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Director Optum Health Utilization Review Jobs (NOW HIRING)

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

Prime Time Healthcare is seeking dynamic individuals like you to join our team in Baltimore, MD and ... Competitive compensation and weekly direct deposit * Compliance support specialist & onboarding ...

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How much do director optum health utilization review jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for director optum health 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 is the difference between Director Optum Health Utilization Review vs Utilization Review Manager?

AspectDirector Optum Health Utilization ReviewUtilization Review Manager
CertificationsTypically requires RN, CPC, or other healthcare-related certificationsOften requires RN or healthcare management certifications
Work EnvironmentCorporate healthcare setting, primarily in insurance or health services companiesHealthcare facilities or insurance companies managing patient care reviews
ResponsibilitiesOversees utilization review processes, policy development, and team managementManages daily review operations, staff supervision, and compliance

The main difference is that the Director Optum Health Utilization Review typically holds a higher leadership role with strategic responsibilities, while the Utilization Review Manager focuses more on daily operations and team management within the utilization review process.

What does a director of Optum Health Utilization Review do?

A director of Optum Health Utilization Review oversees the review process to evaluate the necessity, appropriateness, and efficiency of healthcare services. They manage teams of reviewers, ensure compliance with policies and regulations, and use data analysis to improve utilization management strategies. Strong leadership, knowledge of healthcare policies, and experience with utilization review tools are essential for this role.

What cities are hiring for Director Optum Health Utilization Review jobs?

Cities with the most Director Optum Health Utilization Review job openings:

What are the most commonly searched types of Optum Health Utilization Review jobs?

The most popular types of Optum Health Utilization Review jobs are:

What states have the most Director Optum Health Utilization Review jobs?

States with the most job openings for Director Optum Health Utilization Review jobs include:

Director Optum Health Utilization Review jobs near you

Supervisor Behavioral Health Utilization Review

Saint Luke's Hospital of Kansas City

Kansas City, MO • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Saint Luke's Health System (Kansas City) rating

7.1

Company rating: 7.1 out of 10

Based on 110 frontline employees who took The Breakroom Quiz

381st of 893 rated healthcare providers

Job description

Job Description

Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.

This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.

Job Details:

  • Monday - Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be primarily onsite. No weekend or holiday rotations.
  • Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
  • Oversees resources and functions related to utilization review and regulatory compliance adherence.
  • Responsible for training of staff, discipline and evaluations.
  • Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
  • Collaborates and communicates with the multidisciplinary team to ensure communication of patient's treatment to the managed care provider.
  • Review clinical charts in order to file appeals on denied accounts.
  • Oversees scheduling and supervision needs for the Reception team.
  • Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
  • 1-3 years in a leadership or team lead role preferred
Job Requirements

Applicable Experience:

2 yearsLicensed Professional Counselor - VariousMaster's DegreeJob DetailsFull TimeDay (United States of America)

The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

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