Utilization Review Clinician
Augusta, GA · On-site
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Masters level education in social science field (social work, counseling, sociology, psychology)
Augusta, GA · On-site
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Masters level education in social science field (social work, counseling, sociology, psychology)
Augusta, GA · On-site
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Masters level education in social science field (social work, counseling, sociology, psychology)
Kotzebue, AK · On-site
$90 - $120/hr
L. 93-638 Native/Indian Preference/EEO Employer Utilization Review Nurse Job Code: 2026:OTZ-201 ... DISCLAIMER The above statements are intended to describe the general nature and level of work being ...
Kotzebue, AK · On-site
$90 - $120/hr
L. 93-638 Native/Indian Preference/EEO Employer Utilization Review Nurse Job Code: 2026:OTZ-201 ... DISCLAIMER The above statements are intended to describe the general nature and level of work being ...
Review clinical documentation daily for alignment between the billed level of care and the ... Provide real-time coaching and written feedback to clinicians, therapists, and medical providers on ...
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Review clinical documentation daily for alignment between the billed level of care and the ... Provide real-time coaching and written feedback to clinicians, therapists, and medical providers on ...
Responsible for ensuring that youth receive the most appropriate level of residential services for ... The Utilization Review Specialist will have access to confidential records including youth files ...
Responsible for ensuring that youth receive the most appropriate level of residential services for ... The Utilization Review Specialist will have access to confidential records including youth files ...
Edgartown, MA · On-site
$47.25 - $62.25/hr
Occupational Therapist (OT) Location : Edgartown, MA Full-Time & Part time Typical hours: Monday ... Monitor therapy utilization to ensure appropriate and effective service delivery. Leadership ...
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Edgartown, MA · On-site
$47.25 - $62.25/hr
Occupational Therapist (OT) Location : Edgartown, MA Full-Time & Part time Typical hours: Monday ... Monitor therapy utilization to ensure appropriate and effective service delivery. Leadership ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
$65 - $85/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...
$65 - $85/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...
Utilization Review Coordinator Location: Everwell Port St. Lucie Hospital, Inc Position Summary ... PTO and Sick time This position requires a pre-employment Level 2 Background check:
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Utilization Review Coordinator Location: Everwell Port St. Lucie Hospital, Inc Position Summary ... PTO and Sick time This position requires a pre-employment Level 2 Background check:
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
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What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
Kotzebue, AK · On-site
$90 - $110/hr
Chairs Quarterly Utilization Review Committee meetings to improve utilization of resources and ... DISCLAIMER The above statements are intended to describe the general nature and level of work being ...
Kotzebue, AK · On-site
$90 - $110/hr
Chairs Quarterly Utilization Review Committee meetings to improve utilization of resources and ... DISCLAIMER The above statements are intended to describe the general nature and level of work being ...
Tulsa, OK · On-site
$55 - $75/hr
For over 65 years, Parkside's physicians, therapists, and staff have provided ... The Utilization Review Specialist assesses, plans, implements and evaluates the internal processes ...
Tulsa, OK · On-site
$55 - $75/hr
For over 65 years, Parkside's physicians, therapists, and staff have provided ... The Utilization Review Specialist assesses, plans, implements and evaluates the internal processes ...
... Level I/II trauma centers. Collaborate with multidisciplinary teams to facilitate discharge ... Experience Proven experience in utilization review or utilization management within hospital or ...
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... Level I/II trauma centers. Collaborate with multidisciplinary teams to facilitate discharge ... Experience Proven experience in utilization review or utilization management within hospital or ...
Chicago, IL · On-site
$58K - $75K/yr
Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all ... Functions as a key member of the multidisciplinary treatment team to educate and guide on level of ...
Chicago, IL · On-site
$58K - $75K/yr
Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all ... Functions as a key member of the multidisciplinary treatment team to educate and guide on level of ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
This level of review will occur as needed throughout the client's treatment. * Arranges for Peer ... Participates in Utilization Review Committee or other committees as needed to present trends and ...
This level of review will occur as needed throughout the client's treatment. * Arranges for Peer ... Participates in Utilization Review Committee or other committees as needed to present trends and ...
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive appropriate and timely care. This role works ...
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive appropriate and timely care. This role works ...
West Chester, PA · On-site
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to ... Summary: * The Utilization Review Nurse will provide utilization review for authorization ...
West Chester, PA · On-site
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to ... Summary: * The Utilization Review Nurse will provide utilization review for authorization ...
$23.32 - $27.29
2% of jobs
$27.29 - $31.27
3% of jobs
$31.27 - $35.25
8% of jobs
$38.81 is the 25th percentile. Wages below this are outliers.
$35.25 - $39.23
13% of jobs
$39.23 - $43.20
18% of jobs
The median wage is $44.42 / hr.
$43.20 - $47.18
19% of jobs
$50.16 is the 75th percentile. Wages above this are outliers.
$47.18 - $51.16
16% of jobs
$51.16 - $55.14
11% of jobs
$55.14 - $59.11
5% of jobs
$59.11 - $63.09
3% of jobs
$63.09 - $67.07
2% of jobs
$23
$45
$67
| Aspect | Mid Level Occupational Therapy Utilization Review | Entry Level Occupational Therapy Utilization Review |
|---|---|---|
| Credentials | Occupational Therapy License, Certification in Utilization Review (if required) | Occupational Therapy License, Basic understanding of Utilization Review processes |
| Work Environment | Healthcare facilities, insurance companies, case review teams | Healthcare settings, insurance companies, supervised review tasks |
| Employer & Industry Usage | Hospitals, insurance providers, rehab centers | Insurance companies, outpatient clinics, healthcare agencies |
The Mid Level Occupational Therapy Utilization Review typically involves more independent decision-making, advanced knowledge of insurance policies, and greater responsibility in case assessments. Entry Level roles focus on learning review processes under supervision, gaining experience, and developing foundational skills. Both roles are essential in healthcare and insurance industries, but the mid level position offers increased autonomy and expertise.
Cities with the most Mid Level Occupational Therapy Utilization Review job openings:
The most popular types of Occupational Therapy Utilization Review jobs are:
States with the most job openings for Mid Level Occupational Therapy Utilization Review jobs include:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 14 days ago
6.9
Based on 254 frontline employees who took The Breakroom Quiz
453rd of 898 rated healthcare providers
Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Clinician to add to our growing team.
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Clinician is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.
Job Duties/ Responsibilities:
Benefit Highlights:
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.
Education and Experience:
Certifications, License, Registration:
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN 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:Education and Experience:
Certifications, License, Registration:
LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN 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_TIMEGet the full story on Breakroom
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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.
Health care and social assistance
10,000+ Employees
King of Prussia, PA, US