To thrive as a Chiropractic Utilization Review professional, you need a Doctor of Chiropractic (DC) degree, a current chiropractic license, and a solid understanding of clinical guidelines for chiropractic care. Familiarity with medical review software, electronic health records (EHRs), and utilization management systems like InterQual or Milliman is often required. Strong analytical thinking, professional communication, and attention to detail are critical soft skills for this role. These capabilities ensure appropriate care decisions, regulatory compliance, and effective collaboration with providers and payers.