Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to ...
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The utilization specialist must be able to demonstrate the knowledge and skills necessary to ...
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The utilization specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST-E.D.
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The utilization specialist must be able to demonstrate the knowledge and skills necessary to ...
UTILIZATION SPECIALIST-E.D.
Hudson, OH · On-site
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The utilization specialist must be able to demonstrate the knowledge and skills necessary to ...
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The utilization specialist must be able to demonstrate the knowledge and skills necessary to ...
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial ... The utilization specialist must be able to demonstrate the knowledge and skills necessary to ...
Utilization Specialist
Battle Creek, MI · On-site
$35 - $42/hr
The Utilization Specialist will act as a liasion between managed care organizations and the professional clinical staff at the hospitial. The hourly pay range for this position is $35.00 -$42.00.
New
Utilization Specialist
Battle Creek, MI · On-site
$35 - $42/hr
The Utilization Specialist will act as a liasion between managed care organizations and the professional clinical staff at the hospitial. The hourly pay range for this position is $35.00 -$42.00.
New
Utilization Specialist
Los Angeles, CA · On-site
$64K - $75K/yr
The Utilization Specialist will work closely with the clinical teams, Director of Patient Services, and external stakeholders to support the delivery of high-quality care in alignment with the ...
Quick apply
Utilization Specialist
Los Angeles, CA · On-site
$64K - $75K/yr
The Utilization Specialist will work closely with the clinical teams, Director of Patient Services, and external stakeholders to support the delivery of high-quality care in alignment with the ...
Utilization Specialist
Lancaster, CA · On-site
$64K - $75K/yr
The Utilization Specialist will work closely with the clinical teams, Director of Patient Services, and external stakeholders to support the delivery of high-quality care in alignment with the ...
Utilization Specialist
Lancaster, CA · On-site
$64K - $75K/yr
The Utilization Specialist will work closely with the clinical teams, Director of Patient Services, and external stakeholders to support the delivery of high-quality care in alignment with the ...
Utilization Specialist
$35 - $42/hr
The Utilization Specialist will act as a liasion between managed care organizations and the professional clinical staff at the hospitial. The hourly pay range for this position is $35.00 -$42.00.
Utilization Specialist
$35 - $42/hr
The Utilization Specialist will act as a liasion between managed care organizations and the professional clinical staff at the hospitial. The hourly pay range for this position is $35.00 -$42.00.
Utilization Specialist
Battle Creek, MI · On-site
$35 - $42/hr
The Utilization Specialist will act as a liasion between managed care organizations and the professional clinical staff at the hospitial. The hourly pay range for this position is $35.00 -$42.00.
Utilization Specialist
Battle Creek, MI · On-site
$35 - $42/hr
The Utilization Specialist will act as a liasion between managed care organizations and the professional clinical staff at the hospitial. The hourly pay range for this position is $35.00 -$42.00.
Utilization Specialist - Full Time
Scotts Valley, CA · On-site
$25 - $27/hr
Overview Utilization Specialist Opportunity (8hours shifts) at The Camp Recovery Center - Scotts ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist - Full Time
Scotts Valley, CA · On-site
$25 - $27/hr
Overview Utilization Specialist Opportunity (8hours shifts) at The Camp Recovery Center - Scotts ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist - Full Time
Scotts Valley, CA · On-site
$25 - $27/hr
Utilization Specialist Opportunity (8hours shifts) at The Camp Recovery Center - Scotts Valley, CA ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist - Full Time
Scotts Valley, CA · On-site
$25 - $27/hr
Utilization Specialist Opportunity (8hours shifts) at The Camp Recovery Center - Scotts Valley, CA ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Williamsburg, VA · On-site
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which ...
Utilization Specialist
Williamsburg, VA · On-site
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which ...
Utilization Specialist
Champaign, IL · On-site
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which ...
Utilization Specialist
Champaign, IL · On-site
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which ...
