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Position Aetna Utilization Review Jobs (NOW HIRING)

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

Position Details: * Reports To: Director of Utilization Review * Schedule: Full-Time, Weekdays ... Weekend availability as needed). * Location: Remote Key Responsibilities: * Manage a caseload of 50 ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...

Southeast Health

Utilization Review Nurse

Dothan, AL · On-site

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Person in this position is required to understand, agree upon and follow our Six Ground Rules: * No ...

Sheppard Pratt

Utilization Review Specialist

Towson, MD · On-site

$26.04/hr

Responsible for supporting the utilization review system including data analysis, report writing ... Generous paid-time-off for benefit eligible positions * Complimentary Employee Assistance Program ...

Genesis HealthCare

Position Details: Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Department: Utilization Management Overview of Position: The Utilization Review (UR) Analyst is ...

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How much do position aetna utilization review jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for position aetna 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 Position Aetna Utilization Review vs Medical Reviewer?

AspectPosition Aetna Utilization ReviewMedical Reviewer
CredentialsRN, LPN, or licensed healthcare professionalMD, DO, or licensed healthcare provider
Work EnvironmentInsurance company, primarily office-basedHospitals, clinics, or insurance settings
Industry UsageCommonly employed in health insurance companies like AetnaUsed across healthcare facilities and insurance companies

Position Aetna Utilization Review involves assessing insurance claims and determining coverage based on medical necessity, often performed by licensed healthcare professionals. Medical Reviewers, typically physicians, evaluate medical records and provide expert opinions on patient care. While both roles require healthcare credentials, Aetna Utilization Review focuses on insurance processes, whereas Medical Reviewers focus on clinical assessments.

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Position Aetna Utilization Review jobs near you
Infographic showing various Position Aetna Utilization Review job openings in the United States as of June 2026, with employment types broken down into 52% Full Time, and 48% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Specialist

Utilization Review Specialist

Medical Center Hospital

Odessa, TX

Full-time

Posted 27 days ago

Medical Center Health System rating

8.2

Company rating: 8.2 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

57th of 870 rated healthcare providers

Job description

Position Summary:

The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors.

Qualifications:

A. Education:

Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse.

B. Training and Experience:

Three years of clinical nursing experience in a general medical/surgical setting or appropriate specialty area; at least one year in an acute care setting.

C. Job Knowledge:

Excellent verbal and written skills, well-rounded critical thinking skills, self-motivated, flexible, and goal-oriented. Ability to tolerate frequent interruptions and demanding workload.

VI. Unusual Physical Demands and Working Conditions:

Must be able to work long hours on occasion. Potential for some stress in meeting deadlines.

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