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Insurance Utilization Review Jobs in Utah (NOW HIRING)

Responsibilities DIRECTOR, UTILIZATION REVIEW (UR) Join us in helping others rediscover their "hope ... Excellent and affordable benefits package with 20+ benefit offerings (including pet insurance ...

Responsibilities DIRECTOR, UTILIZATION REVIEW (UR) Join us in helping others rediscover their "hope ... Excellent and affordable benefits package with 20+ benefit offerings (including pet insurance ...

Responsibilities DIRECTOR, UTILIZATION REVIEW (UR) Join us in helping others rediscover their "hope ... Excellent and affordable benefits package with 20+ benefit offerings (including pet insurance ...

Intake Specialist

Millcreek, UT · On-site

$16.75 - $22.25/hr

The Receptionist / Intake Specialist works closely with the Utilization Review and Admissions team to collect intake information, verify insurance benefits, and ensure accurate documentation to ...

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Insurance Utilization Review information

See Utah salary details

$19

$38

$62

How much do insurance utilization review jobs pay per hour?

As of Jul 6, 2026, the average hourly pay for insurance utilization review in Utah is $38.49, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $44.18 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 Utah? The most popular types of Insurance Utilization Review jobs in Utah are:
Director, Utilization Review (UR)

Director, Utilization Review (UR)

UHS

Orem, UT

Full-time

Retirement, PTO

Posted 24 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

483rd of 877 rated healthcare providers


Job description

Responsibilities

DIRECTOR, UTILIZATION REVIEW (UR)

Join us in helping others rediscover their “hope.” Since our establishment in 2011, we have been dedicated to providing exceptional and specialized mental health and addiction treatment in a nurturing and supportive environment. Together, we will work toward a future where mental health is prioritized, stigma is diminished and individuals can live their lives to the fullest potential.  If you’re looking for an opportunity to build the career of your dreams and join a team of professionals passionate about helping others, Aspen Grove Behavioral Hospital may be the place for you! Please visit www.aspengrovehospital.com

Position Details & Benefits: 

  • Full-Time, Salaried Exempt Mon - Fri 9am - 5pm
  • Paid Time Off (PTO) & Extended Leave (ELB) - earn time off from your first day
  • Excellent and affordable benefits package with 20+ benefit offerings (including pet insurance)
  • 401(k) company matched retirement plan + discounted stock purchase plan
  • FREE meals and FREE parking
  • Career development opportunities across UHS and its 300+ locations!

Your position objectives include:

  • Responsible for directing and overseeing the Utilization Review Program for in-patient and outpatient services.
  • Implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients
  • Oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.
  • Provides direct supervision to assigned employees; including hiring, training, performance improvement and separations

Qualifications

Your Skills & Qualifications will include:

  • License: Valid Utah RN license or license authorized to practice in Utah OR Valid Utah LMSW/LCSW license 
  • Experience:  Requires (3-5) years of experience working in utilization review preferrably in a psych inpatient setting
  • Education:  ASN or BSN or a MSW degree REQUIRED
  • Other: Must be at least 21 years of age or older and able to pass a pre-employment background check & drug screen

EEO Statement - We believe that diversity and inclusion among our teammates is critical to our success. 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.

Avoid and Report Recruitment Scams - At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.   If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Qualifications:

Your Skills & Qualifications will include:

  • License: Valid Utah RN license or license authorized to practice in Utah OR Valid Utah LMSW/LCSW license 
  • Experience:  Requires (3-5) years of experience working in utilization review preferrably in a psych inpatient setting
  • Education:  ASN or BSN or a MSW degree REQUIRED
  • Other: Must be at least 21 years of age or older and able to pass a pre-employment background check & drug screen

EEO Statement - We believe that diversity and inclusion among our teammates is critical to our success. 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.

Avoid and Report Recruitment Scams - At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.   If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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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