Utilization Review Assistant Under the direction of the Coordinator of Utilization Review, the ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
Utilization Review Assistant Under the direction of the Coordinator of Utilization Review, the ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
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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 ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
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What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
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 ...
Utilization Review RN
Fort Lauderdale, FL · On-site
$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 ...
Utilization Review RN
Fort Lauderdale, FL · On-site
$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 ...
Utilization Review Assistant FLSA CODE: Non-Exempt PROGRAM: George Rosenfeld Center for Recovery ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
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Utilization Review Assistant FLSA CODE: Non-Exempt PROGRAM: George Rosenfeld Center for Recovery ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
Utilization Review Nurse - Per-Diem
Lawrence, MA · On-site
$37.50 - $76.34/hr
Schedule will vary and include weekdays and weekend shifts. Current hospital MNA members eligible ... utilization review preferred. * Strong verbal and written communications skills * Proficiency with ...
Utilization Review Nurse - Per-Diem
Lawrence, MA · On-site
$37.50 - $76.34/hr
Schedule will vary and include weekdays and weekend shifts. Current hospital MNA members eligible ... utilization review preferred. * Strong verbal and written communications skills * Proficiency with ...
Utilization Review Nurse - Per-Diem
Lawrence, MA · On-site
$37.50 - $76.34/hr
Schedule will vary and include weekdays and weekend shifts. Current hospital MNA members eligible ... utilization review preferred. * Strong verbal and written communications skills * Proficiency with ...
Utilization Review Nurse - Per-Diem
Lawrence, MA · On-site
$37.50 - $76.34/hr
Schedule will vary and include weekdays and weekend shifts. Current hospital MNA members eligible ... utilization review preferred. * Strong verbal and written communications skills * Proficiency with ...
Utilization Review and Appeals Case Manager Position Summary This position is responsible for ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Utilization Review and Appeals Case Manager Position Summary This position is responsible for ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Utilization Review Nurse - Per-Diem
Lawrence, MA · On-site
$37.50 - $76.34/hr
Schedule will vary and include weekdays and weekend shifts. Current hospital MNA members eligible ... utilization review preferred. * Strong verbal and written communications skills * Proficiency with ...
Utilization Review Nurse - Per-Diem
Lawrence, MA · On-site
$37.50 - $76.34/hr
Schedule will vary and include weekdays and weekend shifts. Current hospital MNA members eligible ... utilization review preferred. * Strong verbal and written communications skills * Proficiency with ...
... all utilization review/case management activities for the facility's inpatient, partial ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
... all utilization review/case management activities for the facility's inpatient, partial ... Attends mini-treatment team and morning status meetings each weekday to obtain third-party payer ...
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
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Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
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Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Per Diem Shift: 8-hour shifts - Coverage for weekday and weekends Location: St. Mary Medical Center - Langhorne, PA Position Purpose The UM Registered Nurse is responsible for the coordinating and ...
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Utilization Review and Appeals Case Manager
Stony Brook, NY · On-site
$89K - $127K/yr
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Utilization Review and Appeals Case Manager
Stony Brook, NY · On-site
$89K - $127K/yr
Duties of a Utilization Review and Appeals Case Manager may include the following but are not ... Weekday and weekend flexibility. Preferred Qualifications: * Master's Degree. * Experience or ...
Botox Utilization Review Specialist - Phoenix, AZ
Phoenix, AZ · On-site
$20 - $25/hr
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Botox Utilization Review Specialist - Phoenix, AZ
Phoenix, AZ · On-site
$20 - $25/hr
Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday ... The role offers a consistent weekday schedule and the opportunity to work closely with clinical ...
Weekday Optum Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do weekday optum utilization review jobs pay per hour?
