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Utilization Review Jobs (NOW HIRING)

Discovery Institute NJ

Utilization Review

Marlboro, NJ · On-site

Position Summary The Utilization Review (UR) Specialist is responsible for obtaining and maintaining insurance authorizations for clients receiving substance use disorder treatment services. This ...

Discovery Institute

Utilization Review

Marlboro, NJ · On-site

Position Summary The Utilization Review (UR) Specialist is responsible for obtaining and maintaining insurance authorizations for clients receiving substance use disorder treatment services. This ...

Tuba City Regional

Utilization Review

Tuba City, AZ · On-site

Rn - Utilization Review Cure Healthcare is seeking a RN - Utilization Review for positions in Tuba City, Arizona. Current Arizona license and AHA BLS and ACLS required and additional certifications ...

Discovery Institute NJ

Utilization Review

Marlboro, NJ · On-site

Position Summary The Utilization Review (UR) Specialist is responsible for obtaining and maintaining insurance authorizations for clients receiving substance use disorder treatment services. This ...

Prime Time Healthcare

Utilization Review

Cleveland, OH · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Now Hiring: RN Utilization Review - Middleburg Heights, OH Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our ...

Prime Time Healthcare

Utilization Review

Baltimore, MD · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in ...

Prime Healthcare

Utilization Review Technician

Gadsden, AL

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

New

Prime Healthcare

Utilization Review Technician

Gadsden, AL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Riverview Regional Medical Center - Gadsden, AL We are seeking a n Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...

Acrisure

Utilization Review Nurse

Bradenton, FL

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...

Fusion HCR

Utilization Review Nurse

Las Vegas, NV · On-site

Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...

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Utilization Review information

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$42

$68

How much do utilization review jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.
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Utilization Review jobs near you
Infographic showing various Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review

Providence Health and Services

Eureka, CA • On-site

$1.9K/wk

Other

Posted 7 days ago

Providence Health & Services rating

7.7

Company rating: 7.7 out of 10

Based on 845 frontline employees who took The Breakroom Quiz

159th of 888 rated healthcare providers

Job description

Details
Client Name
Providence Health and Services
Job Type
Travel
Offering
Nursing
Profession
Registered Nurse
Specialty
Utilization Review
Job ID
18635671
Job Title
Utilization Review
Weekly Pay
$1948.75
Shift Details
Shift
8 Hour Days
Scheduled Hours
40
Job Order Details
Start Date
08/16/2026
End Date
11/15/2026
Duration
13 Week(s)
Client Details
City
Eureka
State
CA
Zip Code
95501

What Providence Health & Services employees say

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Hours and flexibility

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