Psychologist/HSPP
Indianapolis, IN · On-site
... of income or insurance status. Our teams work at the intersection of clinical excellence and ... Utilization review * Clinical pathways * Performance improvement initiatives * Ensure care delivery ...
Indianapolis, IN · On-site
... of income or insurance status. Our teams work at the intersection of clinical excellence and ... Utilization review * Clinical pathways * Performance improvement initiatives * Ensure care delivery ...
Indianapolis, IN · On-site
... of income or insurance status. Our teams work at the intersection of clinical excellence and ... Utilization review * Clinical pathways * Performance improvement initiatives * Ensure care delivery ...
Anderson, IN · On-site
... of income or insurance status. Our teams work at the intersection of clinical excellence and ... Utilization review * Clinical pathways * Performance improvement initiatives * Ensure care delivery ...
Anderson, IN · On-site
... of income or insurance status. Our teams work at the intersection of clinical excellence and ... Utilization review * Clinical pathways * Performance improvement initiatives * Ensure care delivery ...
$15.75 - $19.75/hr
Minimum 5 years of experience in utilization review, preferably in addiction treatment or behavioral health. * Knowledge of insurance authorization processes. * Strong communication, organizational ...
Quick apply
$15.75 - $19.75/hr
Minimum 5 years of experience in utilization review, preferably in addiction treatment or behavioral health. * Knowledge of insurance authorization processes. * Strong communication, organizational ...
Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ... Paid professional liability insurance with tail coverage Benefits * 401(k) * Health, Dental ...
Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ... Paid professional liability insurance with tail coverage Benefits * 401(k) * Health, Dental ...
Requires a minimum of 6 years of clinical experience and/or utilization review experience ... Health insurance billing and/or medical coding experience is strongly preferred. * Ability to ...
Requires a minimum of 6 years of clinical experience and/or utilization review experience ... Health insurance billing and/or medical coding experience is strongly preferred. * Ability to ...
Indianapolis, IN · On-site
$64K - $80K/yr
Requires a minimum of 6 years of clinical experience and/or utilization review experience ... Health insurance billing and/or medical coding experience is strongly preferred. * Ability to ...
Indianapolis, IN · On-site
$64K - $80K/yr
Requires a minimum of 6 years of clinical experience and/or utilization review experience ... Health insurance billing and/or medical coding experience is strongly preferred. * Ability to ...
Cambridge City, IN · On-site
$19 - $25.75/hr
... with Utilization Review. • Assist with billing issues. • Assist with coordinating and ... patients regarding insurance benefits and coverage. • Scheduling and completing admission ...
Cambridge City, IN · On-site
$19 - $25.75/hr
... with Utilization Review. • Assist with billing issues. • Assist with coordinating and ... patients regarding insurance benefits and coverage. • Scheduling and completing admission ...
$19 - $25.75/hr
... Utilization Review. · Assist with billing issues. · Assist with coordinating and collecting co ... patients regarding insurance benefits and coverage. · Scheduling and completing admission ...
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$19 - $25.75/hr
... Utilization Review. · Assist with billing issues. · Assist with coordinating and collecting co ... patients regarding insurance benefits and coverage. · Scheduling and completing admission ...
$309K - $413K/yr
Knowledge of medical and utilization review techniques. * Required Licenses and Certifications ... Health insurance industry experience * Experience in INPATIENT Rehabilitation * Medicare policy ...
$309K - $413K/yr
Knowledge of medical and utilization review techniques. * Required Licenses and Certifications ... Health insurance industry experience * Experience in INPATIENT Rehabilitation * Medicare policy ...
$309K - $413K/yr
Knowledge of medical and utilization review techniques. * Required Licenses and Certifications ... Health insurance industry experience * Experience in INPATIENT Rehabilitation * Medicare policy ...
$309K - $413K/yr
Knowledge of medical and utilization review techniques. * Required Licenses and Certifications ... Health insurance industry experience * Experience in INPATIENT Rehabilitation * Medicare policy ...
Indianapolis, IN · On-site
$59K - $81K/yr
Communicates with utilization review * Completes thorough, timely documentation in compliance with ... Life Insurance Options * Accidental Insurances * Paid Time Off + Paid Holidays * Employee ...
Indianapolis, IN · On-site
$59K - $81K/yr
Communicates with utilization review * Completes thorough, timely documentation in compliance with ... Life Insurance Options * Accidental Insurances * Paid Time Off + Paid Holidays * Employee ...
Indianapolis, IN · On-site
$59K - $81K/yr
Communicates with utilization review * Completes thorough, timely documentation in compliance with ... Life Insurance Options * Accidental Insurances * Paid Time Off + Paid Holidays * Employee ...
Indianapolis, IN · On-site
$59K - $81K/yr
Communicates with utilization review * Completes thorough, timely documentation in compliance with ... Life Insurance Options * Accidental Insurances * Paid Time Off + Paid Holidays * Employee ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... accident insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Quick apply
Martinsville, IN · On-site
$20.25 - $27.25/hr
... accident insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... accident insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Quick apply
Martinsville, IN · On-site
$20.25 - $27.25/hr
... accident insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Quick apply
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... accident insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Quick apply
Martinsville, IN · On-site
$20.25 - $27.25/hr
... accident insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
Martinsville, IN · On-site
$20.25 - $27.25/hr
... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...
$20.36 - $24.48
2% of jobs
$24.48 - $28.59
9% of jobs
$31.41 is the 25th percentile. Wages below this are outliers.
$28.59 - $32.71
21% of jobs
The median wage is $36.04 / hr.
$32.71 - $36.83
23% of jobs
$36.83 - $40.94
13% of jobs
$44.15 is the 75th percentile. Wages above this are outliers.
$40.94 - $45.06
10% of jobs
$45.06 - $49.18
8% of jobs
$49.18 - $53.30
5% of jobs
$53.30 - $57.41
5% of jobs
$57.41 - $61.53
2% of jobs
$61.53 - $65.65
2% of jobs
$20
$40
$65
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
Medical, Dental, Vision, Retirement, PTO
Posted 3 days ago
7.5
Based on 8 frontline employees who took The Breakroom Quiz
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