Review requests for contract specific prior authorization of services within a centralized unit ... Utilization review, prior authorization, or managed care experience preferred. * Active OH RN ...
Review requests for contract specific prior authorization of services within a centralized unit ... Utilization review, prior authorization, or managed care experience preferred. * Active OH RN ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Determines contract and benefit eligibility; provides authorization for inpatient admission ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Determines contract and benefit eligibility; provides authorization for inpatient admission ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Determines contract and benefit eligibility; provides authorization for inpatient admission ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Determines contract and benefit eligibility; provides authorization for inpatient admission ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Determines contract and benefit eligibility; provides authorization for inpatient admission ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Representative II
Columbus, OH · On-site
$17.33 - $26.59/hr
Determines contract and benefit eligibility; provides authorization for inpatient admission ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
We are one of the nation's leading administrators of government contracts. We operate one of the ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
Appeals Medical Director- Cardiology
Columbus, OH · On-site
$247K - $446K/yr
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
Appeals Medical Director- Cardiology
Columbus, OH · On-site
$247K - $446K/yr
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
Appeals Medical Director- Cardiology
$247K - $446K/yr
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
Appeals Medical Director- Cardiology
$247K - $446K/yr
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
... when conducting utilization review or an appeals consideration and cannot be located on a US ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
Director of Rehabilitation
Westerville, OH · On-site
$90 - $130/hr
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... Participate in interdisciplinary meetings including utilization review, quality assurance, resident ...
Director of Rehabilitation
Westerville, OH · On-site
$90 - $130/hr
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... Participate in interdisciplinary meetings including utilization review, quality assurance, resident ...
Director of Rehabilitation
Westerville, OH · On-site
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Westerville, OH · On-site
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Westerville, OH · On-site
$90 - $130/hr
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... Participate in interdisciplinary meetings including utilization review, quality assurance, resident ...
Director of Rehabilitation
Westerville, OH · On-site
$90 - $130/hr
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... Participate in interdisciplinary meetings including utilization review, quality assurance, resident ...
... utilization review, compliance notifications, wellness information, and any other items deemed ... of contracts. * Captures all meeting notes and activities during client-facing sessions and ...
... utilization review, compliance notifications, wellness information, and any other items deemed ... of contracts. * Captures all meeting notes and activities during client-facing sessions and ...
... utilization review, compliance notifications, wellness information, and any other items deemed ... of contracts. * Captures all meeting notes and activities during client-facing sessions and ...
... utilization review, compliance notifications, wellness information, and any other items deemed ... of contracts. * Captures all meeting notes and activities during client-facing sessions and ...
... utilization review, compliance notifications, wellness information, and any other items deemed ... of contracts. * Captures all meeting notes and activities during client-facing sessions and ...
... utilization review, compliance notifications, wellness information, and any other items deemed ... of contracts. * Captures all meeting notes and activities during client-facing sessions and ...
Case Manager
Westerville, OH · On-site
$19.50 - $25/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Westerville, OH · On-site
$19.50 - $25/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Westerville, OH · On-site
$19.25 - $24.75/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Case Manager
Westerville, OH · On-site
$19.25 - $24.75/hr
Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.
Director of Rehabilitation
Westerville, OH · On-site
$75K - $80K/yr
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Westerville, OH · On-site
$75K - $80K/yr
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Contract 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 contract utilization review jobs pay per hour?
As of Aug 9, 2026, the average hourly pay for contract utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
What are popular job titles related to Contract Utilization Review jobs? For Contract Utilization Review jobs, the most frequently searched job titles are:
What job categories do people searching Contract Utilization Review jobs look for? The top searched job categories for Contract Utilization Review jobs are:
What cities are hiring for Contract Utilization Review jobs? Cities with the most Contract Utilization Review job openings:
What states have the most Contract Utilization Review jobs? States with the most job openings for Contract Utilization Review jobs include:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
$30/hr
Contractor
Re-posted 16 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Position Purpose: Review requests for contract specific prior authorization of services within a centralized unit
- Review provider request for contract specific prior authorization through fax or telephone with application of evidence based criteria to ensure medical necessity for services
- Act as clinical resource to unit referral specialist staff and make appropriate referrals
- Provide provider education as directed
- Â Data entry and inquiry using both claims and clinical system software for performance of the authorization review process with documentation into the appropriate systems
Qualifications
Education/Experience: At least two years clinical nursing experience. Utilization review, prior authorization, or managed care experience preferred.
- Active OH RN Licensure
- Experienced with either Interqual or Milliman
Licenses/Certifications: Current RN, required. Utilization Management (CPUR) certification, Certified Case Manager (CCM), or equivalent preferred.
Additional Information
Advantages of this Opportunity:
Hours for this Position: Monday- Friday 8a-5p
Pay $30.00 per hour
Start date: 7/6
If you are interested, please call, Lovely 321-574-6539Â and email your resume to me.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003