Average salary: $111,526 /yearly
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- ...Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy services: Reviews and authorizes services that meet criteria, along with supporting documentation. It is the responsibility of the URC to ensure...SuggestedLocal area
TheraMatrix
Pontiac, MI22 days ago $50 per hour
...Utilization Review Nurse RN - PRN ~ Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~PRN - Day shift - 8:00am-4:30pm ~RN OTHER ~92270 ~$50.00-$50.00 ~ Posted: December 16, 2025 Apply Now Save Job Saved Summary Who We Are: LifeBridge...SuggestedReliefLive inShift workDay shift$28 - $32 per hour
...We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. The full UR function can be performed in applicable jurisdictions...SuggestedHourly payFull timeTemporary work$20 - $25 per hour
...Job Title: Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday through Friday, mornings to 4:00 PM Work Environment: Neurology Clinic Salary / Hourly Rate: $20–25 per hour Why work with us: This position...SuggestedHourly payFull timeWork at officeMonday to FridayDay shiftWeekday work- ...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism...SuggestedFull timeWork at officeFlexible hours
$92,000 per week
Hines Associates, a distinguished financial advisory firm focused on the healthcare sector, is seeking a Utilization Review RN to join our dynamic team. This role is crucial for the enhancement of healthcare service delivery through the efficient management of healthcare...SuggestedHines & Associates Inc
Freeport, IL1 day ago$38.5k
...About the Position : Under general direction of the Director of Operations, the Utilization Review (UR) Specialist helps to manage the facility’s utilization management processes. This includes preparing of documentation necessary for the pre-certification of admissions...SuggestedHourly payFull timeWork at officeMonday to FridayFlexible hoursShift work- Full Time, Days At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized...SuggestedPermanent employmentFull timeWork experience placementLocal area
- Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of home health care. This role monitors admissions, reauthorizations...SuggestedRemote workFlexible hoursWeekend work
- ...Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Primary Purpose PRIMARY PURPOSE : To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment...SuggestedWork at officeLocal area
$73k - $75k
Primary Purpose To utilize evidence based tools to evaluate the prescribed medications to ensure patient safety and quality standards... ...examiners regarding pharmacy issues. Performs drug utilization reviews through the pharmacy benefit manager or vendor. Communicates effectively...SuggestedWork experience placementWork at officeLocal areaFlexible hours- ...regulatory timelines Collaborate with multidisciplinary teams Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing clients' members with...SuggestedContract workRemote work
- Overview Utilization Management Reviewer Experience the My Health My Resources of Tarrant County (MHMR) difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms. And that starts with...Suggested
- ...Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Review Nurse Location(s): Los Angeles, CA Job Description: Ensuring appropriate, cost-effective, and high-quality care for New...SuggestedShift work
- ...months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Utilization Review Nurse's duties will include, but are not limited to: Support internal claims adjusting staff in the review of workers’...SuggestedWork at office
$65k - $100k
Join to apply for the Utilization Review Nurse role at Berkshire Hathaway GUARD Insurance Companies . The position is open for the next week with 25 available slots. About Us We provide Property & Casualty insurance products through a nationwide network of independent...Full timeWork at office3 days per week- ...infection control procedures and precautions on a universal scale as it relates to a patient care environment. Experience participating in review activities associated with Health Services guidelines, Joint Commission, American Correctional Association or other accrediting or...Work experience placementInternshipWork at office
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving...Work at officeLocal area
- About the job Utilization Review Specialist Join Our Team: As a Utilization Review Specialist, you will play a pivotal role in managing and performing various processes related to medical records requests, retrospective review requests, and chart appeals. If you are organized...
$43.15 - $51.09 per hour
Utilization Review Nurse Part Time. Days. Job Summary We are seeking a skilled and compassionate Utilization Review Nurse to join our team at Bertrand Chaffee Hospital in Springville, New York. As a Utilization Review Nurse, you will play a critical role in reviewing...Hourly payPart time$85,000 per week
MedStar Health, a leading non-profit healthcare organization in the DMV area, is seeking a dedicated RN Utilization Review to enhance our patient care services. In this role, you will be integral in managing the appropriate allocation of hospital resources, ensuring that...MEDSTAR HEALTH
Baltimore, MD2 days ago- ...building a stronger, healthier community together. Join us in making a difference at Umpqua Health. Position Title: Manager, Utilization Review Department: Utilization Management Status: Full Time, Exempt position Schedule: Monday through Friday - 8:00am - 5:0...Full timeContract workTemporary workLocal areaRemote workMonday to FridayFlexible hours
- Copper Springs East Job Title: Utilization Review Specialist Job Type: Full‑time Your experience matters At Copper Springs East, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact...Full timeTemporary workFlexible hoursShift work
- Specialist, Utilization Review Join to apply for the Specialist, Utilization Review role at Lifepoint Health® . Position Summary The Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient and outpatient...Full timeFlexible hours
- Join to apply for the Utilization Review Specialist role at Bradford Health Services We’re officially a Great Place To Work® ! We’ve always believed that supporting our team is just as important as supporting our patients. Now, we’re proud to share that we’ve earned Great...Full timePart time
- ...appropriateness of the treatment plan in the context of insurance or managed care. Qualifications Required: RN with IL Active License, with Utilization experience; familiar with MCG and ASAM criteria. Preferred: Inpatient hospital experience or ER background. Seniority level Mid-...Contract work
$200k - $230k
...Vice President of Utilization Review – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - In Office - No Remote Salary Range: $200K - $230K This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location. Who We Are...Full timeWork at officeRemote workFlexible hours$51.43 - $79.84 per hour
...remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM), medical...Daily paidLive inRemote workShift workDay shift$58.66k - $142.45k
...applicants to join us and experience what it means to be part of Mass General Brigham.The Opportunity Manages a department of utilization review professionals usually consisting of Registered Nurses, Social Workers and other paraprofessional roles. Develops and oversees...Full timeRemote workMonday to FridayShift workWeekend work- Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective...
