Care Review Nurse
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Care Review Nurse
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Quick apply
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Reviewer 2
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Tampa, FL · On-site
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Tampa, FL · On-site
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Tampa, FL · On-site
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Tampa, FL · On-site
$59K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Utilization Review
Marlboro, NJ · On-site
Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
... insurance company reimbursement policies. Performs utilization review and management, including ... quality review, case review for third party payers' requirements. Ensures optimal reimbursement ...
Quick apply
... insurance company reimbursement policies. Performs utilization review and management, including ... quality review, case review for third party payers' requirements. Ensures optimal reimbursement ...
Care Review Nurse
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Care Review Nurse
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Review
Arcata, CA · On-site
The Utilization Review Coordinator reports to the Chief People and Compliance Officer. The ... ommunicates with insurance representatives and third party payers to ensure appropriate ...
Utilization Review
Arcata, CA · On-site
The Utilization Review Coordinator reports to the Chief People and Compliance Officer. The ... ommunicates with insurance representatives and third party payers to ensure appropriate ...
Utilization Reviewer 2
Wayne, PA · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Wayne, PA · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Saint Louis, MO · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Wayne, PA · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
Wayne, PA · On-site
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
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 ...
Utilization Reviewer 2
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
Utilization Reviewer 2
$52K - $76K/yr
Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals ...
Intern Insurance Utilization Review information
See salary details
$9.13 - $10.38
1% of jobs
$10.38 - $11.63
0% of jobs
$11.63 - $12.87
3% of jobs
$12.87 - $14.12
11% of jobs
$14.49 is the 25th percentile. Wages below this are outliers.
$14.12 - $15.36
35% of jobs
The median wage is $15.41 / hr.
$15.36 - $16.61
13% of jobs
$17.78 is the 75th percentile. Wages above this are outliers.
$16.61 - $17.85
14% of jobs
$17.85 - $19.10
11% of jobs
$19.10 - $20.35
12% of jobs
$20.35 - $21.59
1% of jobs
$21.59 - $22.84
1% of jobs
$9
$16
$22
How much do intern insurance utilization review jobs pay per hour?
As of Aug 31, 2026, the average hourly pay for intern insurance utilization review in the United States is $16.77, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.75 per hour, depending on experience, location, and employer.
What does an intern insurance utilization review do?
An Intern Insurance Utilization Review assists with evaluating medical records and insurance claims to ensure that healthcare services are medically necessary and covered by insurance policies. They work under supervision to review documentation, communicate with healthcare providers, and help determine if treatments meet established guidelines. This role provides valuable exposure to the insurance and healthcare industries, helping interns learn about claims processing, policy compliance, and the importance of cost-effective care.
What skills and qualifications are needed to thrive as an intern insurance utilization review?
To thrive as an Intern in Insurance Utilization Review, you typically need a background in healthcare administration or a related field, along with strong analytical and organizational skills. Familiarity with electronic health records (EHRs), insurance databases, and claims processing systems is often required. Attention to detail, effective communication, and the ability to collaborate with both clinical and administrative teams are essential soft skills. These competencies ensure accurate review of insurance claims, compliance with regulations, and efficient coordination between healthcare providers and insurers.
What is the difference between Intern Insurance Utilization Review vs Insurance Claims Processor?
| Aspect | Intern Insurance Utilization Review | Insurance Claims Processor |
|---|---|---|
| Credentials | Typically pursuing or holding a relevant degree (e.g., health administration, nursing) | High school diploma or equivalent; some roles may require insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or administrative offices | Insurance companies, healthcare providers, or claims processing centers |
| Primary Responsibilities | Assisting in reviewing medical necessity, supporting utilization review processes | Processing and reviewing insurance claims for accuracy and completeness |
Intern Insurance Utilization Review focuses on evaluating medical necessity and supporting healthcare decision-making, often involving review of patient records. Insurance Claims Processors handle the administrative task of reviewing and processing insurance claims for payment. While both roles involve insurance and healthcare, utilization review emphasizes clinical assessment, whereas claims processing centers on administrative claim management.
How do I get into an intern insurance utilization review?
To become an intern in insurance utilization review, candidates typically need to be enrolled in or have recently completed a relevant healthcare or insurance-related program, such as health administration or nursing. Gaining knowledge of medical terminology, insurance policies, and utilization review processes, along with strong analytical skills, is important; some positions may require certification or training in healthcare quality or case management. Internships are often offered through insurance companies, healthcare organizations, or hospitals and may require applying through their career portals or internship programs.
Is utilization review a stressful job?
Utilization review as an intern involves evaluating insurance claims and determining appropriate care, which can be demanding due to strict deadlines and the need for accuracy. The role requires attention to detail and knowledge of insurance policies, but stress levels vary depending on workload and individual coping skills.
What cities are hiring for Intern Insurance Utilization Review jobs?
Cities with the most Intern Insurance Utilization Review job openings:
What are the most commonly searched types of Insurance Utilization Review jobs?
The most popular types of Insurance Utilization Review jobs are:
What states have the most Intern Insurance Utilization Review jobs?
States with the most job openings for Intern Insurance Utilization Review jobs include:
Job description
Care Review Nurse
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Qualifications: Background Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience) Potential for longer term dependent on enrollment Workers will be doing Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work
All your information will be kept confidential according to EEO guidelines.
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996