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Utilization Review No Experience Jobs (NOW HIRING)

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

Experience in lieu of Degree will be considered. * 2yrs minimal experience in health care, utilization review and business setting Benefits include: * Medical, Dental, and Vision * Generous Paid Time ...

UHS

Utilization Review Clinician

Augusta, GA

Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

New

UHS

Utilization Review Clinician

Augusta, GA · On-site

Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... candidate experience. During the recruitment process, no recruiter or employee will request ...

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

As of Jul 26, 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, candidates typically need a background in healthcare, such as nursing, medical assisting, or health administration. Gaining relevant certifications like the Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP) can improve job prospects, and entry-level positions often require strong analytical skills and knowledge of insurance and medical billing systems.

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.

What's the easiest hospital job to get?

Entry-level hospital jobs such as patient transport, food service, or administrative support roles are generally easier to obtain and often require minimal prior experience. These positions typically involve on-the-job training and may not require specialized certifications, making them accessible for job seekers with limited healthcare experience.

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.

Can a nurse make $50 an hour?

Utilization review nurses with no experience can potentially earn around $20 to $35 per hour, depending on the employer and location. Earning $50 an hour typically requires additional experience, certifications, or specialized skills in the field. Entry-level positions usually start lower, but with experience and credentials, higher pay is achievable.

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 outside regular hours.

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.
More about Utilization Review No Experience jobs
What cities are hiring for Utilization Review No Experience jobs? Cities with the most Utilization Review No Experience job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
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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 July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, 1% Temporary, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Review Specialist

Utilization Review Specialist

PARKSIDE INC

Tulsa, OK • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Parkside provides professional purpose, hope, and healing. As a member of our staff, you will be part of a mission-driven team, dedicated to changing lives and changing communities, one patient at a time.
Parkside Psychiatric Hospital & Outpatient Clinic is a comprehensive mental healthcare system providing acute inpatient care, residential treatment, and outpatient therapy. With a focus on society's most vulnerable population, Parkside provides world-class mental health services for youth and adults. For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, patient-centered care that propels families from hopeful to hope-filled. As a center of excellence, we cultivate talent and provide professional purpose. Together we facilitate healing, one patient at a time.
We are looking for a Full Time Utilization Review Specialist! The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private insurance. Coordinates with clinicians, business office and medical records to achieve above goals.
Responsibilities:
• Prepares authorization paperwork, processes requests for authorizations, and reviews requests for accuracy.
• Communicates with clinicians regarding discharge issues relevant to patient's pay source. Tracks due dates for authorization reviews and alerts clinicians.
• Communicates with clinicians regarding admissions and discharges to various units.
• Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. Maintains current knowledge of managed care requirements and accurately interprets these requirements to increase authorizations.
• Coordinates/completes the appeal process for authorization denials
• Performs audits of clinical services to ensure compliance with standards of third party pay sources and agency policies.
• Tracks unauthorized services and possible recoupment issues. Looks for possible corrections, trends.
• Maintains a good working relationship within the department and with other departments.
• Documentation meets current standards and policies.
• Maintains fit for duty. Acts in a professional manner and follows all Parkside policies and procedures.
• Orients new staff members to the unit
• Demonstrates the ability to be organized and flexible, acts appropriately in stressful/emergency situations. Able to provide Handle with Care when needed
• Performs other duties as assigned
  • Bachelor's degree in related field from an accredited university required. Experience in lieu of Degree will be considered.
  • 2yrs minimal experience in health care, utilization review and business setting

Benefits include:
  • Medical, Dental, and Vision
  • Generous Paid Time Off and Holidays
  • 401K and match start immediately, and includes a generous match
  • Company Paid Life Insurance and Disability and more!

We are an Equal Opportunity Employer!

Apply