Tewksbury, MA · On-site
$1.6K/wk
Utilization Review * Discipline: Therapy * Start Date: 08/24/2026 * Duration: 52 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Benefits: * Day 1 Insurance * Cigna medical ...
Tewksbury, MA · On-site
$1.6K/wk
Utilization Review * Discipline: Therapy * Start Date: 08/24/2026 * Duration: 52 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Benefits: * Day 1 Insurance * Cigna medical ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and ...
Ensures that Utilization Review nurses are consistently recommending the appropriate admission status and provides education as needed. * Interacts with physicians to manage high risk patients most ...
Ensures that Utilization Review nurses are consistently recommending the appropriate admission status and provides education as needed. * Interacts with physicians to manage high risk patients most ...
Boston, MA · On-site
$41.71 - $105.65/hr
Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. The nurse is a part of the care coordination staff and ...
Boston, MA · On-site
$41.71 - $105.65/hr
Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. The nurse is a part of the care coordination staff and ...
Boston, MA · On-site +1
$41.71 - $105.65/hr
Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. The nurse is a part of the care coordination staff and ...
Boston, MA · On-site +1
$41.71 - $105.65/hr
Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. The nurse is a part of the care coordination staff and ...
Milford, NH · On-site
The UM RN is responsible for reviewing patient cases to ensure appropriate utilization of healthcare services, medical necessity, compliance with payer requirements, and optimal patient outcomes.
Milford, NH · On-site
The UM RN is responsible for reviewing patient cases to ensure appropriate utilization of healthcare services, medical necessity, compliance with payer requirements, and optimal patient outcomes.
Waltham, MA · On-site
Participate in utilization management committees and work on special projects related to ... Audit case reviews to ensure compliance with utilization management policies and procedures ...
Waltham, MA · On-site
Participate in utilization management committees and work on special projects related to ... Audit case reviews to ensure compliance with utilization management policies and procedures ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Bedford, NH · On-site
Educate providers on utilization and medical management. * Provide clinical knowledge. * Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical ...
Bedford, NH · On-site
Educate providers on utilization and medical management. * Provide clinical knowledge. * Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical ...
Educate providers on utilization and medical management. * Provide clinical knowledge. * Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical ...
Educate providers on utilization and medical management. * Provide clinical knowledge. * Perform onsite review of emergent/urgent and continued stay requests Qualifications * 2+ years of clinical ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
Nashua, NH · On-site
$85 - $110/hr
Perform utilization review activities and determine appropriate levels of care using InterQual criteria. * Conduct concurrent clinical reviews and communicate with insurance providers to support ...
Nashua, NH · On-site
$85 - $110/hr
Perform utilization review activities and determine appropriate levels of care using InterQual criteria. * Conduct concurrent clinical reviews and communicate with insurance providers to support ...
Perform utilization review activities and determine appropriate levels of care using InterQual criteria. * Conduct concurrent clinical reviews and communicate with insurance providers to support ...
Perform utilization review activities and determine appropriate levels of care using InterQual criteria. * Conduct concurrent clinical reviews and communicate with insurance providers to support ...
Perform utilization review activities and determine appropriate levels of care using InterQual criteria. * Conduct concurrent clinical reviews and communicate with insurance providers to support ...
Perform utilization review activities and determine appropriate levels of care using InterQual criteria. * Conduct concurrent clinical reviews and communicate with insurance providers to support ...
Nashua, NH · On-site
$75 - $95/hr
Perform utilization review activities and determine appropriate levels of care using InterQual criteria.* Conduct concurrent clinical reviews and communicate with insurance providers to support ...
Nashua, NH · On-site
$75 - $95/hr
Perform utilization review activities and determine appropriate levels of care using InterQual criteria.* Conduct concurrent clinical reviews and communicate with insurance providers to support ...
$22.45 - $26.98
2% of jobs
$26.98 - $31.52
9% of jobs
$34.63 is the 25th percentile. Wages below this are outliers.
$31.52 - $36.06
21% of jobs
The median wage is $39.74 / hr.
$36.06 - $40.60
23% of jobs
$40.60 - $45.14
13% of jobs
$48.67 is the 75th percentile. Wages above this are outliers.
$45.14 - $49.68
10% of jobs
$49.68 - $54.22
8% of jobs
$54.22 - $58.76
5% of jobs
$58.76 - $63.30
5% of jobs
$63.30 - $67.84
2% of jobs
$67.84 - $72.38
2% of jobs
$22
$44
$72
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
The most popular types of Utilization Review jobs in Lawrence, MA are:
For Utilization Review jobs in Lawrence, MA, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Lawrence, MA are:
Cities near Lawrence, MA with the most Utilization Review job openings:
$1.6K/wk
Other
Medical, Dental, Vision
Posted 11 days ago
Uniti Med is seeking a travel Utilization Review for a travel job in Tewksbury, Massachusetts.
Job Description & RequirementsBenefits:
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.
UnitiMed Job ID #839712. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About Uniti MedUniti Med meticulously matches your talents to our open needs to ensure the ultimate travel experience. Tell us where you want to go and let our experienced staff lead the way!
Why Vivian Health?Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.
Benefits
Sourced by ZipRecruiter
A great workplace is created when core values are exhibited by employees on a daily basis. At Uniti Med, our values are more than just aspirations, they are embedded in our decision-making processes and how we work with one another. We are always looking for good humans who understand this is exactly where they are supposed to be to change people’s lives for the better. If these values speak to you, Uniti is your home.
Recruiting and staffing services
11 - 50 Employees
Omaha, NE, US
2021
