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Insurance Utilization Review Jobs in Connecticut

Trinity Health

Psychiatrist

Waterbury, CT · On-site

We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...

Trinity Health

Psychiatrist

Waterbury, CT · On-site

We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...

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All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Connecticut

Insurance Utilization Review information

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$20

$40

$65

How much do insurance utilization review jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for insurance utilization review in Connecticut is $40.22, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.

What are the most common challenges faced by Insurance Utilization Review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an Insurance Utilization Review job?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the most commonly searched types of Insurance Utilization Review jobs in Connecticut? The most popular types of Insurance Utilization Review jobs in Connecticut are:
What are popular job titles related to Insurance Utilization Review jobs in Connecticut? For Insurance Utilization Review jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Connecticut look for? The top searched job categories for Insurance Utilization Review jobs in Connecticut are:
What cities in Connecticut are hiring for Insurance Utilization Review jobs? Cities in Connecticut with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Connecticut as of July 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 78% In-person, 11% Hybrid, and 11% Remote job distribution, with an average salary of $83,662 per year, or $40.2 per hour.
UTILIZATION REVIEW (UR) SPECIALIST - FULL OR PART TIME

UTILIZATION REVIEW (UR) SPECIALIST - FULL OR PART TIME

UHS

North Stonington, CT • On-site

Full-time

Medical, Dental, Retirement

Posted 25 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

494th of 890 rated healthcare providers

Job description

Responsibilities
Are you caring, compassionate and hardworking? Our facility can provide a place for you to thrive and continue your professional development.
Stonington Institute, a division of one of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS), has an immediate opening for a full or part time UR Specialist.
Stonington Institute is committed to providing quality substance abuse treatment options for adults in Southeastern Connecticut and surrounding areas. We offer medical detox as well as residential addictions treatment for active duty and retired military service members in our North Stonington location. Our clinic in Groton, CT, offers partial hospitalization and intensive outpatient treatment, and is conveniently located across the street from The Inn at Trails Corner, a new 180 bed dormitory-style sober community for adult men and women who attend our outpatient day treatment programs. The Inn offers overnight accommodations, full-meal service, indoor/outdoor recreation options, a workout room, and computer center for all clients. We accept private insurance, state-funded plans and self-pay arrangements.
Job Summary:
The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment.
Job Duties and Responsibilities
  • Consult with Admissions Department regarding specific LOC issues, insurance requests, and/or criteria questions.
  • Complete initial precertification for all levels of care.
  • Knowledge of UR processes required for all payor sources i.e. precertification, concurrent reviews, discharge review.
  • Conduct concurrent reviews on assigned cases.
  • Ability to identify and advocate for a particular level of care based on the presenting clinical information.
  • Coordinate with colleagues and payors regarding client changes in level of care internally or transitions to other internal programs.
  • Collaborate with clinicians/case managers to obtain pertinent clinical and discharge information.
  • Learn UR Tracking System, Midas; enter daily authorizations and/or other necessary information in a timely manner.
  • Print and monitor UR reports on a daily basis.
  • Document and file all authorization information accurately and completely.
  • Address client insurance changes immediately and communicate results to appropriate departments.
  • Ensure that all applicable information is communicated to the Billing Department on a daily basis.
  • Notify UR Department Head and Billing of any denials and complete telephonic or written appeals when necessary.
  • Liaison between insurance and clinical staff, providing information to clinicians/case managers regarding dispositions that would be approved by insurance.
  • Participate in monthly UR Meeting.

Stonington Institute employees receive great opportunities.
  • Challenging and rewarding work environment
  • Career advancement opportunities
  • Comprehensive Benefits including Medical, Dental, 401K, Tuition Reimbursement and more (for eligible part-time and full-time positions)
  • Competitive Compensation.
Apply today to join our amazing team!
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
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.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.
We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
Qualifications
Masters Degree preferred; minimum Bachelors Degree in Psychology or related Human Service Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health and chemical dependency treatment. Knowledge of various treatment levels of care as well as psychiatric diagnosis. Experience with computer skills preferred.

What Universal Health Services employees say

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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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