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Full Time Optum Utilization Review Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

Attleboro, MA · On-site

$5.0K/mo

Responsibilities Utilization Review Coordinator Opportunity - Fuller Hospital is a 109-bed licensed ... This is a full time, 40 hour per week position. Responsibilities * Thoroughly reviews the patient ...

New

UHS

Utilization Review Coordinator

South Attleboro, MA · On-site

$5.0K/mo

Responsibilities Utilization Review Coordinator Opportunity - Fuller Hospital is a 109-bed licensed ... This is a full time, 40 hour per week position. Responsibilities * Thoroughly reviews the patient ...

New

Charlie Health

Utilization Review Specialist

$62K - $70K/yr

Knowledge of utilization review processes, medical necessity criteria, and healthcare regulations ... all full-time, exempt employees. Read more about our benefits here. The total target base ...

UHS

Utilization Review Coordinator

Champaign, IL

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

Gateway Rehab

Utilization Review Liaison - REMOTE

Job Type Full-time Description Gateway Rehab Center (GRC) is hiring a full-time Utilization Review Liaison! In this important administrative and clinical support role, you will help ensure patients ...

UHS

Utilization Review Coordinator

South Attleboro, MA · On-site

$5.0K/mo

Responsibilities Utilization Review Coordinator Opportunity - Fuller Hospital is a 109-bed licensed ... This is a full time, 40 hour per week position. Responsibilities * Thoroughly reviews the patient ...

New

Lifepoint Health

Specialist, Utilization Review

Holyoke, MA · On-site

$33.22 - $44.85/hr

Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... Competitive paid time off and extended illness bank package for full-time employees * Income ...

Lifepoint Health

Specialist, Utilization Review

Holyoke, MA · On-site

$33.22 - $44.85/hr

Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... Competitive paid time off and extended illness bank package for full-time employees * Income ...

UHS

Utilization Review Coordinator

South Attleboro, MA

$5.0K/mo

Responsibilities Utilization Review Coordinator Opportunity - Fuller Hospital is a 109-bed licensed ... This is a full time, 40 hour per week position. Responsibilities * Thoroughly reviews the patient ...

New

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How much do full time optum utilization review jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for full time 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 is a full time Optum utilization review?

A Full Time Optum Utilization Review position involves working for Optum, a healthcare services company, to review patient medical records and determine the medical necessity and appropriateness of healthcare services. Utilization Review professionals collaborate with healthcare providers, insurers, and patients to ensure that care provided is efficient, cost-effective, and aligns with established guidelines. The role typically requires knowledge of clinical standards, strong communication skills, and the ability to interpret medical documentation. Full-time positions often come with benefits and require standard weekly work hours.

What are the key skills and qualifications needed to thrive as a full time Optum utilization review?

To thrive as a Full Time Optum Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and platforms like InterQual or MCG is typically required. Excellent communication, critical thinking, and attention to detail are vital soft skills for effectively coordinating care and collaborating with providers. These abilities ensure efficient, compliant care management, cost containment, and optimal patient outcomes within the healthcare system.

What are some common challenges faced by full time Optum utilization review, and how can they be managed?

Full Time Optum Utilization Review nurses often encounter challenges such as managing high caseloads, staying updated with frequently changing insurance and regulatory guidelines, and effectively communicating with both healthcare providers and patients. Time management and strong organizational skills are crucial for balancing documentation with timely case reviews. Collaborating closely with multidisciplinary teams and utilizing technology tools provided by Optum can help streamline workflows and ensure compliance with policies, ultimately leading to more effective patient care coordination.

What is the difference between Full Time Optum Utilization Review vs Full Time Medical Reviewer?

AspectFull Time Optum Utilization ReviewFull Time Medical Reviewer
CertificationsTypically requires medical licenses and utilization review certificationsRequires medical licenses, often with additional certifications in utilization review
Work EnvironmentInsurance companies, healthcare organizations, remote or office-basedHospitals, clinics, insurance companies, often in clinical settings
Employer & Industry UsagePrimarily in health insurance and managed careIn healthcare facilities and insurance sectors

Full Time Optum Utilization Review professionals focus on evaluating medical necessity for insurance claims, often working remotely or in insurance settings. Full Time Medical Reviewers also assess medical necessity but may work directly within clinical environments. Both roles require medical credentials and involve reviewing patient records, but their work settings and employer types differ slightly.

What cities are hiring for Full Time Optum Utilization Review jobs?

Cities with the most Full Time 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 Full Time Optum Utilization Review jobs?

States with the most job openings for Full Time Optum Utilization Review jobs include:

What are popular job titles related to Full Time Optum Utilization Review jobs?

For Full Time Optum Utilization Review jobs, the most frequently searched job titles are:

Full Time Optum Utilization Review jobs near you

Utilization Review Coordinator

Attleboro, MA • On-site

UHS
Health Care and Social Assistance • 10K+ employees
Learn more about UHSexternal

$5.0K/mo

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 255 frontline employees who took The Breakroom Quiz

Job description

Responsibilities
Utilization Review Coordinator Opportunity -
Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. Inpatient units are designed to treat adults with general psychiatric or intellectual disabilities, as well as adolescents with general psychiatric issues. Patients with co-occurring psychiatric and substance abuse disorders can be treated on most units. Fuller Hospital also provides a less intensive Partial Hospitalization Program (PHP) to patients with psychiatric and co-occurring psychiatric and substance abuse disorders.
The Utilization Review Coordinator is responsible for monitoring the effective and efficient use of health care resources by review of patient admission and continued stay appropriateness in all programs of the hospital. They interact with outside agencies, third party payers, and managed care companies in accordance with contractual agreements, acting as a patient advocate and a representative of the hospital. This is a full time, 40 hour per week position.
Responsibilities
  • Thoroughly reviews the patient's medical record, assesses the medical necessity for all admissions based on DSM-IV and hospital criteria
  • Reviews the patient's treatment through the course of hospitalization to ensure appropriateness of care
  • Documents criteria and reviews findings according to established policy, procedure, and protocols
  • Performs other duties as assigned/required by this position
Benefit Highlights
  • Student Loan Repayment - $200 per month
  • Tuition Reimbursement - $5,000 per year
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off (26 days per year + roll over)
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Supervision for Licensure
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com .
From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Requirements
  • Licensure: Current Massachusetts licensure as a RN, LCSW, LICSW, or LMHC
  • Experience: One (1) or more years of experience in utilization management, insurance, and/or HMO organization
  • Knowledge: Must be able to demonstrate knowledge and skills necessary to provide interventions appropriate to the age of the patients with whom they interact; Demonstrate knowledge of the principles of growth and development over the lifespan, possess the ability to assess data reflective of the patient's status, and interpret the appropriate information needed to identify each patient's requirements relative to their age specific needs.
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.

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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

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