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Reviews Jobs Near Me

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 ...

Conduct reviews, monitoring activities, and audits to identify unusual, suspicious, or potentially non-compliant activity; investigate findings and escalate concerns as appropriate. * Provide ...

You'll conduct detailed reviews of educational content across formats - including Canvas courses, PDFs, and eBooks - to catch and report errors before they reach learners. You'll also help build and ...

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Driving to construction sites and conducting quality reviews on the day it is scheduled. Work may be started anytime during the day between 8 am to 3:30 pm. Reports are submitted on site ...

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How much do reviews jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for reviews in the United States is $35.86, according to ZipRecruiter salary data. Most workers in this role earn between $23.80 and $38.22 per hour, depending on experience, location, and employer.

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A map of the United States highlighting the number of Reviews job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Reviews job openings in each state, with California having the most at 2 and Alaska the least at 0.

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Posted 4 days ago


Job description

Care Review Nurse

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.

Job Description

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.