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Non Clinical Utilization Review Jobs (NOW HIRING)

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site

Apply clinical judgment and evidence-based criteria to make utilization decisions and identify cases requiring Medical Director review. * Request and evaluate additional clinical information from ...

UHS

Utilization Review Clinician

Augusta, GA · On-site

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...

Acrisure, LLC

Utilization Review Nurse

Bradenton, FL · On-site

Clinical experience involving orthopedic or neurological conditions is also highly valued.This is a ... Utilization review or case management experience highly beneficial* Clinical experience involving ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ... Clinical experience involving orthopedic or neurological conditions is also highly valued. This is ...

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ... Clinical experience involving orthopedic or neurological conditions is also highly valued. This is ...

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Non Clinical Utilization Review information

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How much do non clinical utilization review jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for non clinical utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Non Clinical Utilization Review vs Clinical Utilization Review?

AspectNon Clinical Utilization ReviewClinical Utilization Review
CredentialsTypically requires healthcare administration, insurance, or case management certificationsRequires clinical licenses such as RN, MD, or other healthcare provider credentials
Work EnvironmentOffice-based, insurance companies, or healthcare organizationsHospitals, clinics, or healthcare facilities
Employer & Industry UsageInsurance companies, third-party administrators, healthcare organizationsHospitals, clinics, healthcare providers
Search & Comparison IntentUnderstanding administrative and insurance-focused review rolesUnderstanding clinical decision-making and patient care review roles

Non Clinical Utilization Review involves assessing healthcare services from an administrative perspective, focusing on insurance policies and coverage. Clinical Utilization Review involves healthcare professionals evaluating patient care and clinical necessity. Both roles are essential in healthcare but differ mainly in credentials, work environment, and focus area.

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Non Clinical Utilization Review jobs near you
Infographic showing various Non Clinical Utilization Review job openings in the United States as of September 2026, with employment types broken down into 3% As Needed, 74% Full Time, 16% Part Time, and 7% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Physician Reviewer - Orthopedic Surgery (Utilization Review)

Remote

Dane Street
Insurance Actuarial and Claim Adjusting Services • 51 - 200 employees
Learn more about Dane Streetexternal

Other

Re-posted 5 days ago

Job description

Orthopedic Surgeon Utilization Reviewer

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews.

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.

Key Responsibilities:

  • Review medical records to determine the medical necessity of services
  • Utilize state-specific workers' compensation guidelines and nationally recognized criteria
  • Submit clear, concise, and well-supported determinations
  • Complete reviews within required timeframes (typically 1–5 business days)
  • Participate in peer-to-peer calls as needed (coordinated by Dane Street)
  • Complete addenda when new information is provided

Role Highlights:

  • Independent contractor (1099) status
  • Average case takes 15 minutes or less
  • Flat rate per case – consistent, supplemental income
  • Fully remote – work from anywhere
  • You control volume and availability
  • No direct patient interaction or treatment
  • Chronological, pre-organized medical records provided
  • User-friendly portal and streamlined case management
  • Full onboarding and ongoing support included

Requirements:

  • Board Certification in Orthopedic Surgery
  • Active, unrestricted New York medical license
  • Workers' Compensation Board Certification (New York)
  • Active clinical practice

About Dane Street: Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.

Apply today to join our Physician Review Panel and start earning on your schedule.

Apply