Monday-Friday (8:00am-4:30pm) Position is work from home after a 90 day in-office training period ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...
Monday-Friday (8:00am-4:30pm) Position is work from home after a 90 day in-office training period ... Conducts utilization reviews of behavioral health cases to determine medical necessity ...
Monitors and reviews MCO portals to track authorization status, pending requests, approvals ... Participates in department meetings, training, and process improvement initiatives. * Performs ...
Quick apply
Monitors and reviews MCO portals to track authorization status, pending requests, approvals ... Participates in department meetings, training, and process improvement initiatives. * Performs ...
Training: Onsite classroom style training for 3 weeks. * Expectation after training is to handle 20 ... utilization review for other healthcare services * Checks eligibility and verifies benefits ...
Training: Onsite classroom style training for 3 weeks. * Expectation after training is to handle 20 ... utilization review for other healthcare services * Checks eligibility and verifies benefits ...
Care Review Processor
Columbus, OH · On-site
Training: Onsite classroom style training for 3 weeks. * Expectation after training is to handle 20 ... utilization review for other healthcare services * Checks eligibility and verifies benefits ...
Care Review Processor
Columbus, OH · On-site
Training: Onsite classroom style training for 3 weeks. * Expectation after training is to handle 20 ... utilization review for other healthcare services * Checks eligibility and verifies benefits ...
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
... training set forth by Nationwide Children's Hospital and maintain qualification of insurance ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Serve as the primary clinical administrator for Case Management/ Utilization Review applications ... Preceptor Training * Develop and Maintain Case Management Education Calendar * Design and ...
Serve as the primary clinical administrator for Case Management/ Utilization Review applications ... Preceptor Training * Develop and Maintain Case Management Education Calendar * Design and ...
Serve as the primary clinical administrator for Case Management/ Utilization Review applications ... Preceptor Training * Develop and Maintain Case Management Education Calendar * Design and ...
Quick apply
Serve as the primary clinical administrator for Case Management/ Utilization Review applications ... Preceptor Training * Develop and Maintain Case Management Education Calendar * Design and ...
Serve as the primary clinical administrator for Case Management/ Utilization Review applications ... Preceptor Training * Develop and Maintain Case Management Education Calendar * Design and ...
Serve as the primary clinical administrator for Case Management/ Utilization Review applications ... Preceptor Training * Develop and Maintain Case Management Education Calendar * Design and ...
Free Onsite Gym and Walking Path! * Daycare On-site! * Cafeteria On-site! What you'll do as a ... utilization. * Review & analyze contracts to ensure compliance with applicable laws, rules &/or ...
New
Free Onsite Gym and Walking Path! * Daycare On-site! * Cafeteria On-site! What you'll do as a ... utilization. * Review & analyze contracts to ensure compliance with applicable laws, rules &/or ...
New
Physician Reviewer-Radiology (Part Time)
Columbus, OH · On-site
$95 - $100/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Physician Reviewer-Radiology (Part Time)
Columbus, OH · On-site
$95 - $100/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $96/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $96/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Columbus, OH · On-site
$95 - $109/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Columbus, OH · On-site
$95 - $96/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Columbus, OH · On-site
$95 - $96/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... Participates in on-going training per inter-rater reliability process. Qualifications: * MD/DO/MBBS
Free Utilization Review Training 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 free utilization review training jobs pay per hour?
As of Aug 22, 2026, the average hourly pay for free utilization review training 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 Free Utilization Review Training jobs?
For Free Utilization Review Training jobs, the most frequently searched job titles are:
- Freelance Utilization Review Nurse
- Utilization Review Specialist
- Utilization Review Physician
- Full Time Physician Advisor Utilization Review
- Evening Optum Health Utilization Review
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- Behavioral Health Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
What job categories do people searching Free Utilization Review Training jobs look for?
The top searched job categories for Free Utilization Review Training jobs are:
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What cities are hiring for Free Utilization Review Training jobs?
Cities with the most Free Utilization Review Training job openings:
What states have the most Free Utilization Review Training jobs?
States with the most job openings for Free Utilization Review Training jobs include:
Full-time
Re-posted yesterday
Nationwide Children's Hospital rating
6.9
Based on 131 frontline employees who took The Breakroom Quiz
549th of 1,061 rated hospitals
Job description
Overview:
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.
Job Description:
Essential Functions:
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
Experience:
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.
Job Description:
Essential Functions:
- Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines.
- Communicates with healthcare teams and third-party payors to ensure the delivery of quality care and optimum payment.
- Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care.
- Documents all case reviews and maintains accurate records of all clinical activities and coverage information.
- Provides education and support regarding utilization review and management activities and processes.
- Analyzes clinical data to identify trends and patterns that may impact patient care. Participates in quality improvement initiatives to enhance the overall delivery of behavioral health services.
- Facilitates reimbursement by communicating with payers, other staff, patients, and families concerning status of funding and required actions.
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Excellent written and verbal communication and interpersonal skills.
- Excellent customer service and organizational skills.
- Working knowledge of CMS and other review agency standards.
- Proficient with software applications including CM, payer web applications, MITS, and others.
Experience:
- Three years of behavioral health experience, required.
- One year of experience in pediatric care or services, required.
- Utilization review or utilization management experience, preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
What Nationwide Children's Hospital employees say
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Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Nationwide Children's Hospital
Sourced by ZipRecruiter
Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Columbus, OH, US
Year founded
1892