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Contract Utilization Review Jobs (NOW HIRING)

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Contract Utilization Review information

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$42

$68

How much do contract utilization review jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for contract utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Contract Utilization Review position, and why are they important?

To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.

What does a typical day look like for someone working in Contract Utilization Review?

A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.

What is a Contract Utilization Review job?

A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.

More about Contract Utilization Review jobs
What cities are hiring for Contract Utilization Review jobs? Cities with the most Contract Utilization Review job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
What states have the most Contract Utilization Review jobs? States with the most job openings for Contract Utilization Review jobs include:
Infographic showing various Contract Utilization Review job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 62% Full Time, 19% Part Time, 1% Temporary, and 17% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Travel Nurse Supervisor RN - Utilization Review

Travel Nurse Supervisor RN - Utilization Review

Prime Staffing

Carlisle, PA โ€ข On-site

Contractor

Posted 11 days ago


Job description

Prime Staffing is seeking a travel nurse RN Utilization Review Supervisor for a travel nursing job in Carlisle, Pennsylvania.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/03/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Job Title: RN โ€“ Utilization Manager

Location: Carlisle, PA

Contract Length: 7 Weeks

Shift: Days | 7:00 AM โ€“ 3:30 PM

Guaranteed Hours: 40 Hours/Week

Requirements:
  • Active RN license
  • Previous Utilization Management/Utilization Review experience required
  • Knowledge of InterQual and/or MCG criteria preferred
  • Strong clinical assessment and documentation skills
  • Experience with EMR systems
  • BLS Certification
Responsibilities:
  • Conduct utilization reviews to determine medical necessity and appropriate level of care
  • Collaborate with physicians, case managers, and interdisciplinary teams
  • Ensure compliance with payer and regulatory guidelines
  • Review and maintain accurate clinical documentation
  • Assist with discharge planning and care coordination
  • Communicate with insurance providers regarding authorizations and appeals

Apply today to join a dedicated healthcare team supporting quality patient care and efficient resource utilization.

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.