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 ...
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 ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ... Submit authorization requests and clinical documentation to insurance providers in a timely manner
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ... Submit authorization requests and clinical documentation to insurance providers in a timely manner
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ... Submit authorization requests and clinical documentation to insurance providers in a timely manner
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Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ... Submit authorization requests and clinical documentation to insurance providers in a timely manner
Utilization Review Specialist
Columbus, OH · On-site
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ... Submit authorization requests and clinical documentation to insurance providers in a timely manner
Utilization Review Specialist
Columbus, OH · On-site
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible ... Submit authorization requests and clinical documentation to insurance providers in a timely manner
Utilization Management Clinical Specialist
Columbus, OH · On-site
$72K - $88K/yr
Medical Insurance * Flexible Benefit Options Including Dental, Vision and Wellness Support ... reviews, and facilitate timely authorization processes. The UM Clinical Specialist ensures ...
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Utilization Management Clinical Specialist
Columbus, OH · On-site
$72K - $88K/yr
Medical Insurance * Flexible Benefit Options Including Dental, Vision and Wellness Support ... reviews, and facilitate timely authorization processes. The UM Clinical Specialist ensures ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... hearings, state insurance commissions, and judicial fair hearings. • Reviews medically ...
New
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... hearings, state insurance commissions, and judicial fair hearings. • Reviews medically ...
New
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... hearings, state insurance commissions, and judicial fair hearings. • Reviews medically ...
New
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Columbus, OH · Remote
$29.05 - $67.97/hr
... utilization management and long-term services and supports (LTSS) issues. • Identifies and ... hearings, state insurance commissions, and judicial fair hearings. • Reviews medically ...
New
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 ...
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 ...
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 ...
Primary Therapist
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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Primary Therapist
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 ...
... or utilization review for other healthcare services. Checks eligibility and verifies benefits ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
... or utilization review for other healthcare services. Checks eligibility and verifies benefits ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
SURS is charged with helping the agency review utilization of Medicaid services, detect fraud ... Medical Coverage * Free Dental, Vision and Basic Life Insurance premiums after completion of ...
SURS is charged with helping the agency review utilization of Medicaid services, detect fraud ... Medical Coverage * Free Dental, Vision and Basic Life Insurance premiums after completion of ...
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
$215K - $344K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
Family Practice Physician Outpatient Only Practitioner - Physicians Only Apply - Perm
$215K - $344K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
Physician Reviewer-Radiology (Part Time)
$95 - $100/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
Physician Reviewer-Radiology (Part Time)
$95 - $100/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
Valid Ohio driver's license and proof of auto insurance as required by hospital policy. Must pass ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Valid Ohio driver's license and proof of auto insurance as required by hospital policy. Must pass ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:
Care Review Processor
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 ...
Care Review Processor
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 ...
Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
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Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
Quick apply
Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
Provides clinical information (utilization review) to external providers and managed care organizations. * Participates in data collection for department dashboards. * Coordinates insurance/patient ...
Part Time Insurance Utilization Review information
See Columbus, OH salary details
$20.66 - $24.84
2% of jobs
$24.84 - $29.02
9% of jobs
$31.88 is the 25th percentile. Wages below this are outliers.
$29.02 - $33.20
21% of jobs
The median wage is $36.59 / hr.
$33.20 - $37.38
23% of jobs
$37.38 - $41.56
13% of jobs
$44.81 is the 75th percentile. Wages above this are outliers.
$41.56 - $45.74
10% of jobs
$45.74 - $49.92
8% of jobs
$49.92 - $54.10
5% of jobs
$54.10 - $58.28
5% of jobs
$58.28 - $62.46
2% of jobs
$62.46 - $66.64
2% of jobs
$20
$40
$66
How much do part time insurance utilization review jobs pay per hour?
What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?
| Aspect | Part Time Insurance Utilization Review | Part Time Claims Reviewer |
|---|---|---|
| Credentials | Typically requires insurance or healthcare-related certifications | Often requires insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or third-party administrators | Insurance companies, claims processing centers, or third-party administrators |
| Job Focus | Evaluating medical necessity and appropriateness of services | Reviewing and processing insurance claims for accuracy and coverage |
Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.
Job description
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
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.
BackgroundÂ
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)Â
Potential for longer term dependent on enrollmentÂ
Workers will be doing Concurrent Inpatient ReviewÂ
MUST have one of the following AT LEASTÂ
-Utilization Review in hospital settingÂ
Nurses who are used to doing both production and review work
All your information will be kept confidential according to EEO guidelines.
About Integrated Resources
Sourced by ZipRecruiter
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.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996