ZipRecruiter

Log In

1

Utilization Review 1099 Jobs in Baton Rouge, LA (NOW HIRING)

US Tech Solutions

Registered Nurse

Baton Rouge, LA · On-site

As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...

Healthcare Support Staffing

HEDIS RN / LPN

Baton Rouge, LA · On-site

$29 - $38.50/hr

The purposes of this role include, but are not limited to: 1. Medical record review and collection 2. Abstraction and data entry for HEDIS and HEDIS-like measures 3. Over read of medical records The ...

Healthcare Support Staffing

HEDIS Nurse

Baton Rouge, LA · On-site

$29 - $38.50/hr

Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting * Integrates data collected from a variety of electronic and paper sources * Documents abstraction ...

UnitedHealth Group

Registered Nurse

Plaquemine, LA · On-site

$41.35 - $62.03/hr

Adheres to and participates in the agency's utilization management model You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction ...

UnitedHealth Group

Registered Nurse

Plaquemine, LA · On-site

$41.35 - $62.03/hr

Adheres to and participates in the agency's utilization management model You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction ...

UnitedHealth Group

Registered Nurse

Plaquemine, LA

$41.35 - $62.03/hr

Adheres to and participates in the agency's utilization management model You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction ...

UnitedHealthcare

Registered Nurse - RN,

Baton Rouge, LA · On-site

$41.35 - $62.03/hr

Adheres to and participates in the agency's utilization management model * Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of ...

UnitedHealthcare

Registered Nurse,

Baton Rouge, LA · On-site

$36.98 - $81.63/hr

Adheres to and participates in the agency's utilization management model You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction ...

New

next page

Showing results 1-20

All JobsUtilization Review 1099 JobsUtilization Review 1099 Jobs in Baton Rouge, LA

Utilization Review 1099 information

See Baton Rouge, LA salary details

$20

$40

$66

How much do utilization review 1099 jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review 1099 in Baton Rouge, LA is $40.60, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.63 per hour, depending on experience, location, and employer.

What is a utilization review 1099?

A Utilization Review 1099 position refers to a healthcare professional, often a nurse or therapist, who works as an independent contractor (not a direct employee) to review medical cases for necessity and efficiency. The '1099' designation means they receive a Form 1099 for tax purposes and are responsible for their own taxes. Utilization Review specialists evaluate patient records to ensure treatments are appropriate and meet insurance or regulatory guidelines. These roles are often remote and offer flexible hours, but do not provide traditional employee benefits.

What are the key skills and qualifications needed to thrive as a utilization review 1099?

To thrive as a Utilization Review 1099 professional, you need a strong clinical background (often as a registered nurse or similar), experience with medical necessity criteria, and familiarity with insurance guidelines. Proficiency with utilization management software, electronic health records (EHRs), and knowledge of regulatory requirements are typically required, along with URAC or CCM certification being advantageous. Excellent analytical thinking, attention to detail, and effective communication skills are essential for collaborating with healthcare providers and payers. These skills ensure accurate, efficient review of patient care for coverage decisions, compliance, and cost-effective healthcare delivery.

What are some typical challenges faced by utilization review 1099 contractors, and how can they be managed?

Utilization Review professionals working as 1099 contractors often face challenges such as fluctuating caseloads, varying client requirements, and the need to stay current with changing regulations independently. Unlike full-time employees, contractors must also manage their own schedules, billing, and sometimes provide their own resources and training. To succeed, it's important to establish clear communication with clients, maintain up-to-date credentials, and leverage professional networks or continuing education resources to stay informed about industry changes.

What is the difference between Utilization Review 1099 vs Utilization Review Nurse?

AspectUtilization Review 1099Utilization Review Nurse
CredentialsVaries; often self-employed or independent contractorsRegistered Nurse (RN) license required
Work EnvironmentRemote or freelance; contract basisHealthcare facilities, insurance companies, or clinics
Employer/Industry UsageFreelance or independent consulting in healthcareHospitals, insurance providers, healthcare organizations
Work FocusReviewing medical necessity for insurance claimsAssessing patient records, making clinical decisions

Utilization Review 1099 typically refers to independent contractors reviewing insurance claims, often working remotely. Utilization Review Nurse is a licensed RN performing clinical assessments within healthcare settings. While both roles involve utilization review, the 1099 role emphasizes independent contracting, whereas the nurse role requires clinical credentials and direct patient or clinical record involvement.

What are popular job titles related to Utilization Review 1099 jobs in Baton Rouge, LA?

For Utilization Review 1099 jobs in Baton Rouge, LA, the most frequently searched job titles are:

What job categories do people searching Utilization Review 1099 jobs in Baton Rouge, LA look for?

The top searched job categories for Utilization Review 1099 jobs in Baton Rouge, LA are:

What cities near Baton Rouge, LA are hiring for Utilization Review 1099 jobs?

Cities near Baton Rouge, LA with the most Utilization Review 1099 job openings:

Utilization Review 1099 jobs near you
Infographic showing various Utilization Review 1099 job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 71% In-person, and 29% Remote job distribution, with an average salary of $84,449 per year, or $40.6 per hour.

Registered Nurse

US Tech Solutions

Baton Rouge, LA • On-site

Other

Re-posted 18 days ago

Job description

Work At Home, LA

Contract

Position Summary:

As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews.

Build strong direct relationships with providers and medical directors through review of member clinical information, applying criteria, and completing authorization determinations in accordance with company policies and procedures, Document patient care activity and communication with the, provider and medical director. Participate in on call rotation as indicated by staffing and business needs.

Duties:

  • Registered Nurse with current license in LA state of employment. Additional licensure may be required in multi-state service areas.

  • Minimum 3 years nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience.

Experience :

Utilization Management. Prior Authorization Review experience

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com/) .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

US Tech Solutions logo

About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

Social media

FacebookTwitter

View All US Tech Solutions Jobs

Apply