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Authorization Utilization Review Jobs in Utah (NOW HIRING)

Revere Health

Pharmacist-FT-Pharmacy-Provo

Provo, UT · On-site

$55 - $66.25/hr

Perform prospective drug utilization review, including evaluation for appropriate dosing, drug ... authorized agents. Supervise, support, and provide education and training to pharmacy interns and ...

Reverhealth

Pharmacist-FT-Pharmacy-Provo

Provo, UT · On-site

$55 - $66.25/hr

Perform prospective drug utilization review, including evaluation for appropriate dosing, drug ... authorized agents. Supervise, support, and provide education and training to pharmacy interns and ...

Revere Health

Pharmacist-FT-Pharmacy-Provo

Provo, UT · On-site

$55 - $66.25/hr

Perform prospective drug utilization review, including evaluation for appropriate dosing, drug ... authorized agents. Supervise, support, and provide education and training to pharmacy interns and ...

Revere Health

Pharmacist-FT-Pharmacy-Provo

Provo, UT · On-site

$55 - $66.25/hr

Perform prospective drug utilization review, including evaluation for appropriate dosing, drug ... authorized agents. Supervise, support, and provide education and training to pharmacy interns and ...

Revere Health

Pharmacist-FT-Pharmacy-Provo

Provo, UT

$55 - $66.25/hr

Perform prospective drug utilization review, including evaluation for appropriate dosing, drug ... authorized agents. Supervise, support, and provide education and training to pharmacy interns and ...

Tricentis

Senior AI Security Engineer

Salt Lake City, UT · On-site

$110K - $151K/yr

Conduct comprehensive architecture reviews, threat modeling, and vulnerability assessments * Design ... Applicants must be authorized to work in the U.S. without current or future sponsorship.

Imh

Homecare Intake Coordinator

Salt Lake City, UT · On-site

$19.50 - $26.48/hr

Ensures eligibility and authorization requirements are completed within the required timeframe ... WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain ...

Imh

Intake Coordinator

Salt Lake City, UT · On-site

$19.50 - $26.48/hr

Ensures eligibility and authorization requirements are completed within the required timeframe ... WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain ...

CBRE

Real Estate Manager, on-site

Salt Lake City, UT · On-site

Prepare utilization reports for internal and client review. * Identify and resolve daily ... Applicants must be currently authorized to work in the United States without the need for visa ...

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Showing results 21-40

All JobsAuthorization Utilization Review JobsAuthorization Utilization Review Jobs in Utah

Authorization Utilization Review information

What are the key skills and qualifications needed to thrive as an authorization utilization review specialist?

To thrive as an Authorization Utilization Review Specialist, you need a solid understanding of medical terminology, healthcare regulations, and insurance policies, often backed by a clinical background or relevant certifications. Familiarity with utilization management software, electronic health records (EHR), and payer portals is typically required. Strong attention to detail, analytical thinking, and effective communication are vital soft skills for coordinating with providers and payers. These skills ensure accurate authorization decisions, regulatory compliance, and efficient patient care coordination.

What are some common challenges faced by professionals in authorization utilization review roles, and how can they be addressed?

Professionals in Authorization Utilization Review often encounter challenges such as managing high caseloads, navigating complex insurance guidelines, and ensuring timely communication with providers and patients. Staying organized and up-to-date with evolving payer requirements is essential to avoid delays or denials. Building strong collaboration with clinical teams and leveraging electronic health record systems can help streamline workflows and improve efficiency in the review process.

What is the difference between Authorization Utilization Review vs Claims Reviewer?

AspectAuthorization Utilization ReviewClaims Reviewer
CredentialsTypically requires healthcare or insurance-related certifications, such as RN, CPC, or licensed healthcare professionalsOften requires similar credentials, focusing on insurance policies and claims processing
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, third-party administrators, healthcare organizations
Industry UsageUsed to assess medical necessity before approving servicesUsed to evaluate claims for payment accuracy and compliance

Authorization Utilization Review and Claims Reviewer roles both involve insurance and healthcare knowledge, but Authorization Utilization Review focuses on pre-authorization of services, while Claims Review centers on post-service claims assessment. Understanding these differences helps clarify career paths and job expectations in healthcare insurance.

What is authorization utilization review?

Authorization Utilization Review is a process used by healthcare organizations and insurance companies to assess the medical necessity and appropriateness of medical services before they are provided. The main goal is to ensure that patients receive care that is effective, efficient, and covered by their health plan. This review typically involves evaluating patient records, treatment plans, and provider requests to decide if the requested services meet established guidelines. By doing so, it helps control healthcare costs and ensures quality care for patients.
What are popular job titles related to Authorization Utilization Review jobs in Utah? For Authorization Utilization Review jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Authorization Utilization Review jobs in Utah look for? The top searched job categories for Authorization Utilization Review jobs in Utah are:
Authorization Utilization Review jobs near you
Infographic showing various Authorization Utilization Review job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Case Management Assistant

University of Utah Health

Salt Lake City, UT • On-site

Full-time

Re-posted 4 days ago

University Of Utah Health rating

7.7

Company rating: 7.7 out of 10

Based on 142 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

Overview
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible for implementing patient discharge plans, and supporting coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives from insurance companies, health maintenance organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies. This position has no responsibility for providing care to patients.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
  • Implements patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care facilities, durable medical equipment companies, transportation agencies and others as indicated.
  • Collaborates with social worker/nurse case manager and others to confirm authorization for services is in place.
  • Assists in collecting data related to patient outcomes and auditing data for accuracy.
  • Prepares documents and reports required for internal and/or external groups in the scope of care coordination activities and/or data collection.
  • Documents activities and progress in medical charts, computer billing/utilization systems, or in other ways as directed.
  • Collaborates with internal and/or external partners to address financial advocacy for patient/organization.
  • Issues CMS Important Messages to patients/designees.
  • Inputs clinical information into computer database.
  • May be required to participate in quality improvement initiatives per the department.
  • At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.
Knowledge / Skills / Abilities
  • Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.
  • Demonstrated ability to perform the essential functions as outlined above.
  • Demonstrated human relations and effective communication skills.
  • Demonstrated knowledge of medical procedures and terminology.
  • Ability to handle highly sensitive or confidential issues.
  • Ability to successfully manage multiple priorities.
  • Ability to work independently and as a team player.

Qualifications
Required
  • Completion of a hospital provided medical terminology course within six months of hire.

Qualifications (Preferred)
Preferred
  • Two years of college level education in healthcare or a related field.
  • One year of experience in a utilization review or case management environment.
  • Basic Life Support Health Care Provider card through American Heart Association may be required within one month of hire.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This position involves light work that may exert up to 20 pounds and may consistently require light work involving lifting, carrying, pushing, pulling or otherwise moving objects involving patient care or medical equipment. This position does not provide any direct patient care. Workers in this position may be exposed to infectious diseases and may be required to function around prisoners or behavioral health patients.

Physical Requirements
Carrying, Climbing, Color Determination, Crawling, Far Vision, Lifting, Listening, Manual Dexterity, Near Vision, Non Indicated, Pulling and/or Pushing, Reaching, Sitting, Speaking, Standing, Stooping and Crouching, Walking

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