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Utilization Review No Experience Jobs (NOW HIRING)

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Minimum of 1 year of experience working with clinical records, medical documentation, or ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Minimum of 1 year of experience working with clinical records, medical documentation, or ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Minimum of 1 year of experience working with clinical records, medical documentation, or ...

Mindful Health

Utilization Review Specialist

$25 - $30/hr

... experience. Mindful Health creates an atmosphere that supports and values our clients and team ... Utilization Review Specialist: Responsible for ensuring adherence to Mindful Health's utilization ...

Southeast Health

Utilization Review Nurse

Dothan, AL · On-site

Three (3) years acute care experience * One (1) year utilization review experience Required ... No excuses. * We are a team. * Bring up your ideas. * Poor performance will be addressed. * 'That ...

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How much do utilization review no experience jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for utilization review no experience 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.

How to break into utilization review?

To break into utilization review, gaining relevant healthcare knowledge such as medical terminology and insurance processes is essential. Entry-level roles often require a high school diploma or medical certification, and obtaining certifications like the Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP) can improve prospects. Experience in healthcare or insurance settings and strong communication skills are also beneficial.

What is the lowest stress nursing job?

Utilization review nursing jobs generally involve reviewing patient cases and insurance claims, often with predictable hours and less direct patient care, making them among the lower-stress nursing roles. These positions typically require strong analytical skills and attention to detail, and they may offer a more controlled work environment compared to bedside nursing.

What is the difference between Utilization Review No Experience vs Utilization Review Coordinator?

AspectUtilization Review No ExperienceUtilization Review Coordinator
Required CredentialsHigh school diploma or equivalent; on-the-job trainingHigh school diploma; certification may be preferred
Work EnvironmentEntry-level, training-focused, healthcare settingsOffice-based, healthcare facilities, insurance companies
Employer & Industry UsageHospitals, insurance companies, healthcare providersInsurance companies, healthcare organizations, managed care
Search & Comparison IntentEntry-level, no experience, trainingCoordination, case management, healthcare review

Utilization Review No Experience roles are entry-level positions requiring minimal credentials and focus on training within healthcare settings. In contrast, Utilization Review Coordinators typically have some experience or certification, handling case management and review tasks in healthcare or insurance environments. Both roles are essential in healthcare utilization management but differ mainly in experience requirements and responsibilities.

What is utilization review and can I get a job in this field without prior experience?

Utilization review is a process used in healthcare to assess the necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities. Many entry-level utilization review positions are available for individuals with clinical backgrounds, such as nurses or social workers, even if they do not have prior experience in utilization review specifically. Employers often provide on-the-job training for candidates who understand medical terminology and have a background in healthcare. If you do not have a clinical license, you may need to seek administrative or support roles in utilization review to gain experience.

Can you get a healthcare job with no experience?

Entry-level healthcare jobs, including utilization review positions, often do not require prior experience and may accept candidates with relevant education or certifications. Training is typically provided on the job, and strong organizational and communication skills can improve chances of employment. Some roles may require specific licenses or certifications, but many employers offer opportunities for those new to the field.

What are the key skills and qualifications needed to thrive as a Utilization Review Specialist with no prior experience, and why are they important?

To thrive as a Utilization Review Specialist without prior experience, you generally need a healthcare-related degree, strong analytical skills, and a good understanding of medical terminology. Familiarity with case management software, electronic health records (EHR), and UR-specific platforms is typically required, and some roles may prefer candidates to pursue certification like Certified Utilization Review Specialist (CURA) over time. Attention to detail, effective communication, and strong organizational skills help new professionals excel in assessing medical necessity and collaborating with healthcare teams. These competencies ensure accurate reviews, regulatory compliance, and positive patient outcomes in a complex healthcare environment.

How to make an extra $2000 a month as a nurse?

Nurses can increase income by taking on per diem or overtime shifts, working in high-demand specialties, or obtaining additional certifications such as CCRN or ACLS. Freelance consulting, telehealth roles, or teaching nursing courses can also provide extra income streams, often requiring flexible schedules and specialized skills.

What are common challenges faced by entry-level professionals in Utilization Review and how can they be addressed?

Entry-level professionals in Utilization Review often face challenges such as learning complex medical terminology, understanding insurance regulations, and adapting to fast-paced review processes. To overcome these, it's helpful to seek mentorship from experienced team members, utilize available training resources, and stay organized with case management tools. Regular communication with clinical staff and supervisors also helps clarify protocols and expectations, making it easier to build confidence and competence in the role.
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What cities are hiring for Utilization Review No Experience jobs? Cities with the most Utilization Review No Experience job openings:
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What job categories do people searching Utilization Review No Experience jobs look for? The top searched job categories for Utilization Review No Experience jobs are:
Utilization Review No Experience jobs near you
Infographic showing various Utilization Review No Experience job openings in the United States as of June 2026, with employment types broken down into 47% Full Time, 36% Part Time, and 17% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Specialist

Cutting Edge Staffing LLC

Pompano Beach, FL • Remote

Full-time

Posted 5 days ago

Job description

Exciting Opportunity with Banyan Treatment Centers!

We are seeking a Utilization Review Specialist to join our corporate team in Pompano Beach, FL. The position is responsible for contacting external case managers and managed care organizations for pre-authorization and concurrent reviews for the duration of a patient’s treatment stay. They also establish and maintain contracts with managed care companies and requests rate increases when deemed appropriate.

Position Details:
  • Reports To: Director of Utilization Review
  • Schedule: Full-Time, Weekdays (Weekend availability as needed).
  • Location: Remote
Key Responsibilities:

  • Manage a caseload of 50–75 patients and authorize 15–25 cases daily, ensuring timely utilization reviews and appropriate level of care.

  • Verify insurance benefits, coordinate authorizations, and communicate effectively with managed care providers.

  • Conduct admission and continuing-stay reviews to assess medical necessity and ensure compliance with treatment standards.

  • Collaborate with clinical and billing departments to support discharge planning, documentation, and timely reimbursement.

  • Identify and address over/underutilization trends and assist in resolving outstanding case issues with insurers.

Requirements:
  • High School diploma or equivalent; graduate degree in a health or behavioral health related field preferred.
  • Minimum of one-year experience working in a utilization review position (psychiatric or chemical dependency).
    Why Join Banyan Treatment Centers?

    This is more than a job, it’s a chance to be a vital part of what recovery looks like after treatment. As a Utilization Review Specialist, you’ll help ensure that each client leaves treatment with a clear plan, strong connections, and the resources they need to continue their recovery journey with confidence.

    • Join a Mission-Driven, Nationally Recognized Organization: We’re accredited by the Joint Commission and backed by TPG’s Rise Fund, with 18 locations and Telehealth services nationwide.
    • Champion the Continuum of Care: Be a key player in ensuring clients transition successfully from treatment into long-term recovery supports.
    • Work in Partnership: Collaborate with clinical, operational, and business development teams, as well as families and external partners, to make sure no detail is missed.
    • Enjoy Comprehensive Benefits: Including medical, vision, and dental insurance; whole and term life insurance; short- and long-term disability coverage; 401(k) with employer match; paid time off and holidays; and wellness, assistance, and referral programs.
    Apply Now!

    If you're passionate about building bridges to lasting recovery and ensuring every patient has a plan beyond our doors, apply today and help us continue making a difference at Banyan Treatment Centers.

    We are an Equal Opportunity Employer and welcome applicants of all backgrounds. We encourage veterans, active-duty military, and first responders to apply in support of our First Responders Program.