... * assist in screening and providing input to initial evaluation of all patients as appropriate ... care, utilization review, case management, administrative staff / department head, and family ...
... * assist in screening and providing input to initial evaluation of all patients as appropriate ... care, utilization review, case management, administrative staff / department head, and family ...
Peer Review, Unusual Incident Review, Risk Management evaluation and Utilization review. * Set agenda for CQI meetings and record minutes. * Complete CQI reports and yearly CQI Plan. * Assist ...
Peer Review, Unusual Incident Review, Risk Management evaluation and Utilization review. * Set agenda for CQI meetings and record minutes. * Complete CQI reports and yearly CQI Plan. * Assist ...
The expectation from this position is that it will support and assist in departmental workflows ... utilization review for authorization status to avoid financial risk • Updates documentation in ...
The expectation from this position is that it will support and assist in departmental workflows ... utilization review for authorization status to avoid financial risk • Updates documentation in ...
Detox - CQI Coordinator
Cleveland, OH · On-site
$22/hr
Peer Review, Unusual Incident Review, Risk Management evaluation and Utilization review. * Set agenda for CQI meetings and record minutes. * Complete CQI reports and yearly CQI Plan. * Assist ...
Detox - CQI Coordinator
Cleveland, OH · On-site
$22/hr
Peer Review, Unusual Incident Review, Risk Management evaluation and Utilization review. * Set agenda for CQI meetings and record minutes. * Complete CQI reports and yearly CQI Plan. * Assist ...
The expectation from this position is that it will support and assist in departmental workflows ... utilization review for authorization status to avoid financial risk • Updates documentation in ...
The expectation from this position is that it will support and assist in departmental workflows ... utilization review for authorization status to avoid financial risk • Updates documentation in ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
Canal Winchester, OH · On-site
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... Clinical Manager, Assistant Clinical Manager/Educator, Charge Nurse or designee. Supervises: May ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
Canal Winchester, OH · On-site
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... Clinical Manager, Assistant Clinical Manager/Educator, Charge Nurse or designee. Supervises: May ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Detox - CQI Coordinator
Cleveland, OH · On-site
Peer Review, Unusual Incident Review, Risk Management evaluation and Utilization review. * Set agenda for CQI meetings and record minutes. * Complete CQI reports and yearly CQI Plan. * Assist ...
Detox - CQI Coordinator
Cleveland, OH · On-site
Peer Review, Unusual Incident Review, Risk Management evaluation and Utilization review. * Set agenda for CQI meetings and record minutes. * Complete CQI reports and yearly CQI Plan. * Assist ...
Field Medical Director, Vascular Surgeon
Columbus, OH · On-site
$130 - $140/hr
Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Field Medical Director, Vascular Surgeon
Columbus, OH · On-site
$130 - $140/hr
Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Occupational Therapy Assistant *PRN & PT Avail
$25.50 - $34/hr
Treat patients per the physician treatment plan. Assist nursing department with training of ... Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ...
Occupational Therapy Assistant *PRN & PT Avail
$25.50 - $34/hr
Treat patients per the physician treatment plan. Assist nursing department with training of ... Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ...
Accessibility Services Specialist
Nelsonville, OH · On-site
$24 - $28/hr
... review. Assist with disability awareness programming and faculty education related to accommodation ... utilization. Assist with assessment activities and data collection to support continuous ...
Accessibility Services Specialist
Nelsonville, OH · On-site
$24 - $28/hr
... review. Assist with disability awareness programming and faculty education related to accommodation ... utilization. Assist with assessment activities and data collection to support continuous ...
Accessibility Services Specialist
Nelsonville, OH · On-site
$24 - $28/hr
... review. Assist with disability awareness programming and faculty education related to accommodation ... utilization. Assist with assessment activities and data collection to support continuous ...
Accessibility Services Specialist
Nelsonville, OH · On-site
$24 - $28/hr
... review. Assist with disability awareness programming and faculty education related to accommodation ... utilization. Assist with assessment activities and data collection to support continuous ...
Accessibility Services Specialist
Nelsonville, OH · On-site
$24 - $28/hr
... review. Assist with disability awareness programming and faculty education related to accommodation ... utilization. Assist with assessment activities and data collection to support continuous ...
