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Insurance Utilization Review Jobs in Illinois (NOW HIRING)

UHS

Utilization Review Coordinator

Champaign, IL · On-site

$61K - $71K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The information collected by the Utilization Review Coordinator will be used to contact insurance/review companies to obtain certification for the hospital stay. Benefit Highlights: * Challenging and ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site

$34.73 - $45.15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...

UHS

Utilization Review Coordinator

Champaign, IL

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The information collected by the Utilization Review Coordinator will be used to contact insurance/review companies to obtain certification for the hospital stay. Benefit Highlights: * Challenging and ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Springfield, IL · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ensure timely and accurate utilization review activities and payer communications. * Monitor ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Springfield, IL · On-site

$37.55 - $56.33/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ensure timely and accurate utilization review activities and payer communications. * Monitor ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Summit BHC

Utilization Specialist

Champaign, IL

Utilization Specialist | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job ... reviews using the established hospital criteria. Communicates effectively with insurance companies ...

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All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Illinois

Insurance Utilization Review information

See Illinois salary details

$20

$40

$66

How much do insurance utilization review jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for insurance utilization review in Illinois is $40.97, according to ZipRecruiter salary data. Most workers in this role earn between $32.36 and $47.07 per hour, depending on experience, location, and employer.

What is an insurance utilization review?

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 key skills and qualifications needed to thrive in insurance utilization review?

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 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.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are the most commonly searched types of Insurance Utilization Review jobs in Illinois?

The most popular types of Insurance Utilization Review jobs in Illinois are:

What are popular job titles related to Insurance Utilization Review jobs in Illinois?

For Insurance Utilization Review jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Illinois look for?

The top searched job categories for Insurance Utilization Review jobs in Illinois are:

What cities in Illinois are hiring for Insurance Utilization Review jobs?

Cities in Illinois with the most Insurance Utilization Review job openings:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Illinois as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $85,222 per year, or $41 per hour.

Utilization Review Coordinator

UHS

Champaign, IL • On-site

$61K - $71K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

456th of 888 rated healthcare providers

Job description

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 Illinois since 1989. Located in Champaign, Illinois, we provide a secure, nurturing environment where children, adolescents, adults and senior adults can find hope and healing from emotional psychiatric and addictive diseases.
Visit us online at: www.pavilionhospital.com .
The UR Coordinator: Responsible to ensure that open charts are reviewed appropriately to identify the utilization of services. The information collected by the Utilization Review Coordinator will be used to contact insurance/review companies to obtain certification for the hospital stay.
Benefit Highlights:
  • Challenging and rewarding work environment
  • Competitive Compensation
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401(K) with company match and discounted stock plan
  • Generous Paid Time Off
  • Career development opportunities within UHS and its 300+ Subsidiaries
If you would like to learn more about this position before applying, please contact Frank Butcher, HR Director, at frank.butcherjr@uhsinc.com or by phone at (217)373-1755.
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. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were over $11 billion in 2020. In 2021, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of U.S.' Largest Public Companies. Headquartered in King of Prussia, PA, UHS has over 89,000 employees and continues to grow through its subsidiaries. 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.uhsinc.com
Qualifications
Master's degree in the human services field (counseling, psychology, social work) or RN licensure within Illinois required. Previous professional experience in a behavioral health setting preferred.
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.

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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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