What is the difference between Weekday Optum Utilization Review vs Weekday Optum Claims Reviewer?
| Aspect | Weekday Optum Utilization Review | Weekday Optum Claims Reviewer |
|---|---|---|
| Primary Role | Assess medical necessity and appropriateness of healthcare services | Review and process insurance claims for accuracy and compliance |
| Credentials | Typically requires nursing or healthcare-related certifications | Usually requires insurance or claims processing experience, with some certifications preferred |
| Work Environment | Office-based, healthcare settings, remote options | Office or remote, insurance company environment |
| Industry Usage | Healthcare insurance, utilization management | Insurance claims processing, customer service |
While both roles are integral to healthcare insurance operations, Weekday Optum Utilization Review focuses on evaluating the medical necessity of services, whereas Weekday Optum Claims Reviewer handles claims processing and verification. Understanding these differences helps job seekers target the right position based on their skills and credentials.
- Evening Optum Utilization Review
- Internship Remote Utilization Review
- Senior Specialist Cigna Utilization Review
- Remote Aetna Utilization Review
- Clinical Health Network Remote
- Director Chiropractic Utilization Review
- Full Time Cigna Utilization Review
- Remote Dental Utilization Management
- Per Diem Medical Utilization Review Physician
- Remote International Nurse

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 12 days ago
Job description
Under the direction of the Coordinator of Utilization Review, the Utilization Review Assistant will provide support with filing, tracking, scheduling, and internal/external communications to the Utilization Review team. Utilization Review Assistant documents all updates on authorizations in the electronic medical record, including communications with insurance companies, requests for clinical updates, denials received, and others as needed. Utilization Review Assistant manages discharges across all 820 programs. Participates in collaborative calls with MCOs to confirm client's engagement in treatment. Assists in managing all work queues assigned to Utilization Review to ensure timely follow up on accounts.
Specific duties and responsibilities include:
- Manages discharges across all 820 programs; confirm discharge documentation was received and processed accordingly by managed care organizations.
- Participates in collaborative calls with MCOs to confirm client's engagement in treatment.
- Uploads admissions LOCADTR, concurrent review LOCADTRs and pertinent UR documentation such as legal mandates, MCO correspondence, and discharge documentation to be filed in the department SharePoint and the electronic health record.
- Receive, track, and distribute information from MCO case management staff for client's receiving enhanced benefits plans such as HARP.
- Track and maintain MCO correspondence on SharePoint for intradepartmental use.
- Retrieves voicemails and faxes for the department and transcribes the information into the team calendar and team SharePoint.
- Schedule live reviews & peer to peer sessions for Coordinator of UR and relevant parties.
- Produce UR meeting minutes and distribution to relevant parties.
- Prepare, file, and submit monthly updates on the progress of identified projects, rosters, retention and reports as needed.
- Attend regularly scheduled staff meetings and case conferences.
- Communicate in a positive, professional manner at all times
- Attend all required in-service training seminars.
- Other relevant duties as required.
Requirements include:
- High School Diploma or GED, with 3 years' experience in an administrative support role in a healthcare setting; Or associate degree in healthcare/Business Administration or Related (Required).
- Highly organized and ability to manage multiple projects and priorities to meet deadlines and revenue goals.
- Communicate effectively, both orally and in writing.
- Ability to work within the context of a multi-disciplinary team, build relationships and foster partnerships.
- Proficiency with computer operation (Microsoft Word, Excel, Electronic Health Records, and Outlook programs).
In addition, Odyssey House offers our Utilization Review Assistant:
- A 35-hour work week (as opposed to a 40-hour work week)
- Vacation Plan and Holiday Schedule
- Life Insurance
- Medical Insurance (Two Plans)
- Dental and Vision Insurance
- Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
- Long-Term & Short-Term Disability
- Flexible Spending Account/Health Reimbursement Account
- 403(b) Plan
- Corporate Counseling Associates (CCA) EAP benefit
- Ability Assist Counseling Services (through The Hartford)
- Commuter Benefits
- Educational Assistance Programs
- Special shopping discounts through ADP Marketplace and PlumBenefits
- RUFit?! Fitness Program
- Pet Insurance
- Legal Assistance
- Optum Financial Service through ConnectYourCare
- Benefit Advocacy Center through Gallagher
Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.