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Utilization Review Support Jobs (NOW HIRING)

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Compliance support specialist & onboarding assistance * Dedicated recruiter for personalized ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

Bringing cutting-edge technology and top-tier human support together, we connect clients with ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...

Acrisure, LLC

Utilization Review Nurse

Bradenton, FL · On-site

Bringing cutting-edge technology and top-tier human support together, we connect clients with ... Utilization Review Nurse, LPN** to evaluate treatment requests and help ensure injured workers ...

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... Support discharge planning and care coordination * Document findings and communicate ...

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

Bringing cutting-edge technology and top-tier human support together, we connect clients with ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...

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Utilization Review Support information

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How much do utilization review support jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for utilization review support 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 become a utilization review support?

To become a utilization review support, candidates typically need a high school diploma or equivalent, with some roles preferring an associate's or bachelor's degree in healthcare, nursing, or a related field. Relevant skills include knowledge of medical terminology, insurance processes, and familiarity with electronic health records; certifications such as the Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP) can enhance prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

Is utilization review support work from home?

Utilization review support roles can often be performed remotely, especially with the increased adoption of telecommuting in healthcare administration. Many employers offer work-from-home options, provided the employee has access to necessary tools like secure communication platforms and understands compliance requirements. However, some positions may require on-site presence for certain tasks or meetings.

What does a utilization review support do?

A utilization review support professional assists in evaluating medical services to ensure they are necessary and appropriate, often reviewing patient records and insurance policies. They work closely with healthcare providers and insurance companies, using tools like electronic health records and adhering to industry guidelines to facilitate efficient approval processes.

What cities are hiring for Utilization Review Support jobs?

Cities with the most Utilization Review Support job openings:

What states have the most Utilization Review Support jobs?

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

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

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

Utilization Review Support Specialist

Mount Pleasant, SC • On-site

Novant Health
Health Care and Social Assistance • 10K+ employees
Learn more about Novant Healthexternal

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 8 days ago

Novant Health rating

7.1

Company rating: 7.1 out of 10

Based on 467 frontline employees who took The Breakroom Quiz

Job description

What We Offer
  • Comprehensive benefits include medical, dental, vision, and life insurance.
  • Retirement fund with matching contributions.
  • Tuition assistance for qualifying team members.
  • Employee assistance programs and discounts.
  • Hybrid work opportunity.

What You'll Do
  • Schedule: Monday - Friday, daytime hours, rotating holidays.
  • Provide administrative and technical support to the Utilization Review team to ensure timely payer communication, authorization tracking, and accurate documentation.
  • Manage daily operations of the onsite Utilization Review (UR) office, including processing mail, answering phone inquiries, making calls to verify authorizations and denial determinations, and faxing communications for multiple facilities.
  • Process denials within a strict timeframe and manage payor work queues to avoid adverse determinations.
  • Facilitate EMR access by sending census reports to payors.
  • Process large volumes of confidential patient and payer information to support billing workflows (includes managing payor communications, processing authorizations, addressing denials, and indexing faxes).
  • Establish and maintain effective work relationships with both internal and external customers.
  • Maintain compliance and regulatory standards and organizational policies.

What We're Looking For
Required:
  • Education: High School Diploma or GED.
  • Experience: Minimum of one year of clerical and healthcare experience.
  • Additional Skills (required): Excellent interpersonal and customer service skills. Working knowledge of personal computers and software including specific knowledge of Microsoft office products. Perform clerical duties with accuracy. Proficient spelling and grammatical skills. Attention to detail with excellent planning and organizational skills. Communicate effectively in both oral and written forms. Keyboard/type accurately. Ability to operate standard office equipment including, but not limited to, a calculator, fax machine, copier, printer and scanner. Establish and maintain effective work relationships. Ability to successfully complete generic and department specific skills validation and competency testing.

Preferred:
  • Knowledge of Microsoft Office products with proficiency in Excel and Word.
  • Revenue cycle experience working with different payer types and working knowledge of their requirements.

Why Choose Novant Health?
At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.
Job Opening ID
185138

What Novant Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Novant Health

Sourced by ZipRecruiter

Novant Health is a not-for-profit integrated system of 16 medical centers and more than 1,900 physicians in over 800 locations, as well as numerous outpatient surgery centers, medical plazas, rehabilitation programs, diagnostic imaging centers and community health outreach programs. Novant Health's more than 36,000 team members and physician partners care for patients and communities in North Carolina and South Carolina.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Winston-Salem, NC, US

Year founded

1997

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