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How much do evening optum utilization review jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for evening optum 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 utilization review nurses working evening shifts at Optum, and how can they be addressed?

Utilization Review nurses working evening shifts at Optum often encounter challenges such as limited access to providers or support staff during non-standard hours, which can make obtaining timely information more difficult. Additionally, they may need to manage increased autonomy and prioritize cases with less immediate supervision. To address these challenges, evening UR nurses rely heavily on strong communication skills, proactive documentation, and efficient use of digital tools and resources. Collaboration with daytime teams through thorough handoffs and clear case notes also helps ensure continuity of care and decision-making.

What are the key skills and qualifications needed to thrive as an evening Optum utilization review?

To thrive as an Evening Optum Utilization Review Nurse, you need a valid RN license, clinical experience, and a solid understanding of utilization management principles. Familiarity with case management software, electronic health records (EHRs), and knowledge of regulatory guidelines such as Medicare and Medicaid are typically required. Strong analytical thinking, attention to detail, and effective communication skills enable you to assess medical necessity and coordinate care efficiently. These competencies ensure accurate and timely reviews, compliance with regulations, and optimal outcomes for both patients and the organization.

What is the difference between Evening Optum Utilization Review vs Evening Optum Claims Reviewer?

AspectEvening Optum Utilization ReviewEvening Optum Claims Reviewer
Primary RoleAssess medical necessity and appropriateness of care for insurance claimsReview and process insurance claims for accuracy and completeness
CertificationsTypically requires clinical credentials (e.g., RN, LPN, or other healthcare licenses)Usually requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, healthcare payers, or claims processing centers
Industry UsageCommonly used in health insurance and managed careCommon in health insurance and claims processing sectors

Both roles are integral to health insurance operations but focus on different aspects: Utilization Review evaluates the necessity of care, while Claims Review verifies claim accuracy. Understanding these differences helps in choosing the right career path or job focus within the insurance industry.

What is an evening Optum utilization review?

Evening Optum Utilization Review jobs involve evaluating medical records and healthcare services during evening hours to determine if they meet established guidelines for medical necessity, appropriateness, and efficiency. Professionals in this role typically review patient cases, collaborate with healthcare providers, and ensure compliance with insurance or regulatory requirements. These positions are essential for managing healthcare costs and ensuring patients receive appropriate care, often requiring clinical experience and familiarity with utilization management processes.
More about Evening Optum Utilization Review jobs
What cities are hiring for Evening Optum Utilization Review jobs? Cities with the most Evening Optum Utilization Review job openings:
What are the most commonly searched types of Optum Utilization Review jobs? The most popular types of Optum Utilization Review jobs are:
What states have the most Evening Optum Utilization Review jobs? States with the most job openings for Evening Optum Utilization Review jobs include:
What job categories do people searching Evening Optum Utilization Review jobs look for? The top searched job categories for Evening Optum Utilization Review jobs are:
Evening Optum Utilization Review jobs near you
Infographic showing various Evening Optum Utilization Review job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 58% Full Time, 38% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Assistant

Odyssey House

Manhattan, NY • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Utilization Review Assistant

Under the direction of the Coordinator of Utilization Review, the Utilization Review Assistant will provide support with filing, tracking, scheduling, and internal/external communications to the Utilization Review team. Utilization Review Assistant documents all updates on authorizations in the electronic medical record, including communications with insurance companies, requests for clinical updates, denials received, and others as needed. Utilization Review Assistant manages discharges across all 820 programs. Participates in collaborative calls with MCOs to confirm client's engagement in treatment. Assists in managing all work queues assigned to Utilization Review to ensure timely follow up on accounts.

Specific duties and responsibilities include:

  1. Manages discharges across all 820 programs; confirm discharge documentation was received and processed accordingly by managed care organizations.
  2. Participates in collaborative calls with MCOs to confirm client's engagement in treatment.
  3. Uploads admissions LOCADTR, concurrent review LOCADTRs and pertinent UR documentation such as legal mandates, MCO correspondence, and discharge documentation to be filed in the department SharePoint and the electronic health record.
  4. Receive, track, and distribute information from MCO case management staff for client's receiving enhanced benefits plans such as HARP.
  5. Track and maintain MCO correspondence on SharePoint for intradepartmental use.
  6. Retrieves voicemails and faxes for the department and transcribes the information into the team calendar and team SharePoint.
  7. Schedule live reviews & peer to peer sessions for Coordinator of UR and relevant parties.
  8. Produce UR meeting minutes and distribution to relevant parties.
  9. Prepare, file, and submit monthly updates on the progress of identified projects, rosters, retention and reports as needed.
  10. Attend regularly scheduled staff meetings and case conferences.
  11. Communicate in a positive, professional manner at all times
  12. Attend all required in-service training seminars.
  13. Other relevant duties as required.

Requirements include:

  1. High School Diploma or GED, with 3 years' experience in an administrative support role in a healthcare setting; Or associate degree in healthcare/Business Administration or Related (Required).
  2. Highly organized and ability to manage multiple projects and priorities to meet deadlines and revenue goals.
  3. Communicate effectively, both orally and in writing.
  4. Ability to work within the context of a multi-disciplinary team, build relationships and foster partnerships.
  5. Proficiency with computer operation (Microsoft Word, Excel, Electronic Health Records, and Outlook programs).

In addition, Odyssey House offers our Utilization Review Assistant:

  • A 35-hour work week (as opposed to a 40-hour work week)
  • Vacation Plan and Holiday Schedule
  • Life Insurance
  • Medical Insurance (Two Plans)
  • Dental and Vision Insurance
  • Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
  • Long-Term & Short-Term Disability
  • Flexible Spending Account/Health Reimbursement Account
  • 403(b) Plan
  • Corporate Counseling Associates (CCA) EAP benefit
  • Ability Assist Counseling Services (through The Hartford)
  • Commuter Benefits
  • Educational Assistance Programs
  • Special shopping discounts through ADP Marketplace and PlumBenefits
  • RUFit?! Fitness Program
  • Pet Insurance
  • Legal Assistance
  • Optum Financial Service through ConnectYourCare
  • Benefit Advocacy Center through Gallagher

Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

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