ZipRecruiter

Log In

1

Weekday Insurance Utilization Review Jobs (NOW HIRING)

Genex Services

Utilization Reviewer 2

Wayne, PA · On-site

$52K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

New

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for ... Medical, vision & dental insurance * 401(k) matching program * Flexible schedules * Travel ...

Enlyte

Utilization Reviewer 2

Wayne, PA

$52K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

Enlyte

Utilization Reviewer 2

Saint Louis, MO · On-site

$52K - $76K/yr

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity. * Prior experience in the workers' compensations field. Benefits We're ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...

Ova Technologies

Utilization Review Nurse

Alpharetta, GA · On-site

Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization Review Nurse ... Communicate with insurance companies, managed care organizations, and third-party payers regarding ...

Acrisure

Utilization Review Nurse

Bradenton, FL

... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

... of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. In the ... Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure ...

previous pagenext page

Showing results 21-40

All JobsHealthcare JobsNursing JobsNurse Case Manager JobsWeekday Insurance Utilization Review Jobs

Weekday Insurance Utilization Review information

See salary details

$15

$31

$53

How much do weekday insurance utilization review jobs pay per hour?

As of Aug 21, 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?

AspectWeekday Insurance Utilization ReviewWeekday Claims Processor
Primary RoleAssessing medical necessity and appropriateness of servicesProcessing and reviewing insurance claims for payment
CredentialsOften requires healthcare or insurance certificationsTypically requires insurance or administrative experience
Work EnvironmentHealthcare settings, insurance companiesInsurance companies, healthcare offices
FocusMedical review and authorizationClaims 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:

Weekday Insurance Utilization Review jobs near you

Utilization Reviewer 2

Genex Services

Wayne, PA • On-site

$52K - $76K/yr

Other

Medical, Dental, Vision, Life, Retirement

Posted yesterday

New

Job description

Company Overview
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.
Be part of a team that makes a real difference.
Job Description
This is an In Office Position from Monday - Friday from 9 AM - 5 PM EST
PA Registered Nurse or Chiropractor License Required
We are seeking a qualified Utilization Reviewer located in the Tampa, FL area. The ideal candidate performs utilization review on workers' compensation related prospective, concurrent, and retrospective treatment referrals. The ideal candidate will play a crucial role in assessing and ensuring the appropriateness of medical treatment plans, contributing to effective claims management and optimal patient outcomes.

  • Uses solid clinical judgment to ensure treatment approved is medically necessary.
  • Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based on application of solid clinical judgment.
  • Collaborates with healthcare providers, claims adjusters, and other stakeholders to gather relevant information for comprehensive assessments.
  • Evaluates medical documentation to ensure compliance with industry standards and regulatory requirements.
  • Communicates findings clearly and concisely through written reports and verbal discussions.
  • Stays up-to-date on industry regulations, medical advancements, and best practices to enhance the quality of reviews.
  • Participates in team meetings and contributes to the continuous improvement of utilization review processes.
Qualifications
Minimum Education: Bachelor's degree.
Required Skills and Experience:
  • Registered Nurse (RN) or LVN with a valid license in the state of practice.
  • Minimum of 2 years of clinical experience; or an advanced degree without experience.
  • Knowledge of medical terminology, treatment modalities, and healthcare guidelines.
  • Analytical and critical thinking skills for effective decision-making.
  • Strong communication and interpersonal skills to liaise with diverse stakeholders.
  • Ability to work independently and collaboratively within a team environment.
  • Detail-oriented with strong organizational skills to manage multiple cases efficiently.
  • Familiarity with relevant software and tools used in healthcare.
Desired Skills and Experience:
  • Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity.
  • Prior experience in the workers' compensations field.

Benefits
We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $52,750 - $76,000 annually, and will be based on a number of additional factors including skills, experience, and education.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
#LI-MC1

Apply