Utilization Specialist - Full Time
Scotts Valley, CA · On-site
$25 - $27/hr
Overview Utilization Specialist Opportunity (8hours shifts) at The Camp Recovery Center - Scotts ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist - Full Time
Scotts Valley, CA · On-site
$25 - $27/hr
Overview Utilization Specialist Opportunity (8hours shifts) at The Camp Recovery Center - Scotts ... Act as liaison between managed care organizations and the facility professional clinical staff.
Clinical Utilization Specialist information
See salary details
$15.63 - $19.08
14% of jobs
$21.93 is the 25th percentile. Wages below this are outliers.
$19.08 - $22.53
14% of jobs
$22.53 - $25.98
17% of jobs
The median wage is $27.88 / hr.
$25.98 - $29.44
11% of jobs
$29.44 - $32.89
8% of jobs
$32.89 - $36.34
6% of jobs
$38.93 is the 75th percentile. Wages above this are outliers.
$36.34 - $39.79
7% of jobs
$39.79 - $43.25
7% of jobs
$43.25 - $46.70
5% of jobs
$46.70 - $50.15
5% of jobs
$50.15 - $53.61
5% of jobs
$15
$31
$53
How much do clinical utilization specialist jobs pay per hour?
As of Sep 12, 2026, the average hourly pay for clinical utilization specialist in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.
What cities are hiring for Clinical Utilization Specialist jobs?
Cities with the most Clinical Utilization Specialist job openings:
What states have the most Clinical Utilization Specialist jobs?
States with the most job openings for Clinical Utilization Specialist jobs include:
What are popular job titles related to Clinical Utilization Specialist jobs?
For Clinical Utilization Specialist jobs, the most frequently searched job titles are:
UTILIZATION SPECIALIST
Middleburg Heights, OH • On-site
Southwest General
• Hospitals • 1 - 5K employees1,001 - 5,000 employees
Full-time
Re-posted 14 days ago
Southwest General Health Center rating
6.9
Based on 46 frontline employees who took The Breakroom Quiz
Job description
Summary
- POSITION INFORMATION
- Position summary:
- The Utilization Specialist is responsible for carrying out admission and concurrent stay screening reviews of the assigned patient population during the episode of care under defined guidelines for acute care case management to ensure the appropriateness of services, utilization of hospital resources, and quality of care rendered. Accurate and efficient application of screening criteria will be applied to identify and support patients being placed in the appropriate hospital level of care via emergency, scheduled, or direct admission processes. Combines clinical, business, and regulatory knowledge and skill to reduce significant financial risk and exposure caused by concurrent and retrospective denial of payments for services provided. Through continuous assessments, problem identification, and education, the Utilization Specialist facilitates the quality of health care delivery in the most cost-effective manner. The Utilization Specialist must be able to demonstrate the knowledge and skills necessary to provide services appropriate to age groups according to specific chronological age, developmental age, and/or psycho-social maturity. The Utilization Specialist will work collaboratively with management, staff, and departments involved in the patients plan of care. The Utilization Specialists responsibility is to collect data and clinical review summaries on patients concurrently for both utilization review and quality assessment. The utilization data and clinical summaries are shared with insurance companies to obtain certification of days and prevent denial of payment for services. The Utilization Specialist will communicate with physicians, hospital staff, outside agencies such as insurance companies, and patients regarding the assigned level of care and associated resource utilization.
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- MINIMUM QUALIFICATIONS
- Education:
- Graduation from an accredited School of Nursing. BSN graduate preferred.
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Required length and type of experience:- Minimum of five (5) years recent experience in clinical nursing or related nursing field. (e.g. Utilization Review or Case Management)
- Previous Care Management, Case Management or Utilization Management Experience preferred
- Previous experience with screening criteria (i.e. Interqual, MCG) preferred
- Excellent critical thinking and communication skills
- Strong computer skills
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Required licensure, certification or registry:- Current licensure by Ohio State Board of Nursing.
- ACM/CCM Certification helpful
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What Southwest General Health Center employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Southwest General
Sourced by ZipRecruiter
Industry
Hospitals
Company size
1,001 - 5,000 Employees
Headquarters location
Middleburg Heights, OH, US
Year founded
1920