Utilization Review
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for ... Medical, Vision & Dental insurance * 401(k) Matching Program * Flexible Schedules * Travel ...
Kotzebue, AK · On-site
Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review processes as assigned. * Oversees development and maintenance of a resource ...
Kotzebue, AK · On-site
Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review processes as assigned. * Oversees development and maintenance of a resource ...
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
... insurance companies on concurrently denied and high risk for denial cases * Documentation ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
... insurance companies on concurrently denied and high risk for denial cases * Documentation ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Augusta, GA · On-site
Utilization Review Clinician Opportunity Lighthouse Care Center of Augusta has been providing ... insurance companies/authorizing entities to ensure initial precertification and continued ...
Augusta, GA · On-site
Utilization Review Clinician Opportunity Lighthouse Care Center of Augusta has been providing ... insurance companies/authorizing entities to ensure initial precertification and continued ...
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
... 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 ...
... 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 ...
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
$30 - $32/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Hours for this Position: * M-F 8:00am to 5:00pm ...
$30 - $32/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Hours for this Position: * M-F 8:00am to 5:00pm ...
Cooper City, FL · On-site
... insurance companies on concurrently denied and high risk for denial cases * Documentation ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Cooper City, FL · On-site
... insurance companies on concurrently denied and high risk for denial cases * Documentation ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Augusta, GA · On-site
... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.
Augusta, GA · On-site
... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
Fremont, CA · On-site
$32.35 - $43.63/hr
... Utilization Review Case Managers ... The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... This role ensures timely approvals and continued stay authorizations from insurance payers by ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... This role ensures timely approvals and continued stay authorizations from insurance payers by ...
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!
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!
Searcy, AR · On-site
Utilization Review Associate Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-25 ... That mission drives everything we do, from accepting every patient, regardless of insurance status ...
Searcy, AR · On-site
Utilization Review Associate Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-25 ... That mission drives everything we do, from accepting every patient, regardless of insurance status ...
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
Carteret, NJ · On-site
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review ...
We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations. The UR Specialist evaluates patient ...
Quick apply
We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations. The UR Specialist evaluates patient ...
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB ... Medical, Dental and Vision Insurance * Paid Time Off (vacation, holidays and sick days) and Medical ...
Mountain View Hospital is looking for a Utilization Review Coordinator to join our team! JOB ... Medical, Dental and Vision Insurance * Paid Time Off (vacation, holidays and sick days) and Medical ...
Canton, MA · On-site
$55 - $60/hr
Previous Managed Care, Health Plan, Medicare, Medicaid, or Commercial Insurance experience. * Strong knowledge of: * Utilization Management (UM) * Medical Necessity Review * Prior Authorization
Canton, MA · On-site
$55 - $60/hr
Previous Managed Care, Health Plan, Medicare, Medicaid, or Commercial Insurance experience. * Strong knowledge of: * Utilization Management (UM) * Medical Necessity Review * Prior Authorization
We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations. The UR Specialist evaluates patient ...
We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations. The UR Specialist evaluates patient ...
$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
| 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.
Cities with the most Weekday Insurance Utilization Review job openings:
The most popular types of Insurance Utilization Review jobs are:
States with the most job openings for Weekday Insurance Utilization Review jobs include:
Other
Medical, Dental, Vision, Retirement
Posted 17 days ago
Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Washington, DC and make a real impact in patient care!
In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
If you're ready to elevate your career and make a difference in the lives of others, apply today!
At Prime Time Healthcare, we offer competitive compensation along with a large range of benefits including:
Prime Time Healthcare, LLC is an Equal Opportunity Employer (EOE).
*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
Sourced by ZipRecruiter
PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.
Recruiting and staffing services
51 - 200 Employees
Omaha, NE, US
2012