... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Work with Utilization Review staff relative to data tracking for performance review and outcomes of ... Valid driver's license, auto insurance and reliable transportation. * Two years as a Registered ...
Work with Utilization Review staff relative to data tracking for performance review and outcomes of ... Valid driver's license, auto insurance and reliable transportation. * Two years as a Registered ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
Aurora, CO · On-site
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
Aurora, CO · On-site
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$62K - $101K/yr
... or Utilization Review. * Shift(s) available: day shift * Job types available: full time * Employer features: Best Places to Work recognition, Community hospital, Cross training, Health Insurance ...
$30 - $35/hr
... utilization review meetings, rehabilitation meetings, etc. Participate in facility and company ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
$30 - $35/hr
... utilization review meetings, rehabilitation meetings, etc. Participate in facility and company ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
$25.75 - $34.25/hr
... utilization review meetings, rehabilitation meetings, etc. · Participate in facility and company ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
$25.75 - $34.25/hr
... utilization review meetings, rehabilitation meetings, etc. · Participate in facility and company ... Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance ...
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Quick apply
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
Denver, CO · On-site
$37 - $39/hr
... through utilization review, data evaluation and coordination of input from users, management and ... The employee must be 21 years old at a minimum (for insurance provision) and possess a valid in ...
$19.75 - $26.75/hr
Experience supporting continued stay, utilization management, or regulatory eligibility reviews in ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...
$19.75 - $26.75/hr
Experience supporting continued stay, utilization management, or regulatory eligibility reviews in ... Our extensive benefits package includes medical/dental/vision insurance, short and long-term ...
$22.50 - $27.05
2% of jobs
$27.05 - $31.60
9% of jobs
$34.71 is the 25th percentile. Wages below this are outliers.
$31.60 - $36.15
21% of jobs
The median wage is $39.83 / hr.
$36.15 - $40.70
23% of jobs
$40.70 - $45.25
13% of jobs
$48.78 is the 75th percentile. Wages above this are outliers.
$45.25 - $49.80
10% of jobs
$49.80 - $54.35
8% of jobs
$54.35 - $58.90
5% of jobs
$58.90 - $63.45
5% of jobs
$63.45 - $67.99
2% of jobs
$67.99 - $72.54
2% of jobs
$22
$44
$72
One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.
To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.
An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

Full-time
Posted 25 days ago
Be an early applicant
Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Neuropsychologist in Vail, CO to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.
Key Responsibilities:
Requirements
Benefits
If you are a dedicated Neuropsychologist looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
Sourced by ZipRecruiter
51 - 200 Employees
Boston, MA, US
2008