Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours ... Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License reimbursement for ...
Utilization Review * Discipline: Therapy * Start Date: 07/06/2026 * Duration: 13 weeks * 40 hours ... Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License reimbursement for ...
RN - Utilization Review - Syracuse, NY - RNDS
Rochester, NY · On-site
$56.21 - $65/hr
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift ... Communicate effectively with physicians, case management teams, and insurance companies regarding ...
RN - Utilization Review - Syracuse, NY - RNDS
Rochester, NY · On-site
$56.21 - $65/hr
Job Title: RN - Utilization Review Location: Syracuse, NY Type: Contract | 14 Weeks Shift ... Communicate effectively with physicians, case management teams, and insurance companies regarding ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management RN
Canandaigua, NY · On-site
$35 - $47/hr
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management RN
Canandaigua, NY · On-site
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management RN
Canandaigua, NY · On-site
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Utilization Management / CDS Nurse ( RN ) UM/CDS Nurse Responsibilities: * Perform extensive record ... insurance companies. * Review medical records to improve clinical documentation, representing the ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... insurance commissions, and judicial fair hearings. Reviews medically appropriate clinical ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports ... insurance commissions, and judicial fair hearings. Reviews medically appropriate clinical ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... hearings, state insurance commissions, and judicial fair hearings. • Reviews medically ...
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Rochester, NY · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... hearings, state insurance commissions, and judicial fair hearings. • Reviews medically ...
Health Information Management Technician 1 (NY HELPS), Rochester Psychiatric Center, P26998
$49K - $63K/yr
Conducting audits for utilization review activities and reporting deficiencies to the Utilization ... NYS medical, dental, & vision insurance Access to tuition assistance programs Excellent ...
Health Information Management Technician 1 (NY HELPS), Rochester Psychiatric Center, P26998
$49K - $63K/yr
Conducting audits for utilization review activities and reporting deficiencies to the Utilization ... NYS medical, dental, & vision insurance Access to tuition assistance programs Excellent ...
Health Information Management Technician 1 (NY HELPS), Rochester Psychiatric Center, P26998
Rochester, NY · On-site
$49K - $63K/yr
... audits for utilization review activities and reporting deficiencies to the Utilization Review ... vision insurance • Access to tuition assistance programs • Excellent opportunities for ...
Health Information Management Technician 1 (NY HELPS), Rochester Psychiatric Center, P26998
Rochester, NY · On-site
$49K - $63K/yr
... audits for utilization review activities and reporting deficiencies to the Utilization Review ... vision insurance • Access to tuition assistance programs • Excellent opportunities for ...
Registration&Insur Mgt Rep III
$19.62 - $26.49/hr
Completes the tasks of insurance verification, obtaining precertification, completing credit ... Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical ...
Registration&Insur Mgt Rep III
$19.62 - $26.49/hr
Completes the tasks of insurance verification, obtaining precertification, completing credit ... Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical ...
Mental Health Therapist
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
Mental Health Therapist
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
Mental Health Therapist
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
Mental Health Therapist
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
Mental Health Therapist
Newark, NY · On-site
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
Quick apply
Mental Health Therapist
Newark, NY · On-site
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
Mental Health Therapist
Newark, NY · On-site
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
Mental Health Therapist
Newark, NY · On-site
$62K - $66K/yr
Provides information for HMO and payer utilization review as required. * Participates in staff ... Members of insurance panels including but not limited to Blue Choice and MVP, is preferred ...
... review, claims appeals, medical billing and coding, utilization management, or payment integrity * Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current ...
... review, claims appeals, medical billing and coding, utilization management, or payment integrity * Experience applying International Classification of Diseases, Tenth Revision (ICD-10), Current ...
Rehabilitation & Standards Manager
Rochester, NY · On-site
$25 - $26.20/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews and any other ... Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays ...
New
Rehabilitation & Standards Manager
Rochester, NY · On-site
$25 - $26.20/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews and any other ... Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays ...
New
Rehabilitation & Standards Manager
$25 - $26.20/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews and any other ... Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays ...
New
Rehabilitation & Standards Manager
$25 - $26.20/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews and any other ... Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays ...
New
Rehabilitation & Standards Manager
Rochester, NY · On-site
$25 - $26.20/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews and any other ... Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays ...
New
Rehabilitation & Standards Manager
Rochester, NY · On-site
$25 - $26.20/hr
Give relevant input for treatment team meetings, staff meetings, utilization reviews and any other ... Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Generous PTO & Paid Holidays ...
New
Insurance Utilization Review information
See Rochester, NY salary details
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.57 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.37 / hr.
$33.92 - $38.19
23% of jobs
$38.19 - $42.46
13% of jobs
$45.78 is the 75th percentile. Wages above this are outliers.
$42.46 - $46.72
10% of jobs
$46.72 - $50.99
8% of jobs
$50.99 - $55.26
5% of jobs
$55.26 - $59.53
5% of jobs
$59.53 - $63.80
2% of jobs
$63.80 - $68.07
2% of jobs
$21
$41
$68
How much do insurance utilization review jobs pay per hour?
What are the most common challenges faced by Insurance Utilization Review professionals?
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.
What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?
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.
What is an Insurance Utilization Review job?
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.
- Remote Utilization Management Nurse
- Remote Utilization Management
- Freelance Utilization Review Nurse
- Medical Review Nurse
- Contract Hedis Review Nurse
- Full Time Behavioral Health Utilization Review
- 3Rd Shift Behavioral Health Utilization Review
- Non Exempt No Experience Utilization Management Nurse
- Evening Optum Health Utilization Review
- Flex Schedule Remote Utilization Review Nurse
Contractor
Medical, Dental, Vision
This job post has expired today. Applications are no longer accepted.
Job description
Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York.
Job Description & Requirements- Specialty: Utilization Review
- Discipline: Therapy
- Start Date: 07/06/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, nights
- Employment Type: Travel
Benefits:
- Day 1 Insurance
- Cigna medical, MetLife dental and vision insurance
- License reimbursement for new licenses needed for each assignment
- Discounts with hotels and rental cars
- A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
- Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.
UnitiMed Job ID #814014. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Home Health Aide
About Uniti MedUniti Med meticulously matches your talents to our open needs to ensure the ultimate travel experience. Tell us where you want to go and let our experienced staff lead the way!
- Referral bonus
- Benefits start day 1
- Employee assistance programs
About Uniti Med
Sourced by ZipRecruiter
A great workplace is created when core values are exhibited by employees on a daily basis. At Uniti Med, our values are more than just aspirations, they are embedded in our decision-making processes and how we work with one another. We are always looking for good humans who understand this is exactly where they are supposed to be to change people’s lives for the better. If these values speak to you, Uniti is your home.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Omaha, NE, US
Year founded
2021