ZipRecruiter

Log In

1

Utilization Review 1099 Jobs (NOW HIRING)

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Acrisure, LLC

## Utilization Review NurseApplyremote type: Hybridlocations: 1301 6th Ave W - BRADENTON, FLposted on: Posted Todayjob requisition id: JR114100## # About AcrisureA global fintech leader, Acrisure ...

Prime Time Healthcare

Utilization Review

Washington, DC · On-site

Now Hiring: RN Utilization Review - Washington, DC 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 ...

Washington Hospital

Utilization Review Liaison

Fremont, CA · On-site

$32.35 - $43.63/hr

Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting ...

ADP, Inc.

Utilization Review Specialist

Knoxville, TN · On-site

The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and compliant with regulatory standards. This ...

Socket.dev

Utilization Review Specialist

Knoxville, TN · On-site

The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and compliant with regulatory standards. This ...

UHS

PR · On-site

The Utilization Review (UR) Director is responsible for overseeing the utilization management processes to ensure efficient, compliant, and clinical guideline-aligned care. Oversee the utilization ...

previous page

Showing results 41-60

All JobsFreelance JobsHealthcare JobsNursing JobsNurse Case Manager JobsUtilization Review 1099 Jobs

Utilization Review 1099 information

See salary details

$21

$42

$68

How much do utilization review 1099 jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for utilization review 1099 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 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.

More about Utilization Review 1099 jobs

What cities are hiring for Utilization Review 1099 jobs?

Cities with the most Utilization Review 1099 job openings:

What states have the most Utilization Review 1099 jobs?

States with the most job openings for Utilization Review 1099 jobs include:

What are popular job titles related to Utilization Review 1099 jobs?

For Utilization Review 1099 jobs, the most frequently searched job titles are:

Utilization Review 1099 jobs near you
Infographic showing various Utilization Review 1099 job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Technician

Gadsden, AL • On-site

Prime Healthcare
Hospitals • 10K+ employees
Learn more about Prime Healthcareexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 hours ago

Prime Healthcare rating

6.4

Company rating: 6.4 out of 10

Based on 289 frontline employees who took The Breakroom Quiz

Job description

Overview

Department: Social Work Services

Shifts Available: Days

Employment Type : Full Time

Hours: 8-hour shift – 7:30am to 3:30pm

Location: Riverview Regional Medical Center – Gadsden, AL

We are seeking a n Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator II. The Utilization Review Technician II supports the utilization review, appeals, and denial management process by coordinating communication and tracking payer-related activity. This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals, and denials. The position also assists with payer audits, Release of Information, discharge coordination, and other departmental needs.

Responsibilities

  • Coordinate phone calls, data entry, and tracking related to authorizations, expedited reviews, appeals, and denials

  • Document and track all communication attempts with insurance providers and health plans

  • Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams

  • Maintain accurate tracking of government and payer audits, including RAC, MAC, CERT, ADR, QIO, Medicaid, and pre/post-payment reviews

  • Provide support with Release of Information, discharge coordination, and other assigned departmental duties

Qualifications

  • High School Diploma or equivalent

  • Two years of relevant experience

  • Accurate alphabetic, numeric, and/or terminal-digit filing skills

  • Computer data entry with 10-key, with accurate typing speed of 35 wpm

  • Associates Degree or higher, preferred

  • Excel skills. highly preferred

  • Knowledge of terminal digit filing and medical terminology, preferred

  • Knowledge of State and Federal regulatory requirements for medical staff documentation, preferred

  • Completion of a medical terminology course, preferred

  • Background in business and office training, preferred

Here are some of the benefits of working at Prime Healthcare:

  • Health, dental, and vision insurance options

  • Paid vacation, sick time and holidays

  • Bereavement leave, FMLA and other leave options

  • Employer 401K options

  • Tuition reimbursement options

  • Life, disability, and other insurance options

  • Many other amazing benefits

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

#LI-MP1

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Need help finding the right job?

We can recommend jobs specifically for you!

https://click.appcast.io/pixels/icims-25851.js?ent=417&jsid=$T{Submittal}.$T{Person}.$F{PersonID}script>

Software Powered by ICIMS (https://icims.help/candidate-faq)

FacilityRiverview Regional Medical Center

LocationUS-AL-Gadsden

ID2026-275059

CategoryBusiness Professional

Position TypeFull Time

ShiftDays

Job TypeNon-Exempt

What Prime Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply