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Weekday Insurance Utilization Review Jobs (NOW HIRING)

Mindful Health

Utilization Review Specialist

$25 - $30/hr

Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing ... Comprehensive medical and supplemental health insurance, including vision, dental, life insurance ...

UHS

Utilization Review Coordinator

Augusta, GA

... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Company Paid Life Insurance and Disability and more! We are an Equal Opportunity Employer!

Dane Street, LLC

Utilization Review Physician

Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We ...

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Weekday Insurance Utilization Review information

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

As of Jul 11, 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 Review Specialist

Utilization Review Specialist

Mindful Health

Remote

$25 - $30/hr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 14 days ago

Job description

Utilization Review Specialist
Mindful Health is a fast-growing company with the goal of providing an intentionally different approach to mental health and well-being. We are a combination of bricks and mortar locations and virtual service offerings across the state of Texas to create a high-end client experience.
Mindful Health creates an atmosphere that supports and values our clients and team members. Our commitment is to cultivate a place that provides intentional and exceptional care for our clients and a warm and nurturing environment for our team so we can make a lasting impact in our communities. We believe that health encompasses the whole person, mind, and body, and our clinical programming is built around this belief. We work to empower clients to live fuller and healthier lives. We maintain these same beliefs in developing and supporting our Mindful Health team. We seek enthusiastic individuals passionate about helping clients and value working in a team environment. Please visit our website for more information about our services, locations and team at www.mindful.health.
Job Summary:
Utilization Review Specialist: Responsible for ensuring adherence to Mindful Health’s utilization review plan by evaluating the efficiency, effectiveness, and medical necessity of outpatient services, including admissions and extended treatment. *Must reside in Texas*
Duties/Responsibilities:
  • Establish processes to verify the medical necessity and appropriateness of outpatient admissions
  • Conduct concurrent reviews to ensure extended stays are justified and properly documented
  • Track patient lengths of stay and continued-stay days
  • Refer non-compliant cases to the Physician Advisor for further evaluation
  • Collaborate with the Utilization Review Committee to identify and resolve review-related issues
  • Flag quality-of-care concerns and escalating them to the Quality Assurance Committee
  • Coordinate with Social Services to support timely discharge planning
  • Prepare and present monthly utilization reports and key metrics
Required Skills:
  • Strong verbal and written communication abilities
  • Exceptional organizational skills and keen attention to detail
  • Proven time management skills with the ability to meet deadlines consistently
  • Proficiency in Microsoft Office Suite and related software applications
Education and Experience:
  • Associate's or Bachelor’s degree in a healthcare related field preferred
  • 1–2 years of experience in utilization review
  • Active CPR certification
Physical Requirements:
  • Ability to sit at a desk and work on a computer for extended periods
  • Capable of lifting, holding, pushing, and pulling up to 15 pounds
  • Proficient in typing, navigating, and viewing monitors for prolonged durations
  • Visual acuity to view monitors with close vision, color perception, depth perception, and focus adjustment
  • Effective verbal and written communication skills to engage with patients, team members, and customers
  • Ability to read, write, and comprehend information through active listening
  • Consistent performance of essential job functions in accordance with ADA, FMLA, and applicable federal, state, and local regulations, including meeting productivity standards
  • Reliable and punctual attendance aligned with workplace standards
  • Flexibility to work at multiple locations during a scheduled work week
  • Mobility to move throughout the office or client sites to assist patients as needed
Mindful Health offers:
  • A healthy amp; positive atmosphere where everyone is valued.
  • Schedule: Monday-Friday, 8AM-5PM CST
  • Salary: $25.00 - $30.00 / hr

Benefits:
  • 120 hours (15 days) of paid time off annually
  • 9 paid holidays
  • 40 hours (5 days) of sick leave
  • 24 hours (3 days) of bereavement leave per occurrence
  • Comprehensive medical and supplemental health insurance, including vision, dental, life insurance, amp; both short- and long-term disability
  • Opportunities for professional development and continued education

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Employee signature below indicates the employee’s understanding of the requirements, essential functions, and duties of the position.

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