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Full Time Pt Ot Utilization Review Jobs (NOW HIRING)

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST ... ROSEBURG, OR 97470 EMPLOYMENT TYPE- Full-Time, Exempt About Umpqua Health At Umpqua Health, we're ...

Lifepoint Health

Utilization Review Specialist

Englewood, CO · On-site

$26 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

Axiom Care

Utilization Review Coordinator

Phoenix, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Type Full-time Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Full-time and Part-time employees which includes: • Medical, Dental and Vision plans • Life ...

silvercross

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... for Full-time and Part-time employees which includes: Medical, Dental and Vision plans Life ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

$61K - $71K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 ...

Medix

Utilization Review Nurse

Southfield, MI · On-site

$42 - $46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Job Summary Our client is seeking a Utilization Review Nurse. This role involves managing the full ... Open to overtime if required and candidates are willing. Benefits * Paid Sick Leave (Medix provides ...

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Full Time Pt Ot Utilization Review information

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$21

$42

$68

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

As of Aug 18, 2026, the average hourly pay for full time pt ot 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 Full Time Pt Ot Utilization Review vs Full Time Pt Ot Case Manager?

AspectFull Time Pt Ot Utilization ReviewFull Time Pt Ot Case Manager
CertificationsOT license, possibly UR or case management certificationsOT license, case management certification often preferred
Work EnvironmentHealthcare facilities, insurance companies, utilization review departmentsHealthcare settings, insurance companies, patient advocacy roles
Primary FocusAssessing medical necessity and approving servicesCoordinating patient care and discharge planning
Common UsageInsurance companies, healthcare providers

Full Time Pt Ot Utilization Review focuses on evaluating medical necessity and approving therapy services, while Full Time Pt Ot Case Manager emphasizes coordinating patient care and discharge planning. Both roles require OT licensure but differ in daily responsibilities and focus areas within healthcare and insurance settings.

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Full Time Pt Ot Utilization Review jobs near you
Infographic showing various Full Time Pt Ot Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Registered Nurse

Prairie Lakes Healthcare System

Watertown, SD • On-site

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Prairie Lakes Healthcare System rating

4.0

Company rating: 4.0 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Utilization Review Registered Nurse
Job Summary
Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is a non-profit healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota. Our team at Prairie Lakes makes a difference in the lives of patients and their loved ones
POSITION SUMMARY
Wage: 28.09-44.81
On-site.
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for hospital services, admissions and continued stay are met per specific Medicare and commercial payor guidelines.
RESPONSIBILITIES
Develops and implements effective utilization review functions resulting in maintaining an average length of stay that is financially justified for hospital operations.
Reviews all inpatient and observation admissions within 24 hours for appropriateness based on approved criteria and standards, Monday through Friday. All weekend admissions are reviewed on the following Monday.
Contacts physicians as required for information to justify admission or continued stay the same day of questionable stay.
Refers all cases where necessity for admission is questionable or potential for denial is identified to the attending physician or his/her designee for appropriate action after notifying the Discharge Planning/Social Services manager.
Develops and maintains a system to monitor and review certification completion.
Maintains complete and accurate documentation which reflects the status of hospital utilization, numbers and categories of cases reviewed, and denials by fiscal intermediaries. Documents and reports back follow-up.
Reviews and follows through the appeal process for patient stay denials.
Other duties may be assigned.
JOB SPECIFICATIONS
Education and/or Experience
Bachelor's degree required.
Five years of acute health care experience.
Two years experience related to utilization review preferred.
Certificates, Licenses, Registrations
Holds or is eligible for current nursing licensor in the State of South Dakota.
Mandatory Basic and Advanced Life Support Training per policy
Benefits
Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance.
Additional benefits for those qualifying include:
  • Flexible Spending Account
  • Employee Assistance Program for mental health
  • Education Loan Program
  • Community discounts including the Prairie Lakes Wellness Center

Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require positive reference checks and pre-employment background screening as a condition of employment.

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