Utilization Review / Case Manager (RN) Chicago, Illinois Reports To: Clinical Director, Behavioral ... Knowledge of Medicare/Medicaid, Managed Care, and Commercial insurance processes (Preferred)
Utilization Review / Case Manager (RN) Chicago, Illinois Reports To: Clinical Director, Behavioral ... Knowledge of Medicare/Medicaid, Managed Care, and Commercial insurance processes (Preferred)
Utilization Management Registered Nurse (RN) - Remote
Chicago, IL · On-site +1
$70K - $75K/yr
Communicating review determinations (written and/or verbal) to providers, members, and other ... Previous Health insurance experience Additional Information The salary range for this position is ...
Utilization Management Registered Nurse (RN) - Remote
Chicago, IL · On-site +1
$70K - $75K/yr
Communicating review determinations (written and/or verbal) to providers, members, and other ... Previous Health insurance experience Additional Information The salary range for this position is ...
Communicating review determinations (written and/or verbal) to providers, members, and other ... Previous Health insurance experience Additional Information The salary range for this position is ...
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Communicating review determinations (written and/or verbal) to providers, members, and other ... Previous Health insurance experience Additional Information The salary range for this position is ...
Utilization Management Registered Nurse (RN) - Remote
Chicago, IL · Remote
$70K - $75K/yr
Communicating review determinations (written and/or verbal) to providers, members, and other ... Previous Health insurance experience Additional Information The salary range for this position is ...
Utilization Management Registered Nurse (RN) - Remote
Chicago, IL · Remote
$70K - $75K/yr
Communicating review determinations (written and/or verbal) to providers, members, and other ... Previous Health insurance experience Additional Information The salary range for this position is ...
Transfer RN/UR
Chicago, IL · On-site
$70K/yr
Ability to decipher whether a patient meets criteria from a utilization review standpoint. * Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. * Document discharge ...
Transfer RN/UR
Chicago, IL · On-site
$70K/yr
Ability to decipher whether a patient meets criteria from a utilization review standpoint. * Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. * Document discharge ...
Transfer RN/UR
Chicago, IL · On-site
Ability to decipher whether a patient meets criteria from a utilization review standpoint. * Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. * Document discharge ...
Transfer RN/UR
Chicago, IL · On-site
Ability to decipher whether a patient meets criteria from a utilization review standpoint. * Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. * Document discharge ...
Transfer RN/UR
Chicago, IL · On-site
$70K/yr
Ability to decipher whether a patient meets criteria from a utilization review standpoint. * Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. * Document discharge ...
Transfer RN/UR
Chicago, IL · On-site
$70K/yr
Ability to decipher whether a patient meets criteria from a utilization review standpoint. * Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. * Document discharge ...
Insurance Verifier
Chicago, IL · On-site
$22.29 - $26.74/hr
... Utilization Review • Nursing Units • Patient Financial Services • Provide timely updates ... Requirements This position requires a rotating schedule, including rotating weekdays, weekends, and ...
Insurance Verifier
Chicago, IL · On-site
$22.29 - $26.74/hr
... Utilization Review • Nursing Units • Patient Financial Services • Provide timely updates ... Requirements This position requires a rotating schedule, including rotating weekdays, weekends, and ...
Insurance Verifier
Chicago, IL · On-site
$22.29 - $26.74/hr
... Utilization Review · Nursing Units · Patient Financial Services · Provide timely updates ... Requirements This position requires a rotating schedule, including rotating weekdays, weekends, and ...
Insurance Verifier
Chicago, IL · On-site
$22.29 - $26.74/hr
... Utilization Review · Nursing Units · Patient Financial Services · Provide timely updates ... Requirements This position requires a rotating schedule, including rotating weekdays, weekends, and ...
Psychiatrist Medical Director (State Inpatient Psychiatric Facility) - Chicago, IL
Chicago, IL · On-site
$180 - $190/hr
Direct quality assurance, peer review, and utilization review activities for psychiatric services ... weekday engagement, approximately 1,950 hours annually (about 37.5 hours per week) * Annual ...
Psychiatrist Medical Director (State Inpatient Psychiatric Facility) - Chicago, IL
Chicago, IL · On-site
$180 - $190/hr
Direct quality assurance, peer review, and utilization review activities for psychiatric services ... weekday engagement, approximately 1,950 hours annually (about 37.5 hours per week) * Annual ...
... utilization management experience preferred. • Knowledge of Medicare/Medicaid, Managed Care and Commercial insurance review processes preferred. • Ability to proactively anticipate and coordinate ...
... utilization management experience preferred. • Knowledge of Medicare/Medicaid, Managed Care and Commercial insurance review processes preferred. • Ability to proactively anticipate and coordinate ...
PAS Physician Advisor (Level of Care / Admission Status Review)
Chicago, IL · On-site
$150K - $199K/yr
Make phone contact with utilization review team and/or case managers at client hospitals regarding ... on weekdays, and mid-day to evenings on weekends * Weekend work commitment required to include 30 ...
