ZipRecruiter

Log In

1

Urgently Hiring Insurance Utilization Review Jobs

HAN Staff

RN - Utilization Review

Fort Myers, FL · On-site

$2.1K/wk

Health Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience. * Pay Rate: $2,110 weekly

New

Integrated Resources

Care Review Nurse

Columbus, OH · On-site

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 ...

Enlyte

Utilization Reviewer 2

Tampa, FL

$59K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

Enlyte

Utilization Reviewer 2

Tampa, FL · On-site

$59K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

Genex Services

Utilization Reviewer 2

Tampa, FL · On-site

$59K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

Discovery Institute

Utilization Review

Marlboro, NJ · On-site

Obtain initial and concurrent insurance authorizations for all levels of care. * Review clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...

Integrated Resources INC

Care Review Nurse

Columbus, OH · On-site

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 ...

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Medical, vision & dental insurance * 401(k) matching program * Flexible schedules * Travel ...

Genex Services

Utilization Reviewer 2

Saint Louis, MO · On-site

$52K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

New

next page

Showing results 1-20

All JobsHealthcare JobsNursing JobsNurse Case Manager JobsUrgently Hiring Insurance Utilization Review Jobs

Urgently Hiring Insurance Utilization Review information

See salary details

$21

$42

$68

How much do urgently hiring insurance utilization review jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for urgently hiring insurance 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 an insurance utilization review?

An Insurance Utilization Review is a process used by insurance companies and healthcare organizations to evaluate the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities. Professionals in this role review patient records, treatment plans, and coverage policies to determine if the requested healthcare services meet established criteria for payment and care. Their work helps control healthcare costs, ensures quality care, and supports compliance with regulations. They often collaborate with physicians, nurses, and insurance providers to make informed decisions. Typically, strong analytical, communication, and clinical knowledge are required for this job.

What are the key skills and qualifications needed to thrive as an insurance utilization review specialist?

To excel as an Insurance Utilization Review Specialist, you generally need a healthcare background (often as an RN, LPN, or similar credential), strong analytical skills, and in-depth knowledge of medical terminology and insurance guidelines. Familiarity with utilization management software, electronic medical records (EMR), and certifications such as Certified Professional in Utilization Review (CPUR) are typically required. Exceptional attention to detail, critical thinking, and effective communication with both healthcare providers and insurers set top performers apart. These skills ensure accurate coverage determinations, compliance with regulations, and cost-effective patient care management.

What are the main challenges faced by professionals in insurance utilization review, and how can they be addressed?

One of the main challenges in Insurance Utilization Review is balancing the need to ensure appropriate patient care with the necessity of complying with insurance coverage criteria. This often involves interpreting complex medical records and guidelines under tight deadlines, while communicating effectively with healthcare providers and payers. Building strong organizational and communication skills, and staying updated on changing insurance policies and regulations, can help professionals navigate these challenges successfully. Collaboration with clinical teams and ongoing professional development are also key to thriving in this fast-paced environment.

What is the difference between Urgently Hiring Insurance Utilization Review vs Insurance Claims Processor?

AspectUrgently Hiring Insurance Utilization ReviewInsurance Claims Processor
Primary RoleAssess medical necessity and appropriateness of services for insurance coverageReview and process insurance claims for payment and reimbursement
Required CredentialsLicenses or certifications in health insurance or medical review, often with healthcare backgroundKnowledge of insurance policies, claims processing systems, and basic healthcare understanding
Work EnvironmentHealthcare or insurance companies, often in office or remote settingsInsurance companies, healthcare providers, or third-party claims processing centers
Common Search/ComparisonUrgently Hiring Insurance Utilization Review vs Insurance Claims Processor

While both roles involve insurance and healthcare, Insurance Utilization Review focuses on evaluating the necessity of medical services, whereas Insurance Claims Processors handle the processing and payment of claims. Understanding these differences helps job seekers find the right position aligned with their skills and credentials.

How do I get into a Urgently Hiring Insurance Utilization Review?

To pursue a role in insurance utilization review, candidates typically need a background in healthcare, nursing, or health administration, along with knowledge of insurance policies and medical coding. Relevant certifications such as Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM) can enhance prospects. Strong analytical skills and familiarity with medical records and insurance systems are also important for entry into this field.

Is utilization review a stressful job?

Utilization review is a detail-oriented role that can be stressful due to the need for accuracy, meeting strict deadlines, and handling complex cases. It often requires strong analytical skills, knowledge of insurance policies, and the ability to work under pressure, especially in high-volume environments or with tight turnaround times.

What cities are hiring for Urgently Hiring Insurance Utilization Review jobs?

Cities with the most Urgently Hiring Insurance Utilization Review job openings:

What are the most commonly searched types of Insurance Utilization Review jobs?

The most popular types of Insurance Utilization Review jobs are:

What states have the most Urgently Hiring Insurance Utilization Review jobs?

States with the most job openings for Urgently Hiring Insurance Utilization Review jobs include:

Urgently Hiring Insurance Utilization Review jobs near you

RN - Utilization Review

HAN Staff

Fort Myers, FL • On-site

$2.1K/wk

Other

Medical, Dental, Vision, Retirement

Posted 2 days ago

New

Job description

Health Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience.

  • Pay Rate: $2,110 weekly
  • Specialty: Utilization Review Registered Nurse (RN)
  • Shift: Day
  • 13 Week Contracts and more available!
  • Radius Rule: 50 mile radius applies
Qualification and Requirements:
  • Authorized to work in the United States.
  • Graduate of an Accredited School of Nursing
  • 2 years of experience as a Utilization Review Registered Nurse (RN)
  • American Heart Association BLS
  • CCM/CMCN required
  • Epic experience required
  • DragonFly experience is required
  • An active, current (FL) state license

Apply for this job now or to find out more about other opportunities with Health Advocates Network, Inc. reply to this posting, contact us at albanyrecruiter@hanstaff.com or call/text 518-278-4310. We can provide you unparalleled access to exciting career opportunities.
Benefits We Offer:
Competitive pay rates, Referral Bonus, Medical, Dental, Vision and 401k. Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and more!
Who We Are:
Health Advocates Network matches highly skilled applicants to positions at the best healthcare companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding job that is well-matched to your skills - helping you advance in your career. Our experience, combined with our client relationships, makes Health Advocates Network a great resource for your career.
Health Advocates Network, Inc. is an equal-opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies.
Refer a Registered Nurse for a $1000.00 bonus opportunity!

Apply