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Insurance Utilization Review Jobs in Trumbull, CT

Northwell

Case Coordinator - Social Work

Riverhead, NY

$41.77 - $50.83/hr

Ensures appropriate resource utilization via utilization review process and conducts timely and efficient concurrent reviews with insurance companies if required 5.Facilitates contact with families ...

New

Northwell

Case Coordinator - Social Work

Riverhead, NY · On-site

$20.50 - $27.75/hr

Ensures appropriate resource utilization via utilization review process and conducts timely and efficient concurrent reviews with insurance companies if required 5.Facilitates contact with families ...

New

Monte Nido

Clinical Director

Northport, NY · On-site

$92 - $135/hr

Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. * Previous experience with Joint Commission and regulatory standards compliance is desired.

Monte Nido & Affiliates, LLC

Clinical Director

NY · On-site

$92K - $135K/yr

Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. * Previous experience with Joint Commission and regulatory standards compliance is desired.

Monte Nido & Affiliates, LLC

Clinical Director

NY · On-site

$92K - $135K/yr

Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. * Previous experience with Joint Commission and regulatory standards compliance is desired.

CenterWell

Home Health Clinical Manager

Riverhead, NY · On-site

Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance and reliable transportation * Two years as a Registered ...

Centerwell

Home Health Clinical Manager

Riverhead, NY · On-site

Conduct ongoing staff education based on documentation review, utilization review findings, and ... Valid driver's license, auto insurance, and reliable transportation. * Two years as a Registered ...

BHcare Inc.

Clinician- Young Adult Services

Ansonia, CT · On-site

$54K - $72K/yr

Manage insurance authorizations and utilization reviews Program & Team Participation * Participate in team meetings, case reviews, and program development * Provide coverage and support across YAS ...

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Insurance Utilization Review information

See Trumbull, CT salary details

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How much do insurance utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for insurance utilization review in Trumbull, CT is $41.49, according to ZipRecruiter salary data. Most workers in this role earn between $32.79 and $47.64 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 job categories do people searching Insurance Utilization Review jobs in Trumbull, CT look for? The top searched job categories for Insurance Utilization Review jobs in Trumbull, CT are:
What cities near Trumbull, CT are hiring for Insurance Utilization Review jobs? Cities near Trumbull, CT with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Trumbull, CT as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 25% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $86,291 per year, or $41.5 per hour.

Case Coordinator - Social Work

Northwell

Riverhead, NY

$41.77 - $50.83/hr

Full-time

Posted 2 days ago

New

Job description

Shift: Monday-Friday 9:00AM-5:00PM

Job Description

Case Coordinator is responsible for a range of services to each patient during his/her length of stay, including: clinical psychosocial assessment, treatment and discharge planning. Direct service is provided in context of individual, family and group treatment modalities. Case coordination is facilitated by communication and collaboration with multi-disciplined staff members, the patient, collaterals (family, school, legal, case managers), and managed care organizations across the continuum of care. The focus of case coordination is to ensure safe, effective, solution focused treatment at the least restrictive level of care possible.

Job Responsibility

1. Uses clinical knowledge of psychosocial dynamics and interviewing techniques to gather psychosocial history information, define presenting problem(s), assess strengths and liabilities, and formulate discharge goals.

2.Coordinates development of individualized interdisciplinary treatment plans.

3.Coordinates the activities and input of the treatment team members, community resources, and payers to meet the treatment needs of the patients (and families.)

4.Ensures appropriate resource utilization via utilization review process and conducts timely and efficient concurrent reviews with insurance companies if required

5.Facilitates contact with families and relevant collateral resources to maximize their involvement and understanding of treatment goals/discharge criteria.

6.Provides individual, family and group treatment.

7.Actively participates in treatment meetings.

8.Documents assessments, interventions, and discharge-planning process in a clear, concise, and timely manner.

9.Evaluates patient response to treatment.

10.Coordinates discharge plan with patient, family, treatment team, case managers, outpatient providers, payer source.

11.Develops and maintains cooperative working relationships with community health, welfare and social agencies, and reaches out to the community to develop new resources.

12.Assesses, integrates and appropriately uses all information provided by both department and outside contacts which may affect the delivery of services in the health care setting, including new regulations, legislation and clinical data.

13.Contributes to service and hospital program improvement by serving regularly and productively on department, service and hospital committees.

14.Assists with performance improvement activities and program development.

15.Performs related duties, as required.

*ADA Essential Functions

Job Qualification

  • Master's Degree in Social Work, Mental Health Counseling, or Marriage and Family Therapy
  • Outpatient Program: LMSW or LMHC or LMFT required.
  • Inpatient/PHP: LMSW, LMFT, LMHC limited permit (Licensed Mental Health Counselor) preferred.
  • One year experience with case coordination preferred.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

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