ZipRecruiter

Log In

1

Pre Service Review Nurse Jobs (NOW HIRING)

Universal Hospital Services Inc.

... that offers mental health services to the communities of surrounding Augusta, Georgia. The ... Utilization Review/Business Office Coordinator will ensure input of pre-certifications and ...

Universal Hospital Services Inc.

... that offers mental health services to the communities of surrounding Augusta, Georgia. The ... Utilization Review/Business Office Coordinator will ensure input of pre-certifications and ...

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · On-site +1

$34 - $42/hr

... Review Nurse to assist our Health Services Department. In this position, you will utilize your ... clinical judgement to approve or deny outpatient medical services for patients based on Medical ...

Astrana Health, Inc.

UM Review Nurse

$34 - $47/hr

... Review Nurse to assist our Health Services Department. In this position, you will utilize your ... clinical judgement to approve or deny outpatient medical services for patients based on Medical ...

UHS

Utilization Review Nurse (RN)

Augusta, GA · On-site

... services to the communities of surrounding Augusta, Georgia. The Lighthouse Care Center of Augusta ... Utilization Review/Business Office Coordinator will ensure input of pre-certifications and ...

previous pagenext page

Showing results 21-40

All JobsPre Service Review Nurse Jobs

Pre Service Review Nurse information

See salary details

$28

$37

$42

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

As of Sep 14, 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 is a pre service review nurse?

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.

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.

What are the key skills and qualifications needed to thrive in the pre service review nurse position?

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.

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 are popular job titles related to Pre Service Review Nurse jobs?

For Pre Service Review Nurse jobs, the most frequently searched job titles are:

Pre Service Review Nurse jobs near you
Infographic showing various Pre Service Review Nurse job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.

Utilization Review Nurse (RN)

On-site

Universal Hospital Services Inc.
Health Care and Social Assistance • 1 - 5K employees
Learn more about Universal Hospital Services Inc.external

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Responsibilities

Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Nurse, RN to add to our growing team.

Lighthouse Care Center of Augusta Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care Center of Augusta is an acute and residential treatment facility providing balanced, top-notch clinical care to children, adolescents and young adults. We provide a carefully-structured and supportive environment, and our education program is accredited through the Georgia Accrediting Commission. Utilization Review Nurse, RN Under the direction of the Director of Utilization Management.

Website: https://www.LighthouseCareCenters.com

Job Duties/ Responsibilities:
  • Review clinical content of medical records
  • Participate in treatment team meetings
  • Collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved
  • Utilization Review/Business Office Coordinator will ensure input of pre-certifications and continued stay reviews into Midas
  • Follow-up on unfinished pre-certifications from the day before
  • Coordinate with the treatment team on any follow-ups necessary
  • Verify insurance coverage at the first of the month, and post patient payments into MS4
  • Trained in all aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems
  • Additional job duties
Benefit Highlights:
  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries
  • Pet Insurance
  • More information is available on our Benefits Guest Website: uhsguest.com
About Universal Health Services:

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Qualifications

Education and Experience:

  • Registered Nurse (RN) preferred or License Professional Nurse (LPN)
  • Current GA or Multistate Valid RN or LPN license
  • Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review
EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

#J-18808-Ljbffr

Apply