... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is r esponsible for the collection, analysis and ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is r esponsible for the collection, analysis and ...
Utilization Review Clinician
Devens, MA · On-site
You will be an active participant in the health care team. * You are responsible for pre ... The Utilization Review Clinician will have the following: * Master's level clinician or RN. * ...
Utilization Review Clinician
Devens, MA · On-site
You will be an active participant in the health care team. * You are responsible for pre ... The Utilization Review Clinician will have the following: * Master's level clinician or RN. * ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
Clinical Denials Utilization Review RN - FT - Day - Utilization Resource Management Pennington NJ
Rockford, IL · On-site
Performs accurately chart and utilization review audits as directed. Supports Capital Health Utilization Committee with analysis of clinical outcomes data. Prepares for and maintains accurate records ...
Clinical Denials Utilization Review RN - FT - Day - Utilization Resource Management Pennington NJ
Rockford, IL · On-site
Performs accurately chart and utilization review audits as directed. Supports Capital Health Utilization Committee with analysis of clinical outcomes data. Prepares for and maintains accurate records ...
Utilization Review Location/s:Main Campus Jackson Job Title:RN - Utilization Review - Utilization ... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ...
Utilization Review Location/s:Main Campus Jackson Job Title:RN - Utilization Review - Utilization ... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
... Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation ...
Utilization Review Nurse
Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
Utilization Review Nurse
Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
Quick apply
Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ...
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ...
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ...
Nursing Organization: Utilization Review Location/s: Main Campus Jackson Job Title: RN - ... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ...
Utilization Review Nurse
Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
Utilization Review Nurse
Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
Utilization Review Representative
$25 - $35/hr
As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
Quick apply
Utilization Review Representative
$25 - $35/hr
As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
Utilization Review Tech
Santa Ana, CA · On-site
... health plans regarding authorization and/or denials, expedite reviews and documentation to ... Performs administrative duties for the Utilization Management Department, and directed in several ...
Utilization Review Tech
Santa Ana, CA · On-site
... health plans regarding authorization and/or denials, expedite reviews and documentation to ... Performs administrative duties for the Utilization Management Department, and directed in several ...
You will collaborate with the healthcare team, patients, families, and both internal/external ... Experience in utilization review. * Demonstrated ability to work collaboratively with all members ...
You will collaborate with the healthcare team, patients, families, and both internal/external ... Experience in utilization review. * Demonstrated ability to work collaboratively with all members ...
Behavioral Health Utilization Management Specialist
Draper, UT · On-site
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
Behavioral Health Utilization Management Specialist
Draper, UT · On-site
$60K - $70K/yr
Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options ... Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
Utilization Review Nurse
Miami, FL · On-site
Miami Jewish Health is one of the largest providers of healthcare and living options for aging ... Coordinates peer-to-peer discussions between providers and the Medical Director as needed.
Utilization Review Nurse
Miami, FL · On-site
Miami Jewish Health is one of the largest providers of healthcare and living options for aging ... Coordinates peer-to-peer discussions between providers and the Medical Director as needed.
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... director that require additional expertise). Coordinate denials with physician advisors (10%) ...
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... director that require additional expertise). Coordinate denials with physician advisors (10%) ...
Utilization Review Assistant
Odessa, TX · On-site
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance ...
Utilization Review Assistant
Odessa, TX · On-site
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance ...
Director Optum Health 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 optum health utilization review jobs pay per hour?
As of Aug 8, 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?
| Aspect | Director Optum Health Utilization Review | Utilization Review Manager |
|---|---|---|
| Certifications | Typically requires RN, CPC, or other healthcare-related certifications | Often requires RN or healthcare management certifications |
| Work Environment | Corporate healthcare setting, primarily in insurance or health services companies | Healthcare facilities or insurance companies managing patient care reviews |
| Responsibilities | Oversees utilization review processes, policy development, and team management | Manages 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 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:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 16 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
490th of 887 rated healthcare providers
Job description
Responsibilities
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is r esponsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community .
Job Duties/Responsibilities:
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 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION:
Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)
EXPERIENCE:
A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is r esponsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community .
Job Duties/Responsibilities:
- Working manager who oversees the Utilization Review coordinators
- Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
- Authorizing entities to ensure initial precertification and continued authorization is achieved
- Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)
Benefit Highlights
- Referral Bonus Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: uhsguest.com
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 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION:
Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)
EXPERIENCE:
A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.
What Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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