Atlanta, GA · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Weekend availability is required; all applicants must be able to work at least one weekend day ...
Quick apply
Atlanta, GA · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Weekend availability is required; all applicants must be able to work at least one weekend day ...
Atlanta, GA · On-site +1
Associate's Degree in human services/healthcare related field, or coding Preferred Work Experience * 3 years of experience in either hospital billing, Care Management, utilization review or ...
Atlanta, GA · On-site +1
Associate's Degree in human services/healthcare related field, or coding Preferred Work Experience * 3 years of experience in either hospital billing, Care Management, utilization review or ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Atlanta, GA · On-site +1
$60K - $107K/yr
Schedule will vary to include some weekend requirements based off the business needs. You'll enjoy ... Compact RN license * 2+ years of acute inpatient case management experience/utilization review
Atlanta, GA · On-site +1
$60K - $107K/yr
Schedule will vary to include some weekend requirements based off the business needs. You'll enjoy ... Compact RN license * 2+ years of acute inpatient case management experience/utilization review
Atlanta, GA · Remote
$60K - $107K/yr
Schedule will vary to include some weekend requirements based off the business needs. You'll enjoy ... Compact RN license * 2 years of acute inpatient case management experience/utilization review
Atlanta, GA · Remote
$60K - $107K/yr
Schedule will vary to include some weekend requirements based off the business needs. You'll enjoy ... Compact RN license * 2 years of acute inpatient case management experience/utilization review
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of ...
Atlanta, GA · Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of ...
Atlanta, GA · Remote
$75K - $105K/yr
Experience in claims adjudication or utilization review working for a managed care or healthcare ... After-hours and/or weekend work may be required where necessary for major deliverables /deadlines.
New
Atlanta, GA · Remote
$75K - $105K/yr
Experience in claims adjudication or utilization review working for a managed care or healthcare ... After-hours and/or weekend work may be required where necessary for major deliverables /deadlines.
New
Decatur, GA · Remote
$24.12 - $29.39/hr
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
Decatur, GA · Remote
$24.12 - $29.39/hr
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
Atlanta, GA · Remote
$24.12 - $29.39/hr
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
Atlanta, GA · Remote
$24.12 - $29.39/hr
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ... On-site. * Utilization Management Department: This position is a remote position outside ...
Atlanta, GA · Remote
$83K - $109K/yr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Health plan utilization management experience or case management experience. * Experience in health ...
Quick apply
Atlanta, GA · Remote
$83K - $109K/yr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Health plan utilization management experience or case management experience. * Experience in health ...
Atlanta, GA · Remote
$60K - $107K/yr
... utilization review and evidence-based guidelines (InterQual Guidelines) * Experience in acute, long-term care, acute rehabilitation, or skilled nursing facilities * Demonstrated proficiency in ...
Posted today
Atlanta, GA · Remote
$60K - $107K/yr
... utilization review and evidence-based guidelines (InterQual Guidelines) * Experience in acute, long-term care, acute rehabilitation, or skilled nursing facilities * Demonstrated proficiency in ...
Posted today
Atlanta, GA · On-site +1
$60K - $107K/yr
Experience in utilization review, concurrent review, or risk management * Experience in a telephonic role *All employees working remotely will be required to adhere to UnitedHealth Group ...
Atlanta, GA · On-site +1
$60K - $107K/yr
Experience in utilization review, concurrent review, or risk management * Experience in a telephonic role *All employees working remotely will be required to adhere to UnitedHealth Group ...
Alpharetta, GA · Remote
$19.50 - $25.25/hr
... reviews utilization of mental health and substance abuse services provided in inpatient and ... The Alpharetta, GA candidate will also have the ability to work remote. This is an inbound ...
Alpharetta, GA · Remote
$19.50 - $25.25/hr
... reviews utilization of mental health and substance abuse services provided in inpatient and ... The Alpharetta, GA candidate will also have the ability to work remote. This is an inbound ...
$20.57 - $24.74
2% of jobs
$24.74 - $28.90
9% of jobs
$31.74 is the 25th percentile. Wages below this are outliers.
$28.90 - $33.06
21% of jobs
The median wage is $36.43 / hr.
$33.06 - $37.22
23% of jobs
$37.22 - $41.38
13% of jobs
$44.62 is the 75th percentile. Wages above this are outliers.
$41.38 - $45.54
10% of jobs
$45.54 - $49.70
8% of jobs
$49.70 - $53.86
5% of jobs
$53.86 - $58.02
5% of jobs
$58.02 - $62.18
2% of jobs
$62.18 - $66.35
2% of jobs
$20
$40
$66
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
6.9
Based on 6 frontline employees who took The Breakroom Quiz
251st of 301 rated insurance
Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.
About the role:
You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.
You will report into the Supervisor, Utilization Review.
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.
Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
Responsibilities:
Requirements:
Bonus points:
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
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Sourced by ZipRecruiter
Insurance services
1,001 - 5,000 Employees
New York, NY, US
2012
