Care Review Nurse
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Columbus, OH · On-site
Insurance utilization manager/review and millemen experience (MCG). No case managers if that is their only experience. Must have utilization review or management. Utilization review (1 year +), past ...
Columbus, OH · On-site
Insurance utilization manager/review and millemen experience (MCG). No case managers if that is their only experience. Must have utilization review or management. Utilization review (1 year +), past ...
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Columbus, OH · On-site
Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past ...
Monitors and reviews MCO portals to track authorization status, pending requests, approvals ... Verifies and documents client eligibility and insurance coverage prior to authorization submission ...
Quick apply
Monitors and reviews MCO portals to track authorization status, pending requests, approvals ... Verifies and documents client eligibility and insurance coverage prior to authorization submission ...
$24 - $32/hr
About the Role RiverVista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory ...
$24 - $32/hr
About the Role RiverVista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory ...
Columbus, OH · On-site
Care Review Clinician Works with the Utilization Management team primarily responsible for ... Insurance experience PLUS. • Required Experience: Minimum 3-4 years of clinical practice in ...
Columbus, OH · On-site
Care Review Clinician Works with the Utilization Management team primarily responsible for ... Insurance experience PLUS. • Required Experience: Minimum 3-4 years of clinical practice in ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Insurance experience PLUS . Required Experience: Minimum 3-4 years of clinical practice in hospital ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Insurance experience PLUS . Required Experience: Minimum 3-4 years of clinical practice in hospital ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Insurance experience PLUS. • Required Experience: Minimum 3-4 years of clinical practice in ...
Columbus, OH · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Insurance experience PLUS. • Required Experience: Minimum 3-4 years of clinical practice in ...
Initiate admission and concurrent medical record review on Medicare, Medicaid and private insurance ... For billing and hospitalization utilization review purposes, the reviewer will identify and certify ...
Initiate admission and concurrent medical record review on Medicare, Medicaid and private insurance ... For billing and hospitalization utilization review purposes, the reviewer will identify and certify ...
Columbus, OH · On-site
... utilization review for other healthcare services. * Checks eligibility and verifies benefits ... Meet productivity standards. * Maintain confidentiality and comply with Health Insurance ...
Columbus, OH · On-site
... utilization review for other healthcare services. * Checks eligibility and verifies benefits ... Meet productivity standards. * Maintain confidentiality and comply with Health Insurance ...
Columbus, OH · On-site
... utilization review for other healthcare services. * Checks eligibility and verifies benefits ... Meet productivity standards. * Maintain confidentiality and comply with Health Insurance ...
Columbus, OH · On-site
... utilization review for other healthcare services. * Checks eligibility and verifies benefits ... Meet productivity standards. * Maintain confidentiality and comply with Health Insurance ...
Columbus, OH · On-site
... or utilization review for other healthcare services. Checks eligibility and verifies benefits ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
Columbus, OH · On-site
... or utilization review for other healthcare services. Checks eligibility and verifies benefits ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
Lancaster, OH · On-site
$60K - $70K/yr
Ensure all documentation supports the "Medical Necessity" of the residential level of care for insurance utilization reviews (UR). 4. Multidisciplinary Collaboration * Participate in weekly Treatment ...
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Lancaster, OH · On-site
$60K - $70K/yr
Ensure all documentation supports the "Medical Necessity" of the residential level of care for insurance utilization reviews (UR). 4. Multidisciplinary Collaboration * Participate in weekly Treatment ...
Logan, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Logan, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Lancaster, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Lancaster, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Ashville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Quick apply
Ashville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Columbus, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Quick apply
Columbus, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Ashville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Ashville, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
New
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
Washington Court House, OH · On-site
$20.97 - $24.56/hr
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions * Utilize data tracking and analytics to identify ...
$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
Cities with the most Part Time Insurance Utilization Review job openings:
States with the most job openings for Part Time Insurance Utilization Review jobs include:
The most popular types of Insurance Utilization Review jobs are:

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Medicaid Division
Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses working at the facilities Members are being care for, will be sending over clinical information to be reviewed by the Care Review Clinician. Therefore, this agent will not be traveling and will be reviewing information at the office.
Qualifications: Background Hospital Utilization Management. Insurance Utilization Manager/Review and Millemen Experience (MCG). No case managers if that is their only experience. Must have Utilization Review or Management. Utilization Review (1 year +), Past hospital experience (3-4 years of experience, less experience is ok if they have more Utilization Review experience) Potential for longer term dependent on enrollment Workers will be doing Concurrent Inpatient Review MUST have one of the following AT LEAST -Utilization Review in hospital setting Nurses who are used to doing both production and review work
All your information will be kept confidential according to EEO guidelines.
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Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996