PAS Physician Advisor (Level of Care / Admission Status Review)
Chicago, IL · On-site
$150K - $199K/yr
Make phone contact with utilization review team and/or case managers at client hospitals regarding ... on weekdays, and mid-day to evenings on weekends * Weekend work commitment required to include 30 ...
Valid driver license and car insurance as required by state law. • Required: Other as required by ... reviews, clinical assessments, staff education, MDS coordination, and process improvement ...
Valid driver license and car insurance as required by state law. • Required: Other as required by ... reviews, clinical assessments, staff education, MDS coordination, and process improvement ...
Valid driver license and car insurance as required by state law. • Required: Other as required by ... reviews, clinical assessments, staff education, MDS coordination, and process improvement ...
Valid driver license and car insurance as required by state law. • Required: Other as required by ... reviews, clinical assessments, staff education, MDS coordination, and process improvement ...
Valid driver license and car insurance as required by state law. Required: Other as required by ... reviews, clinical assessments, staff education, MDS coordination, and process improvement ...
Valid driver license and car insurance as required by state law. Required: Other as required by ... reviews, clinical assessments, staff education, MDS coordination, and process improvement ...
Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
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Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
Quick apply
Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
Quick apply
Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
Case Preparation Physician
Northbrook, IL · On-site
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
Case Preparation Physician
Northbrook, IL · On-site
$28.25/hr
... for utilization review. MD (or equivalent) level training is required but current Board ... Please be aware that initial training is conducted during the weekday (M-F). Qualifications: · ...
Weekday Insurance Utilization Review information
See Chicago, IL salary details
$16.10 - $19.65
14% of jobs
$22.59 is the 25th percentile. Wages below this are outliers.
$19.65 - $23.21
14% of jobs
$23.21 - $26.77
17% of jobs
The median wage is $28.72 / hr.
$26.77 - $30.32
11% of jobs
$30.32 - $33.88
8% of jobs
$33.88 - $37.44
6% of jobs
$40.10 is the 75th percentile. Wages above this are outliers.
$37.44 - $40.99
7% of jobs
$40.99 - $44.55
7% of jobs
$44.55 - $48.11
5% of jobs
$48.11 - $51.66
5% of jobs
$51.66 - $55.22
5% of jobs
$16
$32
$55
How much do weekday insurance utilization review jobs pay per hour?
As of Aug 15, 2026, the average hourly pay for weekday insurance utilization review in Chicago, IL is $32.90, according to ZipRecruiter salary data. Most workers in this role earn between $23.03 and $41.83 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 are the most commonly searched types of Insurance Utilization Review jobs in Chicago, IL?
The most popular types of Insurance Utilization Review jobs in Chicago, IL are:
Job description
Utilization Review / Case Manager (RN)
Chicago, Illinois
Reports To: Clinical Director, Behavioral Health Services
Term: Permanent, Full-time
General SummaryThe Utilization Review/Case Manager facilitates appropriate use of hospital resources by ensuring that patients meet acute inpatient criteria and anticipates discharge needs in a timely manner. The role acts as a central communicator with external and internal customers, collaborating with social workers, case managers, vendors, payers, and community agencies.
Key Responsibilities Utilization Management- Perform inpatient utilization management per plan, payer requirements, and standards.
- Collaborate with physicians and healthcare team members for timely and appropriate patient management.
- Collect and document clinical data to support admission and continued hospitalization.
- Provide accurate clinical information to payers as required.
- Support DRG Assurance Program with accurate data collection and assignment.
- Perform non-acute profiling, collect data on avoidable days, and refer cases to Physician Advisor when needed.
- Participate in family meetings and care conferences.
- Ensure timely referrals for discharge planning and use of regional/community resources.
- Refer complex cases to Social Services as appropriate.
- Ensure psychological needs of patients are met via direct intervention or referral.
- Act as a central communicator with patients, families, vendors, payers, and hospital staff.
- Provide continuity of care by leveraging community resources and maintaining updated resource manuals.
- Refer cases not meeting criteria to Physician Advisor in a timely manner.
- Follow up with Medical Director/Physician Advisor on unresolved issues.
- Maintain safe patient care environment and infection control compliance.
- Manage departmental operations (phones, supplies, data tracking).
- Attend in-service presentations and complete all mandatory education.
- Perform other duties as assigned.
- Graduate of an accredited school of nursing (Required)
- Current RN License in Illinois (Required)
- 2+ years relevant clinical experience (Preferred)
- Utilization management experience (Preferred)
- Knowledge of Medicare/Medicaid, Managed Care, and Commercial insurance processes (Preferred)
- Strong written/oral communication skills with appropriate grammar and vocabulary
- Proficiency in Microsoft Word and Excel (Required)
- Ability to provide excellent customer service at all times
- Ability to anticipate and coordinate multiple functions effectively
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