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Temporary Aetna Utilization Review Jobs (NOW HIRING)

Christiana Care Health Services

$85K - $137K/yr

... Aetna and Cigna, along with a background in an acute care hospital. RN will work on-site at the ... Reviews the admission assessment and collaborates with primary nurse and other health care ...

Christiana Care Health Services

$85K - $137K/yr

... Aetna and Cigna, along with a background in an acute care hospital. RN will work on-site at the ... Reviews the admission assessment and collaborates with primary nurse and other health care ...

Aetna

Case Manager RN

Charlottesville, VA · On-site

Click here to review the benefits associated with this position. Aetna is an equal opportunity ... utilization of available resources, optimal member functioning, and cost-effective outcomes.

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Temporary Aetna Utilization Review information

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$68

How much do temporary aetna utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for temporary aetna utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Temporary Aetna Utilization Review vs Temporary Health Insurance Claims Processor?

AspectTemporary Aetna Utilization ReviewTemporary Health Insurance Claims Processor
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical background)Requires knowledge of insurance policies and claims processing, often with insurance or administrative certifications
Work EnvironmentHealthcare settings, insurance companies, or remoteInsurance companies, claims departments, or remote
Employer & Industry UsageHealth insurance providers, healthcare organizationsInsurance carriers, third-party administrators
Search & Comparison IntentUnderstanding utilization review roles within health insuranceComparing claims processing roles in insurance industry

Temporary Aetna Utilization Review involves assessing the necessity and appropriateness of healthcare services, often requiring medical credentials. In contrast, Temporary Health Insurance Claims Processors handle claims submissions and reimbursements, focusing on administrative tasks. Both roles are essential in health insurance but differ in responsibilities, credentials, and work environment.

What cities are hiring for Temporary Aetna Utilization Review jobs? Cities with the most Temporary Aetna Utilization Review job openings:
What are the most commonly searched types of Aetna Utilization Review jobs? The most popular types of Aetna Utilization Review jobs are:
What states have the most Temporary Aetna Utilization Review jobs? States with the most job openings for Temporary Aetna Utilization Review jobs include:
Temporary Aetna Utilization Review jobs near you

Utilization Review Clinical Manager - Denials (Registered Nurse)

Vivo HealthStaff

Burbank, CA • On-site

$110K - $120K/yr

Full-time

Medical, Retirement

Re-posted 25 days ago

Job description

Job Description: Manager of Clinical Utilization Management - Denial ComplianceLocation: Burbank, CAPosition Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-Time Salaried PositionCompany: Vivo HealthStaff Inc.Overview:Vivo HealthStaff is recruiting for a dedicated Manager of Clinical Utilization Management - Denial Compliance. This role is pivotal in ensuring a streamlined and compliant denial process, in line with regulatory, accreditation, and health plan standards.Key Responsibilities:1. Oversee both licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.2. Foster effective communication and collaboration with physician reviewers, medical directors, and other relevant departments.3. Ensure timely responses to requests and maintain high standards of compliance and privacy.4. Assist in the preparation of various reports, including departmental work-plans and audits.5. Monitor and enhance the quality of the denial process internally.6. Design and deliver training sessions for the denial unit staff to ensure top-notch, compliant communication.7. Stay updated with state and federal regulations related to the department and implement necessary changes.8. Lead the department towards achieving set objectives and provide guidance to team members.9. Implement procedures to ensure alignment with company policies and influence process improvements.10. Handle other duties as directed by the management.Qualifications:1. Graduate from an accredited Registered Nursing Program; RN preferred.2. Minimum of five years in prior-authorization, appeals & grievance, or health plan compliance.3. Proven experience in project development, staff supervision, and performance monitoring.4. Strong communication skills, both verbal and written.5. Ability to manage multiple projects in a high-stress environment and adapt to changing priorities.6. Proficiency in MS Office and a computerized environment.7. Valid CA driver's license and car insurance.Policies:1. Uphold honesty and integrity.2. Adhere to privacy, compliance policies, and the corporate code of conduct.3. Lead and participate in team meetings and promote organizational goals.4. Provide top-tier customer service and be adaptable to flexible work hours.Benefits:Comprehensive healthcare coverage.Competitive 401k plan.Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States.
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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

Social media

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