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Pre Service Review Nurse Jobs (NOW HIRING)

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

Performs medical record review for severity of illness and intensity of service; liaison function ... Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ...

Seh

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... avoid delays in service. * Performs other duties as requested by primary manager that do not ...

Astrana Health

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

Complete medical necessity reviews and level of care reviews for requested services using clinical ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure ... review or case management experience in managed care * Oregon residency and license * Bilingual or ...

UK St Claire

Utilization Review Nurse

Morehead, KY · On-site +1

Job Summary Responsible for reviewing electronic medical records, retrieving and verifying data for ... nursing, and ancillary services. • Coordinates with teams to collect and report quality ...

UK St Claire

Job Summary Responsible for reviewing electronic medical records, retrieving and verifying data for ... Generates and interprets reports for physicians, nursing, and ancillary services. Coordinates with ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

Performs medical record review for severity of illness and intensity of service; liaison function ... Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ...

New

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure ... review or case management experience in managed care * Oregon residency and license * Bilingual or ...

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Pre Service Review Nurse information

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How much do pre service review nurse jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for pre service review nurse in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Pre Service Review Nurse position, and why are they important?

To excel as a Pre Service Review Nurse, you need a current RN license, strong clinical judgment, expertise in medical necessity review, and deep knowledge of medical terminology and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and standardized coding systems like ICD-10 and CPT is commonly required. Exceptional attention to detail, strong organizational skills, and effective communication help a nurse stand out in this role. These capabilities are crucial for accurately assessing pre-service requests, ensuring compliance, and fostering collaboration between providers and payers.

What is a Pre Service Review Nurse job?

A Pre Service Review Nurse is responsible for evaluating medical service requests before they are provided to ensure they meet insurance coverage criteria and medical necessity guidelines. They review clinical documentation, apply healthcare policies, and collaborate with physicians and healthcare teams to determine approval or denial. This role helps ensure that patients receive appropriate, cost-effective care while adhering to regulatory and organizational requirements. Strong communication, critical thinking, and knowledge of medical guidelines are essential for success in this position.

How to make $300,000 as a nurse?

Pre Service Review Nurses typically do not earn $300,000 annually; high earnings in nursing usually come from advanced roles such as nurse anesthetists, nurse practitioners, or nurse executives, often requiring additional certifications, specialized skills, and experience. Achieving such income levels may involve working in high-demand settings, taking on overtime, or pursuing leadership positions. Salary varies by location, employer, and specialization.

What does a preservice review nurse do?

A preservice review nurse evaluates insurance claims and medical documentation to determine coverage eligibility before services are provided. They review patient records, ensure compliance with policies, and collaborate with healthcare providers to facilitate approval processes, often using specialized software and adhering to regulatory standards.

How to make an extra 2000 a month as a nurse?

Pre Service Review Nurses can increase their income by taking on overtime shifts, working in high-demand specialties, or obtaining additional certifications such as case management or telehealth. Freelance consulting or teaching nursing courses can also provide extra income outside regular hours.

What is a pre-service nurse?

A pre-service nurse is a nursing student or trainee who is preparing to enter the workforce, often completing clinical rotations or internships to gain practical experience before becoming licensed. This stage involves supervised training, skill development, and meeting educational requirements necessary for certification and employment as a registered nurse. It is a critical phase for gaining hands-on experience in healthcare settings.

What are the typical daily responsibilities of a Pre Service Review Nurse?

As a Pre Service Review Nurse, your day usually involves reviewing healthcare service requests for medical necessity and appropriateness based on clinical guidelines and insurance policies. You will communicate with physicians, healthcare providers, and insurance representatives to gather necessary information or clarify documentation. The role may also require documenting findings in electronic health record systems, processing authorization requests, and participating in team meetings to discuss complex cases. You’ll need to balance efficiency and accuracy while supporting timely patient care decisions and ensuring regulatory compliance.

More about Pre Service Review Nurse jobs
What states have the most Pre Service Review Nurse jobs? States with the most job openings for Pre Service Review Nurse jobs include:
What job categories do people searching Pre Service Review Nurse jobs look for? The top searched job categories for Pre Service Review Nurse jobs are:
Pre Service Review Nurse jobs near you
Infographic showing various Pre Service Review Nurse job openings in the United States as of July 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 63% In-person, and 37% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.
Pre-Service Specialist

Pre-Service Specialist

Saratoga Hospital

Saratoga Springs, NY • On-site

$18 - $27.45/hr

Full-time

Medical, Dental, Retirement

Re-posted 22 days ago

Saratoga Hospital rating

7.2

Company rating: 7.2 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

396th of 1,020 rated hospitals

Job description

Pre-Service Specialist

Salary Range: $18.00-$27.45/hr based on experience and qualifications

About Saratoga Hospital

At Saratoga Hospital, we’ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach—creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people.

About the Role

We’re looking for a dedicated Pre-Service Specialist to join our team and help us continue delivering the level of care our patients and families deserve. In this role, the Pre-Service Specialist I (PSS) is responsible for answering scheduling phone calls and scheduling patients within guidelines, taking messages, utilizing templates, and routing clinical inquires to appropriate RN team, clinical or administrative team. The PSS pre-registers patients, verifies insurance eligibility, informs patient of financial responsibility, and collects pre-service payments. The PSS works in a call center environment and provides exceptional service to patients, colleagues, and providers of Saratoga Hospital.

What You’ll Do

  • Answers scheduling phone calls for assigned clinics or modalities within a scheduling POD. Responsible for accurately scheduling patients within guidelines, taking messages, utilizing templates, and routing clinical inquires to appropriate RN team, clinical or administrative team.
  • Pre-registers patients and verifies insurance eligibility.
  • Informs patient of financial responsibility and collects pre-service.
  • Maintain a strong customer focus while working collaboratively within POD/Team to meet multiple demands and high-volume patient scheduling needs.
  •  Meets Patient Engagement Center service standards, and Saratoga Hospital FAMILY Caring Standards.
  • Meets established job performance standards for position.  
  • Cross-trained in Operator Responsibilities, provides support as needed including:
  • Answers phone calls for multiple phone lines. Responsible for utilizing protocols to assess needs of the caller, answer questions of the caller, transferring the caller to the appropriate destination, and transcribing messages.
  • Assists with clerical tasks including receiving and routing of incoming faxes and documents, entering referrals into the EMR system, running reports and auditing charts to ensure closed loop referrals, and other tasks.

What You Bring

  • Associates degree preferred or comparable experience
  • Experience working in a medical office or hospital patient access or customer service setting
  • Medical terminology understanding
  • Experience using a ‘windows based personal computer’ with proficient keyboard entry using a mouse as well as multiple computer programs

Certifications / Licensure

  • CHAA (Certified Healthcare Access Associate) Certification Preferred

Why Saratoga Hospital

  • A caring, community-focused culture rooted in teamwork and trust
  • Supportive leadership that invests in your development and well-being
  • Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide.
  • Opportunities to grow within the Albany Med Health System
  • Located in beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions

Our Commitment

We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you’re passionate about healthcare and community service—even if you don’t meet every qualification listed—we’d still love to hear from you.

How to Apply

Click the ‘apply’ button to submit your resume and complete our online application. Applications are reviewed on a rolling basis—apply today and discover what makes Saratoga Hospital a special place to grow your career.

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