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Insurance Utilization Review Jobs in Springfield, IL

DIR - CLINICAL SVCS - BH

Springfield, IL · On-site

$95K - $120K/yr

Maintain and allocate a qualified core of staff resources, managing resource utilization and ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ... Maintain and allocate a qualified core of staff resources, managing resource utilization and ...

Rehab Admissions Screener

Springfield, IL · On-site

$34.34 - $53.23/hr

Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...

Rehab Admissions Screener

Springfield, IL · On-site

$34.34 - $53.23/hr

Good assessment skills and understanding of the insurance and managed care arenas. * Ability to ... Thorough on-site or telephoned assessment of candidates, including chart review, clinical physical ...

Producer Assistant

Springfield, IL · On-site

$55K - $65K/yr

Support Advisors with financial plan implementation and ongoing client reviews * Coordinate with ... Life, Accident, and Health insurance license(s) or interest in obtaining * Exposure to financial ...

INTERVIEWER

Springfield, IL · Hybrid

$4.9K - $8.2K/mo

Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.

INTERVIEWER

Springfield, IL · On-site

$4.9K/mo

Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.

INTERVIEWER

Springfield, IL · Hybrid

$4.9K - $8.2K/mo

Creates and/or reviews interview tools prior to posting. * Maintains all records pertaining to the ... Prefers intermediate skill in the utilization of Microsoft programs to include Word and Excel.

Travel Physical Therapist

Springfield, IL · On-site

$1.8K - $2.2K/wk

... insurance, PTO, continuing education, to name a few. Continue to scroll to see our full benefits ... Responsibilities * Review and evaluate physician's referral and patient's medical record to ...

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Insurance Utilization Review information

See Springfield, IL salary details

$21

$41

$68

How much do insurance utilization review jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for insurance utilization review in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 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 popular job titles related to Insurance Utilization Review jobs in Springfield, IL? For Insurance Utilization Review jobs in Springfield, IL, the most frequently searched job titles are:
What cities near Springfield, IL are hiring for Insurance Utilization Review jobs? Cities near Springfield, IL with the most Insurance Utilization Review job openings:
Infographic showing various Insurance Utilization Review job openings in Springfield, IL as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 25% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $87,164 per year, or $41.9 per hour.