Utilization Review Associate
Augusta, AR · On-site
Essential Functions Statement(s) * Assist with maintaining records and reporting related to Utilization Review. * Upload all required information including but not limited to annual wellness ...
Augusta, AR · On-site
Essential Functions Statement(s) * Assist with maintaining records and reporting related to Utilization Review. * Upload all required information including but not limited to annual wellness ...
Augusta, AR · On-site
Essential Functions Statement(s) * Assist with maintaining records and reporting related to Utilization Review. * Upload all required information including but not limited to annual wellness ...
Augusta, AR · On-site
Essential Functions Statement(s) * Assist with maintaining records and reporting related to Utilization Review. * Upload all required information including but not limited to annual wellness ...
Augusta, AR · On-site
Essential Functions Statement(s) * Assist with maintaining records and reporting related to Utilization Review. * Upload all required information including but not limited to annual wellness ...
Behavioral Utilization Review Specialist Position Summary The Behavioral Utilization Review ... Essential Duties and Responsibilities- Assist the Chief Revenue Officer with the following:
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Behavioral Utilization Review Specialist Position Summary The Behavioral Utilization Review ... Essential Duties and Responsibilities- Assist the Chief Revenue Officer with the following:
Help maintain a quality control system to assure effective utilization of hospital facilities and services. Assist in the promotion and maintenance of high quality care through review of clinical ...
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Help maintain a quality control system to assure effective utilization of hospital facilities and services. Assist in the promotion and maintenance of high quality care through review of clinical ...
Conway, AR · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conway, AR · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Help maintain a quality control system to assure effective utilization of hospital facilities and services. Assist in the promotion and maintenance of high quality care through review of clinical ...
Help maintain a quality control system to assure effective utilization of hospital facilities and services. Assist in the promotion and maintenance of high quality care through review of clinical ...
Conway, AR · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conway, AR · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conway, AR · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conway, AR · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Sherwood, AR · On-site
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Sherwood, AR · On-site
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Identifies clinical quality improvement studies to assist in reducing unwarranted variation in ...
Perform utilization management (UM) and review functions for beneficiary patients admitted to external facilities. * Review new admissions to assess clinical conditions and assist in developing ...
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Perform utilization management (UM) and review functions for beneficiary patients admitted to external facilities. * Review new admissions to assess clinical conditions and assist in developing ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
... Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by collaborating with MD, Patient Placement Coordinator, and Utilization Review ...
Marion, AR · On-site
$48K - $94K/yr
Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. * Shift(s) available: day shift * Job types ...
Marion, AR · On-site
$48K - $94K/yr
Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. * Shift(s) available: day shift * Job types ...
Little Rock, AR · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Little Rock, AR · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Little Rock, AR · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Little Rock, AR · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Little Rock, AR · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Little Rock, AR · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
$9.41 - $13.69
14% of jobs
$15.88 is the 25th percentile. Wages below this are outliers.
$13.69 - $17.97
22% of jobs
$17.97 - $22.25
13% of jobs
The median wage is $22.74 / hr.
$22.25 - $26.53
14% of jobs
$26.53 - $30.80
11% of jobs
$31.87 is the 75th percentile. Wages above this are outliers.
$30.80 - $35.08
9% of jobs
$35.08 - $39.36
7% of jobs
$39.36 - $43.64
4% of jobs
$43.64 - $47.92
3% of jobs
$47.92 - $52.20
2% of jobs
$52.20 - $56.48
1% of jobs
$9
$27
$56
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 24 days ago
7.0
Based on 32 frontline employees who took The Breakroom Quiz
416th of 887 rated healthcare providers