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Utilization Review (UR) Specialist

Boca Raton, FL · On-site

$60K - $70K/yr

Boca Raton, FL Job Type: Full-time, In-Person Pay: $60,000 - $70,000 per year, based on experience We are seeking a full-time Utilization Review (UR) Specialist to join our team in Boca Raton, FL. We ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

$61K - $71K/yr

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 ...

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 ...

Acadia Healthcare

Utilization Specialist

Ocklawaha, FL · On-site

$20 - $24/hr

We are looking to for a Full Time Utilization Review Specialist to join our team. The UR specialist proactively monitors utilization of services for patients to optimize reimbursement for the ...

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Full Time Utilization Review information

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

As of Aug 8, 2026, the average hourly pay for full time 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.

Is full time utilization review a stressful job?

Full time utilization review can be stressful due to the need for accuracy, meeting strict deadlines, and handling complex cases. The job often requires strong attention to detail, good communication skills, and the ability to manage workload efficiently, which can contribute to work-related stress.

What is the difference between Full Time Utilization Review vs Part Time Utilization Review?

AspectFull Time Utilization ReviewPart Time Utilization Review
Work HoursTypically 40 hours/weekLess than 20 hours/week
CertificationsOften requires professional licenses (e.g., RN, CPC)Same certifications as full-time, but may vary by employer
Work EnvironmentOffice-based, healthcare or insurance settingsFlexible, may include remote work
Job ResponsibilitiesComprehensive review of cases, documentation, and approvalsSimilar review tasks but with reduced workload

Full Time Utilization Review involves a standard 40-hour workweek with comprehensive case assessments, while Part Time Utilization Review offers flexible hours with similar responsibilities but fewer hours. Both roles require relevant certifications and are common in healthcare and insurance industries.

What cities are hiring for Full Time Utilization Review jobs? Cities with the most Full Time Utilization Review job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
Full Time Utilization Review jobs near you

Utilization Review Representative

Wyoming Valley Behavioral Hospital

Kingston, PA • On-site

$25 - $35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Job description

) 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 be responsible for reviewing and analyzing patient care to ensure the appropriate use of resources, adherence to clinical guidelines, and compliance with regulatory requirements.
Responsibilities:
• Conduct thorough reviews of patient records and treatment plans to assess the necessity and appropriateness of medical services and interventions.
• Evaluate clinical documentation to ensure it meets established standards and guidelines for care.
• Collaborate with healthcare providers to discuss treatment plans and recommend modifications as needed to optimize patient outcomes and resource utilization.
• Prepare and maintain detailed documentation of reviews, including rationale for decisions and recommendations for care adjustments.
• Serve as a liaison between the facility and insurance companies or other third party payers to manage authorizations and claims.
• Prepare and present reports on utilization metrics, including patterns, outcomes, and recommendations for process improvements.
Education:
• Associate's degree or higher in Nursing, Healthcare Administration or a related field
Qualifications:
• Minimum of 1-2 years of experience in a healthcare setting, with a strong background in utilization review, case management, or clinical nursing.
• Licensed RN/LPN preferred
• Knowledge of clinical guidelines, regulatory requirements, and healthcare reimbursement processes.
• Excellent analytical skills and attention to detail, with the ability to review and interpret complex clinical information.
• Strong communication and interpersonal skills, with the ability to work collaboratively with healthcare professionals and external stakeholders.
• Proficient in electronic health record (EHR) systems and utilization review software.
• Certification in Utilization Review or related field (e.g., URAC, CCM) is a plus.
Exciting Benefits Await You:
• Attractive Compensation: Enjoy competitive pay that truly values your contributions.
• Generous Paid Time Off: Recharge and prioritize your well-being with ample PTO.
• 401(k) Plan: Secure your financial future with our strong retirement plan.
• Flexible Daily Pay: Access your earnings whenever you need them.
• Comprehensive Benefits Package: Benefit from a wide range of options, including dental, health, vision, and disability insurance.
• Wellness Program Access: Prioritize your health with resources designed to support your well-being.
• Inclusive Workplace Culture: Thrive in a supportive environment that champions diversity and collaboration.
• Career and Educational Development: Unlock your potential with numerous opportunities for growth and advancement.
• Comprehensive Onboarding and Professional Development Programs: Expertly crafted to cultivate growth and significantly enhance essential skills, paving the way for sustained success and excellence.
Salary/ Wage Range
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown.
EEO Statement
We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.

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