Utilization Review
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Cleveland, OH · On-site
Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...
Projectory LLC is currently seeking Attorneys admitted to the Bar in any state for several upcoming document review projects. You must be active and in good standing with the Bar to qualify for these ...
Quick apply
Projectory LLC is currently seeking Attorneys admitted to the Bar in any state for several upcoming document review projects. You must be active and in good standing with the Bar to qualify for these ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Columbus, OH · On-site
Care Review Nurse Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing ...
Projectory LLC is currently seeking Attorneys admitted to the Bar in any state for several upcoming document review projects. You must be in good standing with the Bar to qualify for these positions.
Quick apply
Projectory LLC is currently seeking Attorneys admitted to the Bar in any state for several upcoming document review projects. You must be in good standing with the Bar to qualify for these positions.
Columbus, OH · On-site
Care Review Nurse 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 ...
Columbus, OH · On-site
Care Review Nurse 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 ...
Columbus, OH · On-site
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 ...
Columbus, OH · On-site
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that CON's/RON's and CMS certifications are completed by provider.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that CON's/RON's and CMS certifications are completed by provider.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that CON's/RON's and CMS certifications are completed by provider.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that CON's/RON's and CMS certifications are completed by provider.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that CON's/RON's and CMS certifications are completed by provider.
Concurrent Clinical review with payors. * Document in the electronic system daily in real time. * Admission audit. * Ensures that CON's/RON's and CMS certifications are completed by provider.
Akron, OH · On-site
$40K/yr
SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate documentation of services delivered for audit assurances, and positive outcomes regarding effective ...
Akron, OH · On-site
$40K/yr
SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate documentation of services delivered for audit assurances, and positive outcomes regarding effective ...
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre ...
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre ...
Cincinnati, OH · On-site +1
$26/hr
Experienced Document Review Attorney - Remote Great opportunity for licensed attorneys with significant document review experience interested in quality focused eDiscovery. Please apply to get on our ...
Cincinnati, OH · On-site +1
$26/hr
Experienced Document Review Attorney - Remote Great opportunity for licensed attorneys with significant document review experience interested in quality focused eDiscovery. Please apply to get on our ...
The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient Services. This includes the precertification and recertification ...
The Utilization Review Specialist is responsible for the authorizations and certifications process for Inpatient and Outpatient Services. This includes the precertification and recertification ...
Cleveland, OH · On-site
$2.2K/wk
Details Client Name Southwest General Hospital Center Southwest General Health Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18807560 Job Title RN - ...
Cleveland, OH · On-site
$2.2K/wk
Details Client Name Southwest General Hospital Center Southwest General Health Center Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18807560 Job Title RN - ...
Mason, OH · On-site
Refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications Hours for this Position: Monday-Friday (40 hours/week) Advantages of this Opportunity:
Mason, OH · On-site
Refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications Hours for this Position: Monday-Friday (40 hours/week) Advantages of this Opportunity:
$10.55 - $14.94
13% of jobs
$18.17 is the 25th percentile. Wages below this are outliers.
$14.94 - $19.34
17% of jobs
$19.34 - $23.73
15% of jobs
The median wage is $25.46 / hr.
$23.73 - $28.13
15% of jobs
$28.13 - $32.52
14% of jobs
$33.35 is the 75th percentile. Wages above this are outliers.
$32.52 - $36.92
13% of jobs
$36.92 - $41.31
6% of jobs
$41.31 - $45.71
4% of jobs
$45.71 - $50.10
2% of jobs
$50.10 - $54.50
1% of jobs
$54.50 - $58.89
1% of jobs
$10
$29
$58
| Aspect | Review | Quality Assurance Specialist |
|---|---|---|
| Primary Role | Evaluate and provide feedback on content, products, or services | Develop and implement testing processes to ensure product quality |
| Required Skills | Attention to detail, communication, analytical skills | Testing techniques, problem-solving, process improvement |
| Work Environment | Office, remote, or client sites | Office, lab, or production environments |
| Certifications | Not always required, but certifications like Content Review or Editing may help | Quality assurance certifications such as ASQ CQE or ISTQB |
While both roles focus on quality, a Review primarily assesses content or products for accuracy and clarity, providing feedback for improvement. A Quality Assurance Specialist develops testing protocols and ensures products meet quality standards through systematic testing. Understanding these differences helps job seekers identify the right career path or job opportunity in quality-related fields.
The most popular types of Review jobs in Ohio are:
Cities in Ohio with the most Review job openings:

Other
Medical, Dental, Vision, Retirement
Posted 15 days ago
Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Middleburg Heights, OH and make a real impact in patient care!
In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
If you're ready to elevate your career and make a difference in the lives of others, apply today!
At Prime Time Healthcare, we offer competitive compensation along with a large range of benefits including:
Prime Time Healthcare, LLC is an Equal Opportunity Employer (EOE).
*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
Sourced by ZipRecruiter
PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.
Recruiting and staffing services
51 - 200 Employees
Omaha, NE, US
2012