Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... insurance offering, a physician network and various related services located in 40 U.S. states ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... insurance offering, a physician network and various related services located in 40 U.S. states ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... insurance offering, a physician network and various related services located in 40 U.S. states ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... insurance offering, a physician network and various related services located in 40 U.S. states ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... insurance offering, a physician network and various related services located in 40 U.S. states ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... insurance offering, a physician network and various related services located in 40 U.S. states ...
Utilization Review Manager - Remote - Faulkner
Boston, MA · Remote
$41.36 - $100/hr
... utilization review to evaluate for the appropriate level of care and fax all insurance reviews ... Fax clinical in payor communication to the right insurer with the right fax number in the right ...
Utilization Review Manager - Remote - Faulkner
Boston, MA · Remote
$41.36 - $100/hr
... utilization review to evaluate for the appropriate level of care and fax all insurance reviews ... Fax clinical in payor communication to the right insurer with the right fax number in the right ...
Physical Therapy Utilization Management Reviewer
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the ... Understand member insurance products and benefits and apply benefits appropriately * Learn and ...
Physical Therapy Utilization Management Reviewer
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the ... Understand member insurance products and benefits and apply benefits appropriately * Learn and ...
Physical Therapy Utilization Management Reviewer
Hingham, MA · On-site
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the ... Understand member insurance products and benefits and apply benefits appropriately * Learn and ...
Physical Therapy Utilization Management Reviewer
Hingham, MA · On-site
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the ... Understand member insurance products and benefits and apply benefits appropriately * Learn and ...
RN Manager, Case Management / Utilization Management
Hingham, MA · On-site
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The ... We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance ...
RN Manager, Case Management / Utilization Management
Hingham, MA · On-site
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The ... We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ... Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) * Demonstrated ...
RN Manager, Case Management / Utilization Management
Hingham, MA · On-site
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The ... We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance ...
RN Manager, Case Management / Utilization Management
Hingham, MA · On-site
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The ... We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance ...
Clinical Review Specialist
Canton, MA · On-site
$24 - $25/hr
... utilization management reviews and provide clinical information as required in order to confirm coverage for each patient. Benefits : * Career Ladder * Health insurance * Dental insurance * Vision ...
Quick apply
Clinical Review Specialist
Canton, MA · On-site
$24 - $25/hr
... utilization management reviews and provide clinical information as required in order to confirm coverage for each patient. Benefits : * Career Ladder * Health insurance * Dental insurance * Vision ...
Clinical Review Specialist
Woburn, MA · On-site
$24 - $25/hr
... utilization management reviews and provide clinical information as required in order to confirm coverage for each patient. Benefits : * Career Ladder * Health insurance * Dental insurance * Vision ...
Quick apply
Clinical Review Specialist
Woburn, MA · On-site
$24 - $25/hr
... utilization management reviews and provide clinical information as required in order to confirm coverage for each patient. Benefits : * Career Ladder * Health insurance * Dental insurance * Vision ...
RN Case Review Coordinator - Faulkner
Boston, MA · On-site
$41.36 - $100/hr
Performs all aspects of audits and appeals including the peer to peer process. - Perform utilization review to evaluate for appropriate level of care and faxes all insurance reviews timely to prevent ...
RN Case Review Coordinator - Faulkner
Boston, MA · On-site
$41.36 - $100/hr
Performs all aspects of audits and appeals including the peer to peer process. - Perform utilization review to evaluate for appropriate level of care and faxes all insurance reviews timely to prevent ...
Health Care Research Analyst
Boston, MA · On-site
... health insurance utilization, costs and rating, with special emphasis on the small group and ... The Health Care Research Analyst will also review filings made by Third Party Administrators, Risk ...
Health Care Research Analyst
Boston, MA · On-site
... health insurance utilization, costs and rating, with special emphasis on the small group and ... The Health Care Research Analyst will also review filings made by Third Party Administrators, Risk ...
RN Case Review Coordinator - Per Diem - Faulkner
Boston, MA · On-site
$41.36 - $100/hr
Performs all aspects of audits and appeals including the peer to peer process. - Perform utilization review to evaluate for appropriate level of care and faxes all insurance reviews timely to prevent ...
