * Travel ...

Enlyte

Utilization Reviewer 2

Wayne, PA · On-site

$52K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

ADP, Inc.

Utilization Review Specialist

Knoxville, TN · On-site

Voluntary Coverages - Pet insurance, home and auto insurance, family legal services, and more ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...

Ova Technologies

Utilization Review Nurse

Alpharetta, GA · On-site

Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2 ... Communicate with insurance companies, managed care organizations, and third-party payers regarding ...

UHS

PR · On-site

Leads the utilization review procedures in accordance with the standards set by all relevant accrediting and regulatory agencies, including URAC, CMS, NCQA, PR Insurance Commissioner's Office, and ...

Acrisure, LLC

... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.In the ... Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers ...

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Infographic showing various Insurance Utilization Review Slp job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Utilization Review Assistant

Odessa, TX • On-site

Medical Center Hospital
Health Care and Social Assistance • 1 - 5K employees
Learn more about Medical Center Hospitalexternal

Part-time

Re-posted 29 days ago

Medical Center Health System rating

8.4

Company rating: 8.4 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

Job description

Position Summary:
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.
Qualifications:
A. Education:
Must have a high school diploma or equivalent.
B. Training and Experience:
Must have a minimum of one-year work experience in an acute care medical facility.
C. Job Knowledge:
Familiar with medical terminology, utilization review, community resource a plus. Basic computer skills required. Be able to communicate effectively verbally and in writing.
Unusual Physical Demands and Working Conditions:
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred.
Ability to communicate effectively and professionally, both verbally and in writing.

What Medical Center Health System employees say

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Hours and flexibility

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