The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...
The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...
The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...
The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...
Description The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility's inpatient, partial hospitalization ...
Description The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility's inpatient, partial hospitalization ...
The Director of Utilization Management is required to meet Foundations standards of customer ... The Director of Utilization Management is also responsible for ensuring that the utilization review ...
The Director of Utilization Management is required to meet Foundations standards of customer ... The Director of Utilization Management is also responsible for ensuring that the utilization review ...
The Director of Utilization Management is also responsible for ensuring that the utilization review process meets the integrity standards set by FLBHC and UHS. The Director: interfaces with clinical ...
The Director of Utilization Management is also responsible for ensuring that the utilization review process meets the integrity standards set by FLBHC and UHS. The Director: interfaces with clinical ...
We are seeking a Director of Utilization Review to provide leadership and oversight for the Utilization Review department, ensuring timely authorization of services, effective payer communication ...
We are seeking a Director of Utilization Review to provide leadership and oversight for the Utilization Review department, ensuring timely authorization of services, effective payer communication ...
The Director of Utilization Management is responsible for overseeing the Utilization Management ... Review the effectiveness of the comprehensive interface with external reviewers, communicate with ...
The Director of Utilization Management is responsible for overseeing the Utilization Management ... Review the effectiveness of the comprehensive interface with external reviewers, communicate with ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Director of Utilization
San Rafael, CA · On-site
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization
San Rafael, CA · On-site
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization
Tucson, AZ · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Director of Utilization
Tucson, AZ · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Director of Utilization
Tucson, AZ · On-site
Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Director of Utilization
Tucson, AZ · On-site
Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Provides consultation and support for Providers and Clinical Staff utilization review activities that influence medical and clinical outcomes. The Senior Director of Utilization Management is ...
Provides consultation and support for Providers and Clinical Staff utilization review activities that influence medical and clinical outcomes. The Senior Director of Utilization Management is ...
Provides consultation and support for Providers and Clinical Staff utilization review activities that influence medical and clinical outcomes. The Senior Director of Utilization Management is ...
Provides consultation and support for Providers and Clinical Staff utilization review activities that influence medical and clinical outcomes. The Senior Director of Utilization Management is ...
Provides consultation and support for Providers and Clinical Staff utilization review activities that influence medical and clinical outcomes. The Senior Director of Utilization Management is ...
Provides consultation and support for Providers and Clinical Staff utilization review activities that influence medical and clinical outcomes. The Senior Director of Utilization Management is ...
Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 MAJOR FUNCTIONS: Under the direction of the ...
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Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 MAJOR FUNCTIONS: Under the direction of the ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Oversees precertification, concurrent, and discharge utilization reviews. * Facilitates regulatory compliance by ensuring proper documentation and allocation of treatment resources. * Serves as a key ...
Oversees precertification, concurrent, and discharge utilization reviews. * Facilitates regulatory compliance by ensuring proper documentation and allocation of treatment resources. * Serves as a key ...
Director Utilization Mgmt
Lemoyne, PA · On-site
Overview The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned ...
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Director Utilization Mgmt
Lemoyne, PA · On-site
Overview The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Director of Utilization Review * Schedule: Full-Time, Weekdays (Weekend availability as needed). * Location: Remote Key Responsibilities: * Manage a caseload of 50-75 patients and authorize 15-25 ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Director of Utilization Review * Schedule: Full-Time, Weekdays (Weekend availability as needed). * Location: Remote Key Responsibilities: * Manage a caseload of 50-75 patients and authorize 15-25 ...
Participates in home health rounds with the Chief Medical Officer/Director of Utilization ... Proactively contacts the requesting provider if review does not meet criteria or additional ...
Participates in home health rounds with the Chief Medical Officer/Director of Utilization ... Proactively contacts the requesting provider if review does not meet criteria or additional ...
Director Of Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do director of utilization review jobs pay per hour?
As of Jun 12, 2026, the average hourly pay for director of 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 some common challenges faced by a Director of Utilization Review, and how can they be addressed?
Directors of Utilization Review often encounter challenges such as balancing regulatory compliance with operational efficiency, managing diverse teams, and ensuring consistent application of utilization management criteria. Addressing these challenges typically involves staying up to date with changing healthcare regulations, fostering open communication within multidisciplinary teams, and implementing robust training programs. Leveraging data analytics tools can also help streamline review processes and improve decision-making, which supports both patient care quality and organizational goals.
What is a Director of Utilization Review?
A Director of Utilization Review is a healthcare management professional responsible for overseeing the utilization review process in hospitals or healthcare organizations. This role ensures that medical services provided to patients are necessary, appropriate, and efficient, while also complying with regulatory and insurance requirements. The Director supervises a team, manages policies, analyzes data, and collaborates with medical staff to optimize patient care and resource use. They play a key role in balancing quality care with cost-effective practices.