Accessibility Services Specialist
Nelsonville, OH · On-site
$24 - $28/hr
... review. Assist with disability awareness programming and faculty education related to accommodation ... utilization. Assist with assessment activities and data collection to support continuous ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Columbus, OH · On-site
$135 - $150/hr
Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do not initially ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Columbus, OH · On-site
$135 - $150/hr
Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do not initially ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Radiation Oncology Field Medical Director
Columbus, OH · On-site
$130 - $145/hr
Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Radiation Oncology Field Medical Director
Columbus, OH · On-site
$130 - $145/hr
Serve as the Physician match reviewer in Radiation Oncology and imaging cases, that do not ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
MDS Nurse RN
$33.50 - $43.75/hr
Maintain and update the plan of care for each resident at a minimum of biweekly. * Assist in the ... Coordinates and leads the weekly Utilization Review/Medicare Meeting. * Completes the monthly ...
Quick apply
MDS Nurse RN
$33.50 - $43.75/hr
Maintain and update the plan of care for each resident at a minimum of biweekly. * Assist in the ... Coordinates and leads the weekly Utilization Review/Medicare Meeting. * Completes the monthly ...
Unit Manager
Cleveland, OH · On-site
$32 - $43/hr
... assist with performance evaluations and appraisals * Issue warning notices for performance deficiencies * Identify educational needs and coordinate in-service training * Oversee Utilization Review ...
Unit Manager
Cleveland, OH · On-site
$32 - $43/hr
... assist with performance evaluations and appraisals * Issue warning notices for performance deficiencies * Identify educational needs and coordinate in-service training * Oversee Utilization Review ...
Unit Manager
Cleveland, OH · On-site
$32 - $43/hr
... assist with performance evaluations and appraisals * Issue warning notices for performance deficiencies * Identify educational needs and coordinate in-service training * Oversee Utilization Review ...
Quick apply
Unit Manager
Cleveland, OH · On-site
$32 - $43/hr
... assist with performance evaluations and appraisals * Issue warning notices for performance deficiencies * Identify educational needs and coordinate in-service training * Oversee Utilization Review ...
The expectation from this position is that it will support and assist in departmental workflows ... Coordinates with utilization review for authorization status to avoid financial risk Updates ...
The expectation from this position is that it will support and assist in departmental workflows ... Coordinates with utilization review for authorization status to avoid financial risk Updates ...
The expectation from this position is that it will support and assist in departmental workflows ... Coordinates with utilization review for authorization status to avoid financial risk Updates ...
The expectation from this position is that it will support and assist in departmental workflows ... Coordinates with utilization review for authorization status to avoid financial risk Updates ...
Utilization Review Assistant information
See Ohio salary details
$9.67 - $14.06
14% of jobs
$16.31 is the 25th percentile. Wages below this are outliers.
$14.06 - $18.46
22% of jobs
$18.46 - $22.85
13% of jobs
The median wage is $23.36 / hr.
$22.85 - $27.25
14% of jobs
$27.25 - $31.64
11% of jobs
$32.74 is the 75th percentile. Wages above this are outliers.
$31.64 - $36.04
9% of jobs
$36.04 - $40.43
7% of jobs
$40.43 - $44.83
4% of jobs
$44.83 - $49.22
3% of jobs
$49.22 - $53.62
2% of jobs
$53.62 - $58.01
1% of jobs
$9
$28
$58
How much do utilization review assistant jobs pay per hour?
What is a utilization review assistant?
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.
What does a utilization review assistant do?
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.
What skills and qualifications are needed to be a utilization review assistant?
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.
How do I get into a utilization review assistant?
What are the most commonly searched types of Utilization Review jobs in Ohio?
The most popular types of Utilization Review jobs in Ohio are:
What are popular job titles related to Utilization Review Assistant jobs in Ohio?
For Utilization Review Assistant jobs in Ohio, the most frequently searched job titles are:
- Flex Schedule Remote Utilization Review Nurse
- Remote Utilization Management Nurse
- Freelance Utilization Review Nurse
- Overnight Utilization Review Nurse
- Night Shift Remote Utilization Review Nurse
- Part Time Utilization Review Nurse
- Remote Utilization Review Rn
- Per Diem Utilization Review Nurse
- Evening Optum Health Utilization Review
- Evening Utilization Review Nurse
What job categories do people searching Utilization Review Assistant jobs in Ohio look for?
