Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The ...
Utilization Review or Case Management) * Previous Care Management, Case Management or Utilization ... Health Insurance * Dental Insurance * Vision Insurance * Safe Harbor and Retirement Savings Plan ...
Utilization Review or Case Management) * Previous Care Management, Case Management or Utilization ... Health Insurance * Dental Insurance * Vision Insurance * Safe Harbor and Retirement Savings Plan ...
Travel Registered Nurse Utilization Review - $2288/Week
Cleveland, OH · On-site
$2.2K/wk
Anders Group is hiring a Travel Utilization Review Registered Nurse (RN) in Middleburg Heights, OH ... Medical, dental, and vision insurance * 401(k) retirement plan * Licensure reimbursement programs
New
Travel Registered Nurse Utilization Review - $2288/Week
Cleveland, OH · On-site
$2.2K/wk
Anders Group is hiring a Travel Utilization Review Registered Nurse (RN) in Middleburg Heights, OH ... Medical, dental, and vision insurance * 401(k) retirement plan * Licensure reimbursement programs
New
UTILIZATION SPECIALIST-E.D.
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. Utilization ...
UTILIZATION SPECIALIST-E.D.
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. Utilization ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. Utilization ...
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. Utilization ...
UTILIZATION SPECIALIST-E.D.
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. Utilization ...
UTILIZATION SPECIALIST-E.D.
Hudson, OH · On-site
... review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. Utilization ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... We offer dental insurance to you and your dependents. * Vision Coverage : Available the 1st of the ...
Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... We offer dental insurance to you and your dependents. * Vision Coverage : Available the 1st of the ...
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per ... We offer dental insurance to you and your dependents. * Vision Coverage : Available the 1st of the ...
Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per ... We offer dental insurance to you and your dependents. * Vision Coverage : Available the 1st of the ...
This role will review patient medical records to ensure accurate documentation, proper level of ... Strong verbal and written communication skills to interact with physicians and insurance payers.
This role will review patient medical records to ensure accurate documentation, proper level of ... Strong verbal and written communication skills to interact with physicians and insurance payers.
This role will review patient medical records to ensure accurate documentation, proper level of ... Strong verbal and written communication skills to interact with physicians and insurance payers.
This role will review patient medical records to ensure accurate documentation, proper level of ... Strong verbal and written communication skills to interact with physicians and insurance payers.
Insurance Utilization Reviewer information
See Cleveland, OH salary details
$30.1K - $31.2K
3% of jobs
$31.2K - $32.4K
14% of jobs
$33.2K is the 25th percentile. Wages below this are outliers.
$32.4K - $33.5K
12% of jobs
$33.5K - $34.6K
12% of jobs
$34.6K - $35.8K
9% of jobs
The median wage is $35.9K / yr.
$35.8K - $36.9K
5% of jobs
$36.9K - $38.1K
0% of jobs
$38.1K - $39.2K
3% of jobs
$39.2K - $40.4K
9% of jobs
$40.8K is the 75th percentile. Wages above this are outliers.
$40.4K - $41.5K
20% of jobs
$41.5K - $42.7K
13% of jobs
$30.1K
$36.8K
$42.7K
How much do insurance utilization reviewer jobs pay per year?
As of Aug 23, 2026, the average yearly pay for insurance utilization reviewer in Cleveland, OH is $36,846.00, according to ZipRecruiter salary data. Most workers in this role earn between $33,000.00 and $40,700.00 per year, depending on experience, location, and employer.
What is an insurance utilization reviewer?
Insurance Utilization Reviewers are professionals who evaluate healthcare services to determine if they are medically necessary and covered by insurance policies. They review patient records, treatment plans, and insurance guidelines to ensure that the care provided aligns with established criteria and standards. Their work helps control healthcare costs, prevent unnecessary treatments, and ensure patients receive appropriate care. Utilization reviewers often communicate with healthcare providers and insurance companies to support or deny coverage decisions.