What is the difference between Director Of Utilization Review vs Utilization Review Nurse?
| Aspect | Director Of Utilization Review | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a registered nurse (RN) license, often with management experience | Requires an RN license and clinical experience |
| Work Environment | Oversees utilization review teams, manages policies, and collaborates with healthcare providers | Performs clinical reviews, assesses patient records, and makes utilization decisions |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, clinics, insurance companies |
The main difference is that the Director Of Utilization Review manages teams and policies, focusing on strategic oversight, while the Utilization Review Nurse conducts clinical assessments and reviews patient cases. Both roles require nursing credentials but differ in scope and responsibilities.
What are the key skills and qualifications needed to thrive as a Director of Utilization Review, and why are they important?
To thrive as a Director of Utilization Review, you need strong clinical expertise, analytical skills, and an advanced degree in nursing or a related healthcare field—often with RN licensure and significant case management experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory standards like CMS and Joint Commission are typically required. Leadership, effective communication, and critical thinking are vital soft skills for overseeing teams and collaborating with healthcare providers. These skills and qualifications ensure efficient resource use, regulatory compliance, and optimal patient care outcomes.
More about Director Of Utilization Review jobs
What cities are hiring for Director Of Utilization Review jobs? Cities with the most Director Of Utilization Review job openings:
What states have the most Director Of Utilization Review jobs? States with the most job openings for Director Of Utilization Review jobs include:
What job categories do people searching Director Of Utilization Review jobs look for? The top searched job categories for Director Of Utilization Review jobs are:
- Remote Aetna Utilization Review
- Night Shift Medical Utilization Review Physician
- Full Time Weekend Utilization Review
- Seasonal Remote Utilization Review
- Psychiatric Utilization Review
- Temporary Medical Utilization Review Physician
- Aetna Utilization Review Nurse
- Medical Utilization Review Physician
- Freelance International Utilization Review Nurse
- Utilization Review Manager
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 24 days ago
Universal Health Services rating
6.7
Based on 248 frontline employees who took The Breakroom Quiz
526th of 871 rated healthcare providers
Job description
Responsibilities
We are now offering a $5,000 sign-on bonus for our Utilization Review Director opening!
Gulfport Behavioral Health System is an acute behavioral health hospital on the Mississippi Gulf Coast providing inpatient, partial hospitalization and outpatient services to children, adolescents, and adults. We have served our community for over 30-years and our Patriot Support Program provides inpatient around-the-clock mental health treatment to help military members and their families, veterans, and first responders cope with stressful issues every day.
Visit us online at: https://gulfportbehavioral.com
The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the philosophy and objectives of the facility; evaluates patient medical records to determine severity of patient's illness and determines the appropriateness of level of care; serves as liaison for patients and hospital with insurance companies; negotiates and advocates for patient length of stay and level of care; oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital.
Benefit Highlights:
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500® corporation. Headquartered in King of Prussia, PA, UHS has 101,500 employees. Through its subsidiaries, UHS operates 29 acute care inpatient facilities, 346 behavioral health inpatient facilities and 168 outpatient and other facilities in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Education: Bachelor degree in Nursing or Master's Degree in human services field preferred.
Experience: Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience highly preferred.
Licensure: Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
We are now offering a $5,000 sign-on bonus for our Utilization Review Director opening!
Gulfport Behavioral Health System is an acute behavioral health hospital on the Mississippi Gulf Coast providing inpatient, partial hospitalization and outpatient services to children, adolescents, and adults. We have served our community for over 30-years and our Patriot Support Program provides inpatient around-the-clock mental health treatment to help military members and their families, veterans, and first responders cope with stressful issues every day.
Visit us online at: https://gulfportbehavioral.com
The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the philosophy and objectives of the facility; evaluates patient medical records to determine severity of patient's illness and determines the appropriateness of level of care; serves as liaison for patients and hospital with insurance companies; negotiates and advocates for patient length of stay and level of care; oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital.
Benefit Highlights:
- Challenging and rewarding work environment
- Career development opportunities within UHS and its Subsidiaries
- Competitive Compensation
- Excellent Medical, Dental, Vision and Prescription Drug Plan
- 401(K) with company match and discounted stock plan
- Generous Paid Time Off
- Free Basic Life Insurance
- Tuition Reimbursement
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500® corporation. Headquartered in King of Prussia, PA, UHS has 101,500 employees. Through its subsidiaries, UHS operates 29 acute care inpatient facilities, 346 behavioral health inpatient facilities and 168 outpatient and other facilities in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Education: Bachelor degree in Nursing or Master's Degree in human services field preferred.
Experience: Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience highly preferred.
Licensure: Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
What Universal Health Services employees say
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About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US