The top searched job categories for Utilization Review Assistant jobs in Ohio are:
- Insurance Utilization Review
- Medical Claims Review Nurse
- Review Nurse
- Director Of Utilization Review
- Weekend Utilization Review
- Temporary Medical Utilization Review Physician
- Optum Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- From Home International Utilization Review Nurse
- Manager Aetna Utilization Review
What cities in Ohio are hiring for Utilization Review Assistant jobs?
Cities in Ohio with the most Utilization Review Assistant job openings:

Other
Re-posted 22 days ago
Reliant Rehabilitation rating
6.3
Based on 45 frontline employees who took The Breakroom Quiz
670th of 887 rated healthcare providers
Job description
#LI-NB1
*This role is based in an Assisted Living, Independent Living, and Memory Care setting.
Summary:
Provide Physical Therapy and related services for patients under the direction of a licensed Physical Therapist (PT) while maintaining positive levels of interaction with communities and clients in accordance with the principles and practices of physical therapy and within Reliant Rehabilitation guidelines. Provide quality patient care including ongoing treatment per a plan of care, supervision of Rehab Techs (where required), and case management responsibilities. Maintain professional conduct that represents Reliant Rehabilitation's commitment to quality and service in all interactions with clients, including positive levels of interaction and rapport with communities and clients. Adhere to all state and federal regulations regarding physical therapy.
Responsibilities
Essential Duties and Responsibilities:
- Under the direction of the licensed physical therapist, optimize the functional abilities and skills of patients in communities by:
- assist in screening and providing input to initial evaluation of all patients as appropriate;
- implement treatment for all assigned patients;
- comply with state and federal guidelines regarding accurate and timely billing and documentation.
- establish and maintain effective interactions with patient, interdisciplinary team, and other clientele which reflects patient-centered care.
- Provide direct supervision to rehab techs in tasks during group and individual treatment in a manner that promotes appropriate utilization of resources and enhances quality of patient in accordance with state practice acts, federal regulations, and Reliant Rehabilitation.
- Build a strong physical therapy program by participating in the following activates:
- actively integrating physical therapy's role into community and interdisciplinary treatment plan;
- contributing to community patient care, utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the PT;
- establishing and maintaining a good working relationship with other health care professionals and colleagues in the community;
- making appropriate referrals to other members of the rehabilitation team;
- maintaining awareness of changes in patient population, patient conditions, and programs, and keeping the licensed or registered physical therapist informed directly, and in a timely manner, of patient progress and community issues;
- adhering to established community policies and procedures related to environmental safety, orderliness, risk management, infection control, and emergency preparedness situations; and
- adhering to the requirements of the patient's rights and privacy.
- Enhance clinical expertise, professional and management skills through interaction with managers, therapists and other professional staff, self-study, and other continuing education activities.
- Maintain valid state license (where appropriate). Maintain awareness of issues related to the profession of physical therapy and the health care environment.
- Understands various relevant payment models related to billing and treatment guidelines, as well as clinically appropriate means/modes of delivery. Provide quality care as well as reasonable goals and outcomes within the guidelines.
- Be compliant with infection control procedures and environmental safety protocol within a community.
- This position requires patient lifting using appropriate biomechanical techniques frequently throughout the course of a workday/shift. Must be capable of lifting thirty (30) pounds of dead weight alone.
- Maintain confidentiality of Reliant Rehabilitation, community, and patient information.
- Must conduct self in an ethical, legal, and responsible manner at all times.
- Must adhere to the policies, principles, and guidance within the Team Member Handbook and Code of Business Conduct.
- Must be able to travel between communities during scheduled hours.
- Must be able to work varying hours and shifts, including weekends and holidays.
- Attends all mandatory meetings, trainings, and assignments as delegated.
Perform other duties and responsibilities as assigned
Qualifications
Competency:
Prior to beginning patient care for Reliant Rehabilitation, a peer PT may complete a Competency Checklist.
To perform the job successfully, an individual should demonstrate the following competencies:
- Effective clinical problem-solving skills to include but not limited to: identify and prioritize issues in a responsive manner, develop sound and innovative action plans, execute action plans on a timely basis, and ensure appropriate results
- Be a strong team player
- Strong verbal and written communication skills
- Ability to build strong relationships with a diverse population
- Ability to read, write, speak, and comprehend in English: instructions, correspondence, charts, memos, and reports
- Ability to work in a fast-paced, productive work environment
Education/Experience:
- Graduate of an APTA accredited school of physical therapy.
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