We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...
We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...
We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...
We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...
Insurance Reimbursement Specialist
Shelton, CT · On-site
$19.25 - $26.50/hr
Insurance Reimbursement Specialist Department: Billing Reports To: Revenue Cycle Manager Location ... Interact with utilization review/management departments * Assist with gathering EOB's if cash ...
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Insurance Reimbursement Specialist
Shelton, CT · On-site
$19.25 - $26.50/hr
Insurance Reimbursement Specialist Department: Billing Reports To: Revenue Cycle Manager Location ... Interact with utilization review/management departments * Assist with gathering EOB's if cash ...
Clinical Executive Director
$83K - $113K/yr
Utilization Review & Payer Relations: * Oversee the utilization review process for both PHP and IOP ... Serve as a clinical point of contact for insurance companies and managed careorganizations ...
Clinical Executive Director
$83K - $113K/yr
Utilization Review & Payer Relations: * Oversee the utilization review process for both PHP and IOP ... Serve as a clinical point of contact for insurance companies and managed careorganizations ...
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities. Participates in facility ...
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities. Participates in facility ...
Substance Abuse Counselor CASACT, LMSW, LMHC, LCSW License
Carmel, NY · On-site
$24 - $35/hr
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities. Participates in facility ...
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Substance Abuse Counselor CASACT, LMSW, LMHC, LCSW License
Carmel, NY · On-site
$24 - $35/hr
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities. Participates in facility ...
Substance Abuse Counselor CASACT, LMSW, LMHC, LCSW License
Carmel, NY · On-site
$24 - $29/hr
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities. Participates in facility ...
Substance Abuse Counselor CASACT, LMSW, LMHC, LCSW License
Carmel, NY · On-site
$24 - $29/hr
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities. Participates in facility ...
Director of Revenue Cycle Management
New Canaan, CT · On-site
$175K - $210K/yr
... insurance verification, financial counseling, and point-of-service collections. * Lead authorization and utilization review across all levels of care; defend level-of-care decisions and reduce denied ...
Director of Revenue Cycle Management
New Canaan, CT · On-site
$175K - $210K/yr
... insurance verification, financial counseling, and point-of-service collections. * Lead authorization and utilization review across all levels of care; defend level-of-care decisions and reduce denied ...
Director of Revenue Cycle Management
New Canaan, CT · On-site
$175K - $210K/yr
... insurance verification, financial counseling, and point-of-service collections. * Lead authorization and utilization review across all levels of care; defend level-of-care decisions and reduce denied ...
Director of Revenue Cycle Management
New Canaan, CT · On-site
$175K - $210K/yr
... insurance verification, financial counseling, and point-of-service collections. * Lead authorization and utilization review across all levels of care; defend level-of-care decisions and reduce denied ...
Inpatient Case Manager
Carmel, NY · On-site
$24 - $30/hr
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities * Participates in facility ...
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Inpatient Case Manager
Carmel, NY · On-site
$24 - $30/hr
Performs utilization review, provides progress reports and develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities * Participates in facility ...
Insurance Verification Specialist
Derby, CT · On-site
$17 - $21/hr
Working knowledge and utilization of equipment used. Proficient use of hospital registration and ... For further information, please review the Know Your Rights notice from the Department of Labor.
Insurance Verification Specialist
Derby, CT · On-site
$17 - $21/hr
Working knowledge and utilization of equipment used. Proficient use of hospital registration and ... For further information, please review the Know Your Rights notice from the Department of Labor.
Mental Health Associate Therapist
Fairfield, CT · On-site
$65K - $85K/yr
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. * Is appropriately ...
Mental Health Associate Therapist
Fairfield, CT · On-site
$65K - $85K/yr
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. * Is appropriately ...
Insurance Verification Specialist
Derby, CT · On-site
$17 - $21/hr
Working knowledge and utilization of equipment used. Proficient use of hospital registration and ... For further information, please review the Know Your Rights notice from the Department of Labor.
Insurance Verification Specialist
Derby, CT · On-site
$17 - $21/hr
Working knowledge and utilization of equipment used. Proficient use of hospital registration and ... For further information, please review the Know Your Rights notice from the Department of Labor.
Clinical Director
$92K - $135K/yr
... insurance providers. * Demonstrate normalized eating behaviors by sharing meals with clients and ... Familiarity with admissions, intake processes, Utilization Review, and interactions with third ...
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Clinical Director
$92K - $135K/yr
... insurance providers. * Demonstrate normalized eating behaviors by sharing meals with clients and ... Familiarity with admissions, intake processes, Utilization Review, and interactions with third ...
Clinical Director
NY · On-site
$92K - $135K/yr
Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. * Previous experience with Joint Commission and regulatory standards compliance is desired.
Clinical Director
NY · On-site
$92K - $135K/yr
Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. * Previous experience with Joint Commission and regulatory standards compliance is desired.
Clinical Director
NY · On-site
$92K - $135K/yr
Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. * Previous experience with Joint Commission and regulatory standards compliance is desired.
Clinical Director
NY · On-site
$92K - $135K/yr
Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. * Previous experience with Joint Commission and regulatory standards compliance is desired.
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...
Insurance Utilization Review information
See Trumbull, CT salary details
$20.99 - $25.24
2% of jobs
$25.24 - $29.48
9% of jobs
$32.39 is the 25th percentile. Wages below this are outliers.
$29.48 - $33.73
21% of jobs
The median wage is $37.16 / hr.
$33.73 - $37.97
23% of jobs
$37.97 - $42.22
13% of jobs
$45.52 is the 75th percentile. Wages above this are outliers.
$42.22 - $46.46
10% of jobs
$46.46 - $50.71
8% of jobs
$50.71 - $54.95
5% of jobs
$54.95 - $59.20
5% of jobs
$59.20 - $63.45
2% of jobs
$63.45 - $67.69
2% of jobs
$20
$41
$67
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.

Full-time
Re-posted 28 days ago
Trinity Health rating
6.6
Based on 354 frontline employees who took The Breakroom Quiz
567th of 885 rated healthcare providers
Job description
We put YOU FIRST because you put patients first.
Inpatient Psychiatry opportunity in Waterbury, Connecticut.
Trinity Health Of New England Medical Group seeks a full-time Adult Psychiatrist to join our expanding regional behavioral health team at Saint Marys Hospital in Waterbury, Connecticut.
Join a collaborative and dynamic regional psychiatry team providing adult psychiatric services for our 12-bed inpatient unit. We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have regular medical and surgical support for any non-psychiatric issues, including routine H&P.
This is a full-time position with a Monday-Friday schedule and a 1:4 weekend call rotation, plus opportunities to earn additional income through extra weekend shifts.
The successful candidate will be a CT-licensed, BC/BE Psychiatrist. Experience is preferred, but recent graduates with an interest in inpatient psychiatric care will also be considered. Spanish-speaking candidates are encouraged to apply.
Practicing in Waterbury, Connecticut puts you in the heart of New England. This small city of 300,000 residents offers welcoming neighborhoods, excellent public and private schools, great restaurants, shopping, music, museums, and historical attractions. The central New England location is easily commutable to New York City and Boston, with dependable air and rail service.
As part of Trinity Health Of New Englandthe regions largest nonprofit health systemyou will experience a culture of provider collaboration. Our model empowers clinicians to work at their highest level, while supporting professional development and a healthy work-life balance. If you are committed to outstanding patient-centered care, you will thrive with Trinity Health Of New England Medical Group.
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About Trinity Health
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Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Livonia, MI, US