We deliver strategic workforce solutions that help you manage your talent and business more ... Provides daily review and evaluation of members that require hospitalization and/or procedures ...
We deliver strategic workforce solutions that help you manage your talent and business more ... Provides daily review and evaluation of members that require hospitalization and/or procedures ...
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Credit Review Officer
Montgomery, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Montgomery, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Columbus, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Columbus, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Columbus, OH · On-site
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Columbus, OH · On-site
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Specialist, Utilization Review
Columbus, OH · On-site
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. License:
Credit Review Officer
Powell, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Powell, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Columbus, OH · On-site
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Credit Review Officer
Columbus, OH · On-site
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Concurrent Clinical review with payors. * Document in the electronic system daily in real time ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Senior Cost Analyst - Columbus
Columbus, OH · On-site
$80K - $102K/yr
Attend all Operations Review Management (ORM) and project set-up meetings. * Ensure preparation of the final Cost Audited BAR (CAB) to reconcile to the final contract value and cost. * Track ...
Senior Cost Analyst - Columbus
Columbus, OH · On-site
$80K - $102K/yr
Attend all Operations Review Management (ORM) and project set-up meetings. * Ensure preparation of the final Cost Audited BAR (CAB) to reconcile to the final contract value and cost. * Track ...
Board-Certified Psychologist
Canton, OH · On-site
Thorough review of Medical Records * Perform in-person evaluations of patients with (specialty) issues * Respond to clinical queries to support claims management * Deliver detailed IME reports within ...
Quick apply
Board-Certified Psychologist
Canton, OH · On-site
Thorough review of Medical Records * Perform in-person evaluations of patients with (specialty) issues * Respond to clinical queries to support claims management * Deliver detailed IME reports within ...
Board-Certified Psychologist
Canton, OH · On-site
Thorough review of Medical Records * Perform in-person evaluations of patients with (specialty) issues * Respond to clinical queries to support claims management * Deliver detailed IME reports within ...
Board-Certified Psychologist
Canton, OH · On-site
Thorough review of Medical Records * Perform in-person evaluations of patients with (specialty) issues * Respond to clinical queries to support claims management * Deliver detailed IME reports within ...
Board-Certified Psychologist
Canton, OH · On-site
Thorough review of Medical Records * Perform in-person evaluations of patients with (specialty) issues * Respond to clinical queries to support claims management * Deliver detailed IME reports within ...
Board-Certified Psychologist
Canton, OH · On-site
Thorough review of Medical Records * Perform in-person evaluations of patients with (specialty) issues * Respond to clinical queries to support claims management * Deliver detailed IME reports within ...
Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care. * Documents all case reviews and maintains accurate records of all clinical ...
Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care. * Documents all case reviews and maintains accurate records of all clinical ...
Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care. * Documents all case reviews and maintains accurate records of all clinical ...
Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care. * Documents all case reviews and maintains accurate records of all clinical ...
Review Management information
See Ohio salary details
$27.6K - $31.1K
1% of jobs
$31.1K - $34.6K
4% of jobs
$34.6K - $38.1K
7% of jobs
$40.4K is the 25th percentile. Wages below this are outliers.
$38.1K - $41.6K
18% of jobs
The median wage is $44.1K / yr.
$41.6K - $45.1K
27% of jobs
$47.3K is the 75th percentile. Wages above this are outliers.
$45.1K - $48.6K
28% of jobs
$48.6K - $52.1K
7% of jobs
$52.1K - $55.6K
3% of jobs
$55.6K - $59.1K
2% of jobs
$59.1K - $62.6K
1% of jobs
$62.6K - $66.1K
1% of jobs
$27.6K
$46K
$66.1K
How much do review management jobs pay per year?

Job description
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care
Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
BackgroundÂ
Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience)Â
Potential for longer term dependent on enrollmentÂ
Workers will be doing Concurrent Inpatient ReviewÂ
MUST have one of the following AT LEASTÂ
-Utilization Review in hospital settingÂ
Nurses who are used to doing both production and review work
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