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 ...
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 ...
Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ... hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate ...
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Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ... hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate ...
Utilization Review Nurse
Las Vegas, NV · On-site
Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review ...
Utilization Review Nurse
Las Vegas, NV · On-site
Fusion HCR is hiring!Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review ...
Utilization Review Specialist
Fort Lauderdale, FL · On-site +1
$30K - $40K/yr
Description Utilization Review Specialist (Part-Time - Weekends) Location: Remote Preferred ... Communicate with insurance case managers regarding benefits, coverage, and authorization status.
Utilization Review Specialist
Fort Lauderdale, FL · On-site +1
$30K - $40K/yr
Description Utilization Review Specialist (Part-Time - Weekends) Location: Remote Preferred ... Communicate with insurance case managers regarding benefits, coverage, and authorization status.
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
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Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible ... Life and Disability Insurance * Employee Assistance Program * Referral Program Work Location This ...
Are you experienced in navigating medical insurance authorizations? We're looking for a Utilization Review Specialist to ensure our inpatient psychiatric patients receive timely access to the care ...
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Are you experienced in navigating medical insurance authorizations? We're looking for a Utilization Review Specialist to ensure our inpatient psychiatric patients receive timely access to the care ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
This position collaborates closely with clinical teams, insurance providers, and other healthcare ... hiring process and employment. If you require assistance or accommodation, please let us know.
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Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
This position collaborates closely with clinical teams, insurance providers, and other healthcare ... hiring process and employment. If you require assistance or accommodation, please let us know.
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI ...
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Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
This position collaborates closely with clinical teams, insurance providers, and other healthcare ... hiring process and employment. If you require assistance or accommodation, please let us know.
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
This position collaborates closely with clinical teams, insurance providers, and other healthcare ... hiring process and employment. If you require assistance or accommodation, please let us know.
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Director, Utilization Review
Exeter, NH · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
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Director, Utilization Review
Exeter, NH · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
... insurance companies on concurrently denied and high risk for denial cases * Documentation ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
... insurance companies on concurrently denied and high risk for denial cases * Documentation ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Director, Utilization Review
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
Quick apply
Director, Utilization Review
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational ... Company-paid life, AD&D, and disability insurance * 401(k) with up to a 6% employer match
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Responsibilities Now Hiring: Utilization Review Coordinator Position Summary Mountain Youth Academy ... Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission ...
New
Utilization Review Specialist
$55K - $70K/yr
This position collaborates closely with clinical teams, insurance providers, and other healthcare ... hiring process and employment. If you require assistance or accommodation, please let us know.
Utilization Review Specialist
$55K - $70K/yr
This position collaborates closely with clinical teams, insurance providers, and other healthcare ... hiring process and employment. If you require assistance or accommodation, please let us know.
Urgently Hiring Insurance Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do urgently hiring insurance utilization review jobs pay per hour?
As of Jul 16, 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 the difference between Urgently Hiring Insurance Utilization Review vs Insurance Claims Processor?
| Aspect | Urgently Hiring Insurance Utilization Review | Insurance Claims Processor |
|---|---|---|
| Primary Role | Assess medical necessity and appropriateness of services for insurance coverage | Review and process insurance claims for payment and reimbursement |
| Required Credentials | Licenses or certifications in health insurance or medical review, often with healthcare background | Knowledge of insurance policies, claims processing systems, and basic healthcare understanding |
| Work Environment | Healthcare or insurance companies, often in office or remote settings | Insurance companies, healthcare providers, or third-party claims processing centers |
| Common Search/Comparison | Urgently 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.
What is an Insurance Utilization Review and what does the job involve?
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 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 are the key skills and qualifications needed to thrive as an Insurance Utilization Review Specialist, and why are they important?
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 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:
Job description
Company 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.
Job Description
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.
Qualifications
Background
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)
Potential for longer term dependent on enrollment
Workers will be doing Concurrent Inpatient Review
MUST have one of the following AT LEAST
-Utilization Review in hospital setting
Nurses who are used to doing both production and review work
Additional Information
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