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$23

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$75

How much do insurance utilization review jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for insurance utilization review in New York is $46.26, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $53.12 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 New York? The most popular types of Insurance Utilization Review jobs in New York are:
What are popular job titles related to Insurance Utilization Review jobs in New York? For Insurance Utilization Review jobs in New York, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in New York look for? The top searched job categories for Insurance Utilization Review jobs in New York are:
What cities in New York are hiring for Insurance Utilization Review jobs? Cities in New York with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in New York as of July 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 74% In-person, and 26% Remote job distribution, with an average salary of $96,216 per year, or $46.3 per hour.

Utilization Review Assistant

Odyssey House

Manhattan, NY • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Job description

Utilization Review Assistant

Under the direction of the Coordinator of Utilization Review, the Utilization Review Assistant will provide support with filing, tracking, scheduling, and internal/external communications to the Utilization Review team. Utilization Review Assistant documents all updates on authorizations in the electronic medical record, including communications with insurance companies, requests for clinical updates, denials received, and others as needed. Utilization Review Assistant manages discharges across all 820 programs. Participates in collaborative calls with MCOs to confirm client's engagement in treatment. Assists in managing all work queues assigned to Utilization Review to ensure timely follow up on accounts.

Specific duties and responsibilities include:

  1. Manages discharges across all 820 programs; confirm discharge documentation was received and processed accordingly by managed care organizations.
  2. Participates in collaborative calls with MCOs to confirm client's engagement in treatment.
  3. Uploads admissions LOCADTR, concurrent review LOCADTRs and pertinent UR documentation such as legal mandates, MCO correspondence, and discharge documentation to be filed in the department SharePoint and the electronic health record.
  4. Receive, track, and distribute information from MCO case management staff for client's receiving enhanced benefits plans such as HARP.
  5. Track and maintain MCO correspondence on SharePoint for intradepartmental use.
  6. Retrieves voicemails and faxes for the department and transcribes the information into the team calendar and team SharePoint.
  7. Schedule live reviews & peer to peer sessions for Coordinator of UR and relevant parties.
  8. Produce UR meeting minutes and distribution to relevant parties.
  9. Prepare, file, and submit monthly updates on the progress of identified projects, rosters, retention and reports as needed.
  10. Attend regularly scheduled staff meetings and case conferences.
  11. Communicate in a positive, professional manner at all times
  12. Attend all required in-service training seminars.
  13. Other relevant duties as required.

Requirements include:

  1. High School Diploma or GED, with 3 years' experience in an administrative support role in a healthcare setting; Or associate degree in healthcare/Business Administration or Related (Required).
  2. Highly organized and ability to manage multiple projects and priorities to meet deadlines and revenue goals.
  3. Communicate effectively, both orally and in writing.
  4. Ability to work within the context of a multi-disciplinary team, build relationships and foster partnerships.
  5. Proficiency with computer operation (Microsoft Word, Excel, Electronic Health Records, and Outlook programs).

In addition, Odyssey House offers our Utilization Review Assistant:

  • A 35-hour work week (as opposed to a 40-hour work week)
  • Vacation Plan and Holiday Schedule
  • Life Insurance
  • Medical Insurance (Two Plans)
  • Dental and Vision Insurance
  • Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
  • Long-Term & Short-Term Disability
  • Flexible Spending Account/Health Reimbursement Account
  • 403(b) Plan
  • Corporate Counseling Associates (CCA) EAP benefit
  • Ability Assist Counseling Services (through The Hartford)
  • Commuter Benefits
  • Educational Assistance Programs
  • Special shopping discounts through ADP Marketplace and PlumBenefits
  • RUFit?! Fitness Program
  • Pet Insurance
  • Legal Assistance
  • Optum Financial Service through ConnectYourCare
  • Benefit Advocacy Center through Gallagher

Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.

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