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Insurance Utilization Review Jobs in Utah (NOW HIRING)

Imh

Manager Utilization and Care Management

Murray, UT · On-site +1

$44.99 - $69.44/hr

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of ...

AmTrust Financial

Clinical Review Pharmacist

South Jordan, UT · On-site

$116K - $120K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Clinical Pharmacist AmTrust Financial Services, a fast-growing commercial insurance company, has a ... and third-party Utilization Review when appropriate. * Document judgement on medication ...

Ascent Behavioral Hospital

Crisis/Intake Counselor

Millcreek, UT · On-site

$36K - $41K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Processes and supports insurance Verification of Benefits (VOBs) in collaboration with the UR/Admissions team. * Collaborates with Utilization Review staff to support authorization, clinical ...

Ascent Behavioral Hospital

Crisis/Intake Counselor

Millcreek, UT · On-site

$35K - $40K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Processes and supports insurance Verification of Benefits (VOBs) in collaboration with the UR/Admissions team. * Collaborates with Utilization Review staff to support authorization, clinical ...

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Insurance Utilization Review information

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How much do insurance utilization review jobs pay per hour?

As of Aug 14, 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 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 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 most commonly searched types of Insurance Utilization Review jobs in Utah?

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

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

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

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

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

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 58% Full Time, 27% Part Time, and 14% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $80,064 per year, or $38.5 per hour.

Behavioral Health Utilization/Authorization Specialist

Threshold Billing Solutions

Sandy, UT

$47K - $57K/yr

Full-time

Re-posted 7 days ago

Job description

Description

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Posting
We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and mental health treatment programs. This role works closely with insurance companies and treatment providers to obtain authorizations for ASAM levels of care, including detoxification, residential, PHP, IOP and GOP treatment services.
Position Summary
The Utilization/Authorization Specialist plays a key role in advocating for clients by obtaining treatment authorizations and facilitating communication between providers and insurance payers. This position is responsible for reviewing behavioral health clinical documentation, submitting authorization requests, and ensuring accurate, timely tracking of coverage. The ideal candidate will be detail-oriented, organized, capable of communicating clearly with both internal teams and external insurance representatives, and may have direct clinical experience working as a Peer Support Specialist, Case Manager, SUDC, LCSW/CSW, CMHC in the substance abuse or mental health treatment field.
Experience in Utilization Review Not Required
While prior utilization review experience is always valued, many of our most successful team members have come from a variety of backgrounds within the behavioral health treatment field. Candidates who have worked in residential treatment centers, outpatient programs, or other clinical/administrative behavioral health settings often transition very well into this role. Their firsthand understanding of the treatment process, client needs, and clinical workflows provides an excellent foundation for learning utilization review.
We provide comprehensive training and ongoing support, so if you bring a strong work ethic, attention to detail, and a passion for supporting access to care, you can thrive with us even without previous UR experience.
Key Responsibilities
  • Maintain proactive and effective communication with insurance payers and managed care organizations.
  • Review and interpret clinical documentation, case notes, and assessments to determine and advocate for the appropriate level of care.
  • Prepare and submit initial and concurrent authorization requests, as well as appeals when necessary.
  • Enter and update authorization details in internal data systems accurately and promptly.
  • Track ongoing authorization needs across all levels of care (RTC, PHP, IOP, OP).
  • Communicate with facility staff and internal departments regarding client coverage and clinical needs.
  • Serve as a client advocate, ensuring access to appropriate care through effective payer communication.
  • Ensure timely documentation of all authorizations, decisions, and payer communications.
  • Perform other related duties as assigned.
Qualifications
  • May have direct clinical/behavioral health experience working as a Peer Support Specialist, Case Manager, SUDC, LCSW/CSW, CMHC in the substance abuse or mental health treatment field is preferred (but not required).
  • Experience in behavioral health or utilization review preferred (but not required).
  • Knowledge of CPT/ICD-10 coding, ASAM/LOCUS criteria, and EMR systems is a plus but not a requirement.
  • Strong verbal and written communication skills.
  • Excellent organization and attention to detail; able to manage multiple tasks and priorities.
  • Critical thinking and analytical skills with the ability to interpret and present clinical information.
  • Ability to work independently and as part of a collaborative team.
  • Proficiency in Microsoft Office and Google Workspace.
  • Comfortable working in a fast-paced environment with deadlines and competing priorities.
Education & Experience
  • High school diploma or equivalent required. Associate’s degree or higher preferred.
  • At least 1 year of experience in behavioral health or utilization review preferred (not required).
  • Prior experience in the substance use and/or mental health treatment field is highly valued.
  • Licensed or credentialed as a Peer Support Specialist, Case Manager, SUDC, LCSW/CSW, CMHC in the substance abuse or mental health treatment field is preferred (but not required).
Benefits
  • Health, dental, and vision insurance
  • Paid time off (PTO)
  • Sick Time
  • Life insurance
  • Short- and long-term disability coverage
  • Lunch catered two times per week
  • Supportive, team-oriented work environment
Work Environment

  • This is a full-time, on-site position located at our Sandy, Utah office.
To Apply: Please submit your resume and a brief cover letter detailing your interest in the role and relevant experience.

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