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Director Chiropractic Utilization Review Jobs (NOW HIRING)

KPC Global MSO

Utilization Review Tech

Santa Ana, CA · On-site

Reviews treatment plans and status of approvals from insurers. Collects and compiles data as ... Performs administrative duties for the Utilization Management Department, and directed in several ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Springfield, IL · On-site

The Utilization Review Director oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management ...

Hired by Matrix

RN Utilization Review

Tuba City, AZ · On-site

RN Utilization Review Location: Tuba City, Az Job Type: Travel Discipline: RN Speciality ... experience performing direct patient care with at least 2 years in an Inpatient setting on a ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Springfield, IL · On-site

$37.55 - $56.33/hr

The Utilization Review Director o versees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management ...

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Director Chiropractic Utilization Review information

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How much do director chiropractic utilization review jobs pay per year?

As of Aug 13, 2026, the average yearly pay for director chiropractic utilization review in the United States is $52,327.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $57,000.00 per year, depending on experience, location, and employer.

What is the difference between Director Chiropractic Utilization Review vs Chiropractic Utilization Review?

AspectDirector Chiropractic Utilization ReviewChiropractic Utilization Review
CredentialsTypically requires advanced degrees, certifications, and leadership experienceRequires chiropractic license and certification, with less emphasis on leadership
Work EnvironmentOversees teams, manages policies, and strategic planningPerforms case reviews, evaluates claims, and ensures compliance
Employer & Industry UsageUsed in insurance companies, healthcare organizations, and large clinicsCommonly employed in insurance companies, third-party administrators, and healthcare providers

The main difference is that the Director Chiropractic Utilization Review holds a leadership role overseeing review teams and policies, while Chiropractic Utilization Review focuses on performing case evaluations and claims assessments. The director's role involves strategic management, whereas the review role is more operational and case-specific.

More about Director Chiropractic Utilization Review jobs
What cities are hiring for Director Chiropractic Utilization Review jobs? Cities with the most Director Chiropractic Utilization Review job openings:
What are the most commonly searched types of Chiropractic Utilization Review jobs? The most popular types of Chiropractic Utilization Review jobs are:
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Director Chiropractic Utilization Review jobs near you
Infographic showing various Director Chiropractic Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $52,327 per year, or $25.2 per hour.

Utilization Review Specialist

New Horizons of the Treasure Coast

Remote

Full-time

Posted 8 days ago

Job description

New Horizons is the largest mental health and addiction recovery provider on the Treasure Coast (and beyond), serving 15,000 children and adults annually through inpatient crisis services, 24-hour help line and mobile response team, and outpatient programs conveniently located across Indian River, Martin, Okeechobee and St. Lucie counties. In addition, New Horizons assists 22,000 students in area schools, and we work closely with the courts, law enforcement, jails, and hospitals to help improve the health of individuals and the quality of life in our community.
New Horizons is seeking an Utilization Review Specialist, who will be responsible for following up on patient accounts when authorization for stay is required, initiate pre-certification timely via telephone or provider portal, review patients medical record via EMR to ensure criteria for the appropriate level of care is met, and provide clinical to insurance company to obtain authorization. This position is considered a Hybrid role.
As a Utilization Review Specialist, your responsibilities will include:
  • Follow each account during the IP stay and on discharge for authorization - document status in the electronic system,
  • Escalate any potential disputes or denial of accounts to Director of Revenue or designee
  • Trends disputed claims by payor
  • Obtain & follow authorization for Case Management Services
  • Adhere to federal, state, payer, and local regulations and accreditation requirements impacting case management scope of services
  • Adhere to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and agency policies

Requirements
REQUIRED:
  • High School diploma or equivalent required.
  • organizational skills,
  • verbal and written communication skills,
  • problem solving skills,
  • computer literacy.

Preferred:
  • Associate or Bachelor's degree preferred.
  • Paramedic, EMT or Nursing Assistant certification preferred.
  • Acute hospital experience preferred
  • Data Analytic skills preferred.

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