Care Review Nurse
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Care Review Nurse
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Utilization Review Coordinator
Norman, OK · On-site
... Life Insurance Employee Assistance Program Essential Functions: * Identifies and reports ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
Utilization Review Coordinator
Norman, OK · On-site
... Life Insurance Employee Assistance Program Essential Functions: * Identifies and reports ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
Utilization Review Nurse
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
Utilization Review Nurse
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
... Insurance Employee Assistance Program The Utilization Review Coordinator is responsible for ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
... Insurance Employee Assistance Program The Utilization Review Coordinator is responsible for ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Utilization Review Coordinator
Gretna, LA · On-site
Description The Utilization Review Coordinator is responsible for management of all utilization ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
Utilization Review Coordinator
Gretna, LA · On-site
Description The Utilization Review Coordinator is responsible for management of all utilization ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
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Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for ... Additional Insurance Coverages (hospitalization, accidental, critical illness coverage ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...
As a Utilization Review Directorjoining our team, you're embracing a vital mission dedicated to ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
As a Utilization Review Directorjoining our team, you're embracing a vital mission dedicated to ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...
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Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...
Voluntary Coverages - Pet insurance, home and auto insurance, family legal services, and more ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...
Voluntary Coverages - Pet insurance, home and auto insurance, family legal services, and more ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...
Utilization Review Specialist
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...
Utilization Review Specialist
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Communicates and works closely with insurance companies to ensure that the organization will be ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Communicates and works closely with insurance companies to ensure that the organization will be ...
As a Utilization Review Director joining our team, you're embracing a vital mission dedicated to ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
As a Utilization Review Director joining our team, you're embracing a vital mission dedicated to ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...
Utilization Review Nurse The utilization review (UR) nurse serves to maximize the quality and cost ... insurance information, provide clinical updates to 3rd Party payors, place accounts on hold and ...
Utilization Review Nurse The utilization review (UR) nurse serves to maximize the quality and cost ... insurance information, provide clinical updates to 3rd Party payors, place accounts on hold and ...
Utilization Review Coordinator
Seattle, WA · On-site +1
Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ... Coordinate all concurrent insurance reviews with clinicians and medical team. * Provide guidance on ...
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Utilization Review Coordinator
Seattle, WA · On-site +1
Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ... Coordinate all concurrent insurance reviews with clinicians and medical team. * Provide guidance on ...
Utilization Review Coordinator
Los Angeles, CA · On-site +1
Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ... Coordinate all concurrent insurance reviews with clinicians and medical team. * Provide guidance on ...
New
Quick apply
Utilization Review Coordinator
Los Angeles, CA · On-site +1
Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ... Coordinate all concurrent insurance reviews with clinicians and medical team. * Provide guidance on ...
New
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... insurance information, provide clinical updates to 3rd Party payors, place accounts on hold and ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... insurance information, provide clinical updates to 3rd Party payors, place accounts on hold and ...
Nurse Utilization Review
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... insurance information, provide clinical updates to 3rd Party payors, place accounts on hold and ...
Nurse Utilization Review
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... insurance information, provide clinical updates to 3rd Party payors, place accounts on hold and ...
Weekday Insurance Utilization Review information
See salary details
$15.63 - $19.08
14% of jobs
$21.93 is the 25th percentile. Wages below this are outliers.
$19.08 - $22.53
14% of jobs
$22.53 - $25.98
17% of jobs
The median wage is $27.88 / hr.
$25.98 - $29.44
11% of jobs
$29.44 - $32.89
8% of jobs
$32.89 - $36.34
6% of jobs
$38.93 is the 75th percentile. Wages above this are outliers.
$36.34 - $39.79
7% of jobs
$39.79 - $43.25
7% of jobs
$43.25 - $46.70
5% of jobs
$46.70 - $50.15
5% of jobs
$50.15 - $53.61
5% of jobs
$15
$31
$53
How much do weekday insurance utilization review jobs pay per hour?
As of May 31, 2026, the average hourly pay for weekday insurance utilization review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.
What is the difference between Weekday Insurance Utilization Review vs Weekday Claims Processor?
| Aspect | Weekday Insurance Utilization Review | Weekday Claims Processor |
|---|---|---|
| Primary Role | Assessing medical necessity and appropriateness of services | Processing and reviewing insurance claims for payment |
| Credentials | Often requires healthcare or insurance certifications | Typically requires insurance or administrative experience |
| Work Environment | Healthcare settings, insurance companies | Insurance companies, healthcare offices |
| Focus | Medical review and authorization | Claims data entry and verification |
Weekday Insurance Utilization Review focuses on evaluating medical necessity, while Weekday Claims Processors handle the administrative processing of insurance claims. Both roles are essential in the insurance industry but serve different functions related to claims management and healthcare authorization.
What cities are hiring for Weekday Insurance Utilization Review jobs? Cities with the most Weekday Insurance Utilization Review job openings:
What are the most commonly searched types of Insurance Utilization Review jobs? The most popular types of Insurance Utilization Review jobs are:
What states have the most Weekday Insurance Utilization Review jobs? States with the most job openings for Weekday Insurance Utilization Review jobs include:
Job description
Company Description
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
Job Description
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care
Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Qualifications
Background
Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience)
Potential for longer term dependent on enrollment
Workers will be doing Concurrent Inpatient Review
MUST have one of the following AT LEAST
-Utilization Review in hospital setting
Nurses who are used to doing both production and review work
Additional Information
All your information will be kept confidential according to EEO guidelines.
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996