RN Case Review Coordinator - Per Diem - Faulkner
Boston, MA · On-site
$41.36 - $100/hr
Performs all aspects of audits and appeals including the peer to peer process. - Perform utilization review to evaluate for appropriate level of care and faxes all insurance reviews timely to prevent ...
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
Quick apply
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
Quick apply
... review and audit. * Complete required training and ongoing training to nd maintain system access ... Valid driver's license, a personal vehicle, and verifiable insurance are required. * Minimum of 1 ...
New
Experienced Nurse Residency
Waltham, MA · On-site
$45 - $51/hr
Care Dimensions also offers a comprehensive benefits package - including employer-sponsored health insurance, paid time-off, tuition reimbursement, student loan paydown, supplemental insurance ...
Experienced Nurse Residency
Waltham, MA · On-site
$45 - $51/hr
Care Dimensions also offers a comprehensive benefits package - including employer-sponsored health insurance, paid time-off, tuition reimbursement, student loan paydown, supplemental insurance ...
Insurance Utilization Review information
See Boston, MA salary details
$23.24 - $27.94
2% of jobs
$27.94 - $32.64
9% of jobs
$35.86 is the 25th percentile. Wages below this are outliers.
$32.64 - $37.35
21% of jobs
The median wage is $41.15 / hr.
$37.35 - $42.05
23% of jobs
$42.05 - $46.75
13% of jobs
$50.40 is the 75th percentile. Wages above this are outliers.
$46.75 - $51.45
10% of jobs
$51.45 - $56.15
8% of jobs
$56.15 - $60.85
5% of jobs
$60.85 - $65.55
5% of jobs
$65.55 - $70.25
2% of jobs
$70.25 - $74.95
2% of jobs
$23
$45
$74
How much do insurance utilization review jobs pay per hour?
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.
- Remote Utilization Review Rn
- Utilization Review Nurse
- Utilization Management
- Behavioral Health Utilization Review
- Remote Utilization Review Nurse
- No Experience Utilization Review Nurse
- Remote Utilization Management
- Per Diem Utilization Review Nurse
- Remote Chart Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Utilization Review Clinician
- Utilization Review
- Part Time Bcba Utilization Review
- Remote Bcba Utilization Review
- Utilization Review Case Manager
- Weekend Utilization Review
- Commission Authorization Utilization Review Bcba
- Authorization Utilization Review Bcba
- Utilization Review Coordinator
- Therapy Utilization Review

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 16 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
494th of 890 rated healthcare providers
Job description
Utilization Review Coordinator Opportunity -
HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient and partial programs and services. This is a 40 hour per week, salaried position.
About Us
HRI Hospital is 66-bed psychiatric facility with adult inpatient services and several partial hospitalization programs. We are part of the largest private mental health system in Massachusetts and can therefore provide competitive salaries, benefits, and opportunities for growth and development. At the same time, the smaller size of our facility allows us to provide personalized attention and training to all our employees. Employees are part of a multi-disciplinary team of dynamic professionals providing high quality care to a diverse inpatient and outpatient group of individuals. We are located in Brookline – right near Boston University and Coolidge Corner – and provide easy access to public transportation and free parking. Employees are our most valued asset and we encourage qualified individuals to apply.
Website: https://www.hrihospital.com
As the Utilization Review Coordinator, you will:
- Complete initial precertification and concurrent reviews for patients in the inpatient and partial hospital settings
- Collaborate with members of multi-disciplinary treatment teams to formulate justification for continued treatment using medical necessity criteria
Benefit Highlights
- Tuition Reimbursement
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off (31 days per year + roll over)
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
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 during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Requirements
- Education: Master’s in psychology, social work or related field
- Experience: 3 years of Utilization Management / Utilization Review experience required; 5 years of experience preferred
- License: LCSW, LMHC, or LICSW 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.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
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:Requirements
- Education: Master’s in psychology, social work or related field
- Experience: 3 years of Utilization Management / Utilization Review experience required; 5 years of experience preferred
- License: LCSW, LMHC, or LICSW 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.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
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_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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