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Insurance Utilization Review Jobs in Ohio (NOW HIRING)

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Linen Utilization Manager

Youngstown, OH · On-site

Serve as a liaison for regulatory, linen review, and operating committees within the facility ... Medical, dental, and vision insurance * 401(k) with employer match * Employee Assistance Program ...

Potter House Recovery

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Cycle Revenue Manager

Cincinnati, OH · On-site

$50K - $59K/yr

... Insurance authorization processes ○ Claims management ○ Medicaid and commercial payer ... utilization review, and finance departments. ● Support employee retention, engagement, and ...

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Insurance Utilization Review information

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$20

$40

$65

How much do insurance utilization review jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for insurance utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 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 Ohio? The most popular types of Insurance Utilization Review jobs in Ohio are:
What are popular job titles related to Insurance Utilization Review jobs in Ohio? For Insurance Utilization Review jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Ohio look for? The top searched job categories for Insurance Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Insurance Utilization Review jobs? Cities in Ohio with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Ohio as of June 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 100% In-person job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

Licensed Counselor, Intake Assessor

Ashtabula Regional Medical Center

Ashtabula, OH

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Ashtabula Regional Medical Center rating

6.6

Company rating: 6.6 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

645th of 999 rated hospitals

Job description

Summary:

The Intake Assessment Counselor/Utilization Review Specialist is responsible for the assessment, screening, referral, and utilization review functions requiring the Behavioral Medicine Service for the Ashtabula Regional Medical Center Behavioral Medicine Service line. Performs the initial screenings and interventions for patients/potential patients requiring Behavioral Medicine Services. Provides limited case management services to insure movement between service elements. Verifies, pre-certifies, and secures authorization for all services prior to service provision. This role will actively seek the Behavioral Medicine Unit Nursing leadership on behalf of placing patients safely.

Job Duties:

  • Completes comprehensive mental status, psychosocial, risk, and chemical use assessments. Identifies crisis needs. Participates in ongoing assessment and care plan recommendations for patients awaiting disposition.
  • Provides crisis intervention services using therapeutic intervention that aligns with standards of care based off current research and evidence-based practice. 
  • Supplies information to the medical team for consideration of a differential diagnosis.
  • Recognizes significant changes in patient condition and responds appropriately.
  • Navigates insurance verification and pre-certification processes for behavioral health carve-outs.
  • Collaborates with a multidisciplinary team in the formulation of an individualized plan of care. Develops appropriate patient goals for the identified problem.
  • Serves as patient advocate
  • Process referred cases to an appropriate disposition which may include inpatient placement or assist with the community for a successful discharge plan.

Education, Knowledge, Skills, & Abilities:

  • Licensed Social Worker, (LSW) Licensed Professional Counselor (LPNC), or Licensed Chemical Dependency Counselor (LCDC-III), required.
  • Licensed Independent Social Worker (LISW), Licensed Independent Social Worker with Supervisory Designation (LISW-S), Licensed Professional Clinical Counselor (LPCC), Licensed Professional Clinical Counselor with Supervisory Designation (LPCC-S), preferred.
  • Demonstrates knowledge and experience with various treatment modalities for children, adolescents, adults, gero-psychiatric and chemically dependent populations. 

Required Length and Type of Experience

One year of clinical experience or internship in a clinical setting.

Required Licensure

LSW, LPC, or LCDC-III, required

LISW, LISW-S, LPCC, or LPCC-S, preferred.

Required Physical and Environmental Demands

Required to walk, stand, bend, and sit. Routine and/or daily tasks or procedures occasionally expose them to blood and other potentially infectious materials. Must be able to remain calm and function early in a stressful, potentially violent, environment. 

Benefits:

  • Competitive salary package
  • Extensive benefit package including Medical, Dental, Vision, and Life Insurance (Benefits on Day 1!)
  • Accident & Critical Illness insurance
  • Tuition Reimbursement
  • Short-Term & Long-Term Disability insurance
  • Paid Maternity Leave
  • 403(b) and Roth Retirement Plan with company matching
  • Employee Assistance Program
  • Paid Time Off
  • Employee Wellness Plan that pays you for being healthy!
  • Monthly Gym Membership discount
  • Qualifying employer for the Public Service Loan Forgiveness (PSLF) Program, which allows you to receive forgiveness of the remaining balance of your direct loans after you have made 120 qualifying monthly payments while working for a full-time employer.

What Ashtabula Regional Medical Center employees say

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