What are the key skills and qualifications needed to thrive as an insurance utilization reviewer, and why are they important?
To thrive as an Insurance Utilization Reviewer, you need a solid understanding of medical terminology, healthcare regulations, and insurance processes, usually supported by a clinical background or relevant certification. Familiarity with utilization review software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is often required. Strong analytical thinking, attention to detail, and effective communication skills help reviewers assess medical necessity and coordinate with healthcare providers. These skills ensure accurate, efficient case evaluations and compliance with policies, which are crucial for optimizing patient care and managing healthcare costs.
What are some common challenges faced by insurance utilization reviewers, and how can they be addressed?
One of the primary challenges Insurance Utilization Reviewers face is balancing the need to adhere to strict insurance guidelines while advocating for appropriate patient care. Reviewers often handle high caseloads and must make timely decisions based on complex medical records, which requires strong attention to detail and up-to-date knowledge of coverage policies. Effective communication with healthcare providers and insurance representatives is also crucial to resolve discrepancies and ensure approvals. Staying organized, continuously updating clinical knowledge, and leveraging support from the utilization review team can help manage these challenges successfully.
What is the difference between Insurance Utilization Reviewer vs Insurance Claims Processor?
| Aspect | Insurance Utilization Reviewer | Insurance Claims Processor |
|---|---|---|
| Primary Role | Review medical necessity and appropriateness of services for insurance coverage | Process and review insurance claims for payment and accuracy |
| Required Credentials | Often requires healthcare or insurance certifications, such as RHIT or CPC | Typically requires claims processing or insurance certifications, like CPC or CPC-H |
| Work Environment | Healthcare settings, insurance companies, or third-party administrators | Insurance companies, healthcare providers, or claims processing centers |
| Industry Usage | Commonly employed in health insurance and managed care | Widely used across health, auto, and property insurance sectors |
The main difference is that Insurance Utilization Reviewers focus on evaluating the medical necessity of services, while Insurance Claims Processors handle the administrative processing of claims. Both roles require insurance-related certifications and are integral to the insurance industry, but they serve distinct functions in the claims and coverage review process.
What are popular job titles related to Insurance Utilization Reviewer jobs in Cleveland, OH?
For Insurance Utilization Reviewer jobs in Cleveland, OH, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Reviewer jobs in Cleveland, OH look for?
The top searched job categories for Insurance Utilization Reviewer jobs in Cleveland, OH are:
- Remote Utilization Review
- Utilization Review
- Remote Occupational Therapy Utilization Review
- Temporary Medical Utilization Review Physician
- Cigna Utilization Review Nurse
- Cigna Utilization Review Remote
- Full Time Pt Ot Utilization Review
- Remote Weekend Utilization Review
- Utilization Review Case Manager
- Work From Home Utilization Review
What cities near Cleveland, OH are hiring for Insurance Utilization Reviewer jobs?
Cities near Cleveland, OH with the most Insurance Utilization Reviewer job openings:
Other
Medical, Dental, Vision, Retirement
Posted 19 days ago
Job description
Now Hiring: RN Utilization Review - Middleburg Heights, OH
Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Middleburg Heights, OH and make a real impact in patient care!
In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
If you're ready to elevate your career and make a difference in the lives of others, apply today!
At Prime Time Healthcare, we offer competitive compensation along with a large range of benefits including:
- Competitive compensation and weekly direct deposit
- Compliance Support Specialist & Onboarding Assistance
- Dedicated recruiter for personalized support
- Paid, safe, pet-friendly lodging (if applicable)
- Round-the-clock customer support 24/7
- Unlimited referral bonus up to $750
- Medical, Vision & Dental insurance
- 401(k) Matching Program
- Flexible Schedules
- Travel Discounts
Prime Time Healthcare, LLC is an Equal Opportunity Employer (EOE).
*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
About PrimeTime Healthcare
Sourced by ZipRecruiter
PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Omaha, NE, US
Year founded
2012