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Full Time Utilization Review Specialist Jobs (NOW HIRING)

Banyan

Utilization Review Specialist

Pompano Beach, FL · On-site

$50K - $65K/yr

Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

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 ...

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Full Time Utilization Review Specialist information

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

As of Aug 11, 2026, the average hourly pay for full time utilization review specialist in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

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

AspectFull Time Utilization Review SpecialistPart Time Utilization Review Specialist
Work HoursTypically 40 hours per weekLess than 30 hours per week, flexible scheduling
CertificationsUsually required (e.g., CCM, RN)Same certifications often required
Work EnvironmentOffice-based, healthcare or insurance settingsSimilar environment, often remote or part-time
Job ResponsibilitiesFull scope of utilization review tasksSame responsibilities, reduced hours

The main difference between a Full Time Utilization Review Specialist and a Part Time Utilization Review Specialist lies in work hours and scheduling. Both roles typically require similar certifications and involve comparable responsibilities within healthcare or insurance settings. The full-time role offers consistent hours and potentially more benefits, while the part-time position provides flexibility with fewer hours but similar job functions.

More about Full Time Utilization Review Specialist jobs
What cities are hiring for Full Time Utilization Review Specialist jobs? Cities with the most Full Time Utilization Review Specialist job openings:
What are the most commonly searched types of Utilization Review Specialist jobs? The most popular types of Utilization Review Specialist jobs are:
What states have the most Full Time Utilization Review Specialist jobs? States with the most job openings for Full Time Utilization Review Specialist jobs include:
What job categories do people searching Full Time Utilization Review Specialist jobs look for? The top searched job categories for Full Time Utilization Review Specialist jobs are:
Full Time Utilization Review Specialist jobs near you
Infographic showing various Full Time Utilization Review Specialist job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Review Specialist

Parkside Hospital

Tulsa, OK • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Job description

Parkside provides professional purpose, hope, and healing. As a member of our staff, you will be part of a mission-driven team, dedicated to changing lives and changing communities, one patient at a time. 

Parkside Psychiatric Hospital & Outpatient Clinic is a comprehensive mental healthcare system providing acute inpatient care, residential treatment, and outpatient therapy. With a focus on society’s most vulnerable population, Parkside provides world-class mental health services for youth and adults. For over 65 years, Parkside’s physicians, therapists, and staff have provided state of the art, patient-centered care that propels families from hopeful to hope-filled. As a center of excellence, we cultivate talent and provide professional purpose. Together we facilitate healing, one patient at a time. 

We are looking for a Full Time Utilization Review Specialist! The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to limit possible recoupment from third party pay sources including Medicare, Medicaid, HMO or private insurance. Coordinates with clinicians, business office and medical records to achieve above goals.

Responsibilities:

• Prepares authorization paperwork, processes requests for authorizations, and reviews requests for accuracy.

• Communicates with clinicians regarding discharge issues relevant to patient’s pay source. Tracks due dates for authorization reviews and alerts clinicians.

• Communicates with clinicians regarding admissions and discharges to various units.

• Knowledgeable of criteria for Medicare, Medicaid, HMO and private insurance coverage. Maintains current knowledge of managed care requirements and accurately interprets these requirements to increase authorizations.

• Coordinates/completes the appeal process for authorization denials

• Performs audits of clinical services to ensure compliance with standards of third party pay sources and agency policies.

• Tracks unauthorized services and possible recoupment issues. Looks for possible corrections, trends.

 • Maintains a good working relationship within the department and with other departments.

• Documentation meets current standards and policies.

 • Maintains fit for duty. Acts in a professional manner and follows all Parkside policies and procedures.

• Orients new staff members to the unit

• Demonstrates the ability to be organized and flexible, acts appropriately in stressful/emergency situations. Able to provide Handle with Care when needed

• Performs other duties as assigned

  • Bachelor’s degree in related field from an accredited university required. Experience in lieu of Degree will be considered.
  • 2yrs minimal experience in health care, utilization review and business setting

Benefits include:

  • Medical, Dental, and Vision
  • Generous Paid Time Off and Holidays
  • 401K and match start immediately, and includes a generous match
  • Company Paid Life Insurance and Disability and more!

We are an Equal Opportunity Employer! 

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