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Dental Utilization Review Jobs (NOW HIRING)

Mindful Health

Utilization Review Specialist

$25 - $30/hr

Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing ... Comprehensive medical and supplemental health insurance, including vision, dental, life insurance ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Medical, Dental, and Vision * Generous Paid Time Off and Holidays * 401K and match start ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Sheppard Pratt

Utilization Review Specialist

Towson, MD · On-site

$26.04/hr

Responsible for supporting the utilization review system including data analysis, report writing ... Comprehensive medical, dental and vision benefits for benefit eligible positions * 403b retirement ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

UHS

Utilization Review Coordinator

Mountain City, TN

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

New

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

New

UHS

Utilization Review Coordinator

Mountain City, TN

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

New

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Dental Utilization Review information

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$31

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How much do dental utilization review jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for dental utilization review 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 does a typical day look like for someone working in Dental Utilization Review?

In a Dental Utilization Review role, your day typically involves reviewing clinical documentation, dental x-rays, and insurance claims to assess the necessity and appropriateness of proposed dental treatments. You’ll collaborate closely with dentists, insurance adjusters, and sometimes patients to clarify or request additional information as needed. The role often requires you to balance administrative tasks with detailed case analysis, using technology to maintain records and track outcomes. Many professionals in this field work as part of a team within healthcare organizations or insurance companies, benefiting from both individual focus and collaborative efforts. This variety ensures the work is both intellectually stimulating and impactful for patient care decision-making.

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

To thrive in Dental Utilization Review, you need a background in dental hygiene or dentistry, strong analytical skills, and familiarity with insurance policies and medical terminology. Experience with claims management systems, dental coding, and proficiency in using electronic health records (EHRs) are often required, and certification as a Dental Hygienist (RDH) or Dental Assistant (RDA) can be advantageous. Exceptional attention to detail, critical thinking, and effective communication are vital soft skills in this position. These skills are critical for evaluating treatment necessity, ensuring compliance with guidelines, and facilitating clear communication between dental providers and insurers.

What is a Dental Utilization Review job?

A Dental Utilization Review job involves evaluating dental insurance claims to ensure treatments are necessary, cost-effective, and align with policy guidelines. Professionals in this role review patient records, X-rays, and treatment plans to determine coverage eligibility. They work closely with dentists, insurance providers, and sometimes patients to clarify decisions. This role helps control costs while ensuring patients receive appropriate care. Strong knowledge of dental procedures and insurance policies is essential.

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What cities are hiring for Dental Utilization Review jobs? Cities with the most Dental Utilization Review job openings:
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Dental Utilization Review jobs near you
Infographic showing various Dental Utilization Review job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.
Utilization Review Specialist

Utilization Review Specialist

Diversified Treatment Alternative Centers

Chadds Ford, PA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Salary:

Utilization Review (UR) Specialist

Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible)
Job Type: Full-Time
Schedule: Monday Friday


Overview

Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented and experienced Utilization Review (UR) Specialist to support our behavioral health programs.

This role plays a critical part in ensuring services are medically necessary, appropriately authorized, and compliant with payer, state, and regulatory requirements while supporting timely reimbursement and quality care delivery.


Why Join DTAC

  • Flexible hybrid or remote work options
  • Collaborative, cross-functional team environment
  • Meaningful work supporting behavioral health services
  • Stable organization focused on quality and growth
  • Opportunities for professional development


Position Summary

The Utilization Review Specialist manages the full lifecycle of authorizations and eligibility verification. This role collaborates closely with Clinical, Admissions, and Revenue Cycle teams to ensure compliance, minimize denials, and support accurate billing and reimbursement.


Key Responsibilities

  • Conduct initial, concurrent, and continued stay utilization reviews
  • Submit, track, and manage authorizations and reauthorizations
  • Communicate authorization updates with clinical and admissions teams
  • Maintain accurate documentation in EHR and billing systems
  • Perform ongoing eligibility verification for active clients
  • Identify coverage changes and communicate impacts to appropriate teams
  • Review clinical documentation for medical necessity and compliance
  • Collaborate with clinicians to address documentation gaps
  • Support denial prevention and revenue cycle optimization
  • Assist with appeals and utilization-related inquiries
  • Participate in audits, quality improvement initiatives, and compliance reviews
  • Stay current with payer requirements and regulatory updates


Qualifications

Required:

  • Bachelors degree in Healthcare Administration, Nursing, Social Work, Psychology, or related field
  • Minimum of 13 years of experience in utilization review, case management, or behavioral health revenue cycle
  • Strong understanding of medical necessity and authorization processes
  • Excellent attention to detail and analytical skills
  • Strong written and verbal communication skills

Preferred:

  • Experience with Pennsylvania and Ohio behavioral health payers
  • Familiarity with EHR systems and billing workflows
  • Experience supporting audits, compliance reviews, or appeals


Requirements

  • Ability to manage multiple priorities and deadlines
  • Strong collaboration across clinical, billing, and administrative teams
  • Commitment to compliance with regulatory and payer requirements
  • Ability to work hybrid or remotely depending on organizational needs


Benefits

  • 401(k)
  • Health, Dental, and Vision Insurance
  • Health Savings Account
  • Paid Time Off
  • Life and Disability Insurance
  • Employee Assistance Program
  • Referral Program


Work Location

This position is based in Chadds Ford, PA (19317) with hybrid or remote work options available based on business needs.


Apply Today

If you are a detail-driven professional with experience in utilization review or behavioral health operations, we encourage you to apply and join DTACs team.


Equal Opportunity Employer

Diversified Treatment Alternative Centers is committed to providing equal employment opportunities and maintaining an inclusive workplace in accordance with all applicable laws.