... utilization of the nursing process. Provides age-appropriate care. Participates in research when ... To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications Education ...
... utilization of the nursing process. Provides age-appropriate care. Participates in research when ... To review Memorial's Benefits click here: Benefits - Memorial HR Qualifications Education ...
Technical Service Manager
Assumption, IL · On-site
$111K - $111K/yr
Manage day-to-day operations of the Technical Service contact center, ensuring proper utilization ... Participate in product development reviews to advocate for serviceability, reliability, and ease of ...
Technical Service Manager
Assumption, IL · On-site
$111K - $111K/yr
Manage day-to-day operations of the Technical Service contact center, ensuring proper utilization ... Participate in product development reviews to advocate for serviceability, reliability, and ease of ...
Senior Project Manager-Commercial Construction Projects
Springfield, IL · On-site
$116K - $156K/yr
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
Senior Project Manager-Commercial Construction Projects
Springfield, IL · On-site
$116K - $156K/yr
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
Senior Project Manager-Commercial Construction Projects
Springfield, IL · On-site
$116K - $156K/yr
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
Senior Project Manager-Commercial Construction Projects
Springfield, IL · On-site
$116K - $156K/yr
... Plan review, JHA approvals, on-site tool box talks and conducting site walks with the Lead ... Manages and understands the requirements of the Contract, including bonds, insurance, notifications ...
Clinical Science Specialist, Liver, Springfield, IL / St. Louis, MO
Springfield, IL · On-site
$135K - $198K/yr
Review and analyze market/customer data to support and execute strategic planning How - Knowledge ... disability insurance, short- and long-term disability insurance, as well as flexible spending ...
Clinical Science Specialist, Liver, Springfield, IL / St. Louis, MO
Springfield, IL · On-site
$135K - $198K/yr
Review and analyze market/customer data to support and execute strategic planning How - Knowledge ... disability insurance, short- and long-term disability insurance, as well as flexible spending ...
DIR - CLINICAL SVCS - BH
Springfield, IL · On-site
$95K - $120K/yr
Maintain and allocate a qualified core of staff resources, managing resource utilization and ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...
DIR - CLINICAL SVCS - BH
Springfield, IL · On-site
$95K - $120K/yr
Maintain and allocate a qualified core of staff resources, managing resource utilization and ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...
DIR - CLINICAL SVCS - BH
Springfield, IL · On-site
Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ... Maintain and allocate a qualified core of staff resources, managing resource utilization and ...
DIR - CLINICAL SVCS - BH
Springfield, IL · On-site
Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ... Maintain and allocate a qualified core of staff resources, managing resource utilization and ...
Rehab Admissions Screener
Springfield, IL · On-site
$34.34 - $53.23/hr
Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...
Rehab Admissions Screener
Springfield, IL · On-site
$34.34 - $53.23/hr
Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...
... utilization, and team leadership. Includes efficient management of patient throughput and of the ... Provide periodic required reviews, annual colleague evaluations, and create annual performance ...
... utilization, and team leadership. Includes efficient management of patient throughput and of the ... Provide periodic required reviews, annual colleague evaluations, and create annual performance ...
Rehab Admissions Screener
Springfield, IL · On-site
$34.34 - $53.23/hr
Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...
Rehab Admissions Screener
Springfield, IL · On-site
$34.34 - $53.23/hr
Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...
... utilization, and team leadership. Includes efficient management of patient throughput and of the ... Provide periodic required reviews, annual colleague evaluations, and create annual performance ...
... utilization, and team leadership. Includes efficient management of patient throughput and of the ... Provide periodic required reviews, annual colleague evaluations, and create annual performance ...
Manager, Operations - Regional Cardiology
Springfield, IL · On-site
$80K - $120K/yr
... utilization, and team leadership. Includes efficient management of patient throughput and of the ... Provide periodic required reviews, annual colleague evaluations, and create annual performance ...
Manager, Operations - Regional Cardiology
Springfield, IL · On-site
$80K - $120K/yr
... utilization, and team leadership. Includes efficient management of patient throughput and of the ... Provide periodic required reviews, annual colleague evaluations, and create annual performance ...
Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...
Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...
Producer Assistant
Springfield, IL · On-site
$55K - $65K/yr
Support Advisors with financial plan implementation and ongoing client reviews * Coordinate with ... Life, Accident, and Health insurance license(s) or interest in obtaining * Exposure to financial ...
Producer Assistant
Springfield, IL · On-site
$55K - $65K/yr
Support Advisors with financial plan implementation and ongoing client reviews * Coordinate with ... Life, Accident, and Health insurance license(s) or interest in obtaining * Exposure to financial ...
INTERVIEWER
Springfield, IL · Hybrid
$4.9K - $8.2K/mo
Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.
INTERVIEWER
Springfield, IL · Hybrid
$4.9K - $8.2K/mo
Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.
INTERVIEWER
Springfield, IL · On-site
$4.9K/mo
Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.
INTERVIEWER
Springfield, IL · On-site
$4.9K/mo
Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.
INTERVIEWER
Springfield, IL · Hybrid
$4.9K - $8.2K/mo
Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.
INTERVIEWER
Springfield, IL · Hybrid
$4.9K - $8.2K/mo
Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.
Travel Physical Therapist
Springfield, IL · On-site
$1.8K - $2.2K/wk
... insurance, PTO, continuing education, to name a few. Continue to scroll to see our full benefits ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...
Travel Physical Therapist
Springfield, IL · On-site
$1.8K - $2.2K/wk
... insurance, PTO, continuing education, to name a few. Continue to scroll to see our full benefits ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...
Insurance Utilization Review information
See Springfield, IL salary details
$21.20 - $25.49
2% of jobs
$25.49 - $29.78
9% of jobs
$32.71 is the 25th percentile. Wages below this are outliers.
$29.78 - $34.07
21% of jobs
The median wage is $37.54 / hr.
$34.07 - $38.36
23% of jobs
$38.36 - $42.65
13% of jobs
$45.98 is the 75th percentile. Wages above this are outliers.
$42.65 - $46.93
10% of jobs
$46.93 - $51.22
8% of jobs
$51.22 - $55.51
5% of jobs
$55.51 - $59.80
5% of jobs
$59.80 - $64.09
2% of jobs
$64.09 - $68.38
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.
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