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Utilization Management Jobs in Illinois (NOW HIRING)

UHS

Utilization Management Coordinator

Forest Park, IL · On-site

$30 - $46/hr

We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Springfield, IL

Oversees all utilization management functions. * Oversees precertification, concurrent, and discharge utilization reviews. * Facilitates regulatory compliance by ensuring proper documentation and ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Springfield, IL · On-site

$37.55 - $56.33/hr

The Utilization Review Director o versees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management ...

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Utilization Management information

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$37.8K

$86.7K

$158K

How much do utilization management jobs pay per year?

As of Aug 7, 2026, the average yearly pay for utilization management in Illinois is $86,711.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $101,300.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the most commonly searched types of Utilization Management jobs in Illinois? The most popular types of Utilization Management jobs in Illinois are:
What are popular job titles related to Utilization Management jobs in Illinois? For Utilization Management jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Illinois look for? The top searched job categories for Utilization Management jobs in Illinois are:
What cities in Illinois are hiring for Utilization Management jobs? Cities in Illinois with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Illinois as of August 2026, with employment types broken down into 87% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,711 per year, or $41.7 per hour.

Utilization Management Coordinator

UHS

Forest Park, IL • On-site

$30 - $46/hr

Full-time

Re-posted 9 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

492nd of 887 rated healthcare providers

Job description

Responsibilities
Shape the future of behavioral health care throughout the Forest Park community by joining our extraordinary team at Riveredge Hospital. Bring your compassion, expertise, enthusiasm, and passion for quality to a place that cultivates wellness and inspires hope.
We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to come in for an interview.
The Utilization Management Coordinator position oversees the daily activities of the Utilization Management staff including but not limited to assigning and scheduling; reviewing and approving documentation and reports; advising and mentoring UM staff; and overseeing operational procedures involving work processes, forms, and billing. Assists with hiring, coaching, and counseling staff and compliance with internal policies and outside governmental and regulatory agencies. Conducts the Utilization Management Committee meetings, staff meetings, in-services, and participates in performance improvement teams.
Qualifications
  • Must have a Bachelor's degree, Master's degree preferred.
  • Must have an appropriate background in the mental health field to organize and achieve quality performance with a focus on securing reimbursement for the organization.
  • Possess an in depth knowledge of funding sources and government reimbursement protocols.
  • A minimum of 2-3 years supervisory experience.
  • Thoroughly understands the management of UM data obtained from admission, concurrent reviews and appeals utilizing the Severity of Illness/Intensity of Service Criteria.
  • Has knowledge of JC, CMS, Illinois Mental Health Code Act, and all other relevant state and federal regulatory standards.
  • Possesses strong verbal and written communication skills.

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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

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