Care Review Processor
El Paso, TX · On-site
Care Review Processor Duration: 4+ months contract Location: Texas USA 79902 Hours: Mon- Fri 8:00 AM to 5:00 PM Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
Care Review Processor
El Paso, TX · On-site
Care Review Processor Duration: 4+ months contract Location: Texas USA 79902 Hours: Mon- Fri 8:00 AM to 5:00 PM Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
... review for other healthcare services * Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate ...
... review for other healthcare services * Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate ...
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
Care Review Clinician
Spokane, WA · On-site
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Care Review Clinician
Spokane, WA · On-site
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Overnight Caregiver
Papillion, NE · On-site
$16.50 - $18/hr
Fast hiring process for qualified applicants What You'll Do As an Overnight Care Professional, you'll travel to clients and provide attentive, compassionate care that helps seniors remain safe ...
Overnight Caregiver
Papillion, NE · On-site
$16.50 - $18/hr
Fast hiring process for qualified applicants What You'll Do As an Overnight Care Professional, you'll travel to clients and provide attentive, compassionate care that helps seniors remain safe ...
... process through claim review, medical record review and research. * To provide expert knowledge in ... Identifies and reports quality of care issues to the Quality Management Department. * Reports ...
... process through claim review, medical record review and research. * To provide expert knowledge in ... Identifies and reports quality of care issues to the Quality Management Department. * Reports ...
Care Review Clinician
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Care Review Clinician
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Overnight Caregiver - Patient & Compassionate Support
Anaheim, CA · On-site
$15.25 - $18.75/hr
Monitor client safety and comfort overnight * Assist with light personal care and nighttime ... Active HCA registration (we will help you with the process) * TB test * Previous caregiving ...
Overnight Caregiver - Patient & Compassionate Support
Anaheim, CA · On-site
$15.25 - $18.75/hr
Monitor client safety and comfort overnight * Assist with light personal care and nighttime ... Active HCA registration (we will help you with the process) * TB test * Previous caregiving ...
Overnight Caregiver - Patient & Compassionate Support
$15.25 - $18.75/hr
Monitor client safety and comfort overnight * Assist with light personal care and nighttime ... Active HCA registration (we will help you with the process) * TB test * Previous caregiving ...
Overnight Caregiver - Patient & Compassionate Support
$15.25 - $18.75/hr
Monitor client safety and comfort overnight * Assist with light personal care and nighttime ... Active HCA registration (we will help you with the process) * TB test * Previous caregiving ...
Overnight Caregiver - Patient & Compassionate Support
$15.25 - $18.75/hr
Monitor client safety and comfort overnight * Assist with light personal care and nighttime ... Active HCA registration (we will help you with the process) * TB test * Previous caregiving ...
Quick apply
Overnight Caregiver - Patient & Compassionate Support
$15.25 - $18.75/hr
Monitor client safety and comfort overnight * Assist with light personal care and nighttime ... Active HCA registration (we will help you with the process) * TB test * Previous caregiving ...
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
RN, Specialty Care Review
Atlanta, GA · On-site
$40.35/hr
Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...
... in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology. We are an Equal ... Website: www.lincolntech.edu/careers 919-21600 - FA Title IV Review Processor-15099
... in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology. We are an Equal ... Website: www.lincolntech.edu/careers 919-21600 - FA Title IV Review Processor-15099
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Sr. Quality of Care Review Nurse
Dallas, TX · Remote
$83K - $109K/yr
The Senior Clinical Quality Nurse drives clinical performance through the quality auditing and clinical quality of care review process for the departments they serve. The Clinical Quality Nurse ...
Quick apply
Sr. Quality of Care Review Nurse
Dallas, TX · Remote
$83K - $109K/yr
The Senior Clinical Quality Nurse drives clinical performance through the quality auditing and clinical quality of care review process for the departments they serve. The Clinical Quality Nurse ...
Care Review Clinician II Location : Troy, MI Duration : 3+ Months (possible extension ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Care Review Clinician II Location : Troy, MI Duration : 3+ Months (possible extension ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Overnight Care Review Processor information
See salary details
$8.89 - $10.45
6% of jobs
$10.45 - $12
6% of jobs
$13.34 is the 25th percentile. Wages below this are outliers.
$12 - $13.55
14% of jobs
$13.55 - $15.10
19% of jobs
The median wage is $15.49 / hr.
$15.10 - $16.65
15% of jobs
$16.65 - $18.20
13% of jobs
$18.35 is the 75th percentile. Wages above this are outliers.
$18.20 - $19.76
9% of jobs
$19.76 - $21.31
5% of jobs
$21.31 - $22.86
5% of jobs
$22.86 - $24.41
3% of jobs
$24.41 - $25.96
3% of jobs
$8
$16
$25
How much do overnight care review processor jobs pay per hour?
As of Jul 19, 2026, the average hourly pay for overnight care review processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.
What are the most commonly searched types of Care Review Processor jobs? The most popular types of Care Review Processor jobs are:
Job description
Job Description
Job Title: Care Review Processor
Duration: 4+ months contract
Location: Texas USA 79902
Hours: Mon- Fri 8:00 AM to 5:00 PM
Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
Job Description:
- Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and appropriateness, Determine diagnosis and treatment request Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes), Determine COB status, Verify inpatient hospital census-admits and discharges, Perform action required per protocol using the appropriate Database.
- Respond to requests for authorization of services submitted to CAM via phone, fax and mail according to Client's operational timeframes.
- Participates in interdepartmental integration and collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term Care.
- Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.
- Provide excellent customer service for internal and external customers.
- Meet department quality standards, including inter-rater reliability (IRR) testing and quality review audit scores.
- Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member status.
- Meet productivity standards.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
EDUCATION:
- Accurate data entry at 40 WPM minimum.
- Required Education: High School Diploma/GED
- Required Experience: 1-4 years of experience in a Utilization Review Department in a Managed Care Environment.
- Previous Hospital or Healthcare clerical, audit or billing experience. Experience with Medical Terminology
Additional Information
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