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Utilization Review Assistant Jobs in Kentucky (NOW HIRING)

UHS

UR COORDINATOR (RN OR MSW)

Hopkinsville, KY · On-site

Maintain accurate utilization review and authorization records. * Assist with denial management, appeals, and peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements.

UHS

UR COORDINATOR (RN OR MSW)

Hopkinsville, KY · On-site

Maintain accurate utilization review and authorization records. * Assist with denial management, appeals, and peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements.

Breckinridge Health Inc

ACTIVITIES ASSISTANT

Hardinsburg, KY · On-site

$13 - $15.50/hr

Participate in performance improvement and utilization review programs * Maintain daily record of ... Current Certified Nursing Assistant Licensure preferred Benefits Offered: * 403(b) * 403(b) ...

Firstsource

Clinical Denials Specialist

Louisville, KY · On-site

Reviews and understands utilization review and coverage guidelines for multiple payers * Identify ... Maintain awareness of and actively participate in the Corporate Compliance Program. * Assist with ...

Graves Gilbert Clinic

PHARMACIST

Bowling Green, KY · On-site

$57 - $68.50/hr

Conduct drug utilization reviews and ensure adherence to formulary guidelines and evidence-based ... operations. * Assist with medication procurement strategies, inventory management, and vendor ...

Graves Gilbert Clinic

PHARMACIST

Bowling Green, KY · On-site

$57 - $68.50/hr

Conduct drug utilization reviews and ensure adherence to formulary guidelines and evidence-based ... operations. * Assist with medication procurement strategies, inventory management, and vendor ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Kentucky

Utilization Review Assistant information

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$9

$28

$59

How much do utilization review assistant jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for utilization review assistant in Kentucky is $28.88, according to ZipRecruiter salary data. Most workers in this role earn between $16.38 and $35.45 per hour, depending on experience, location, and employer.

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What are the most commonly searched types of Utilization Review jobs in Kentucky? The most popular types of Utilization Review jobs in Kentucky are:
What are popular job titles related to Utilization Review Assistant jobs in Kentucky? For Utilization Review Assistant jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Utilization Review Assistant jobs in Kentucky look for? The top searched job categories for Utilization Review Assistant jobs in Kentucky are:
What cities in Kentucky are hiring for Utilization Review Assistant jobs? Cities in Kentucky with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $60,070 per year, or $28.9 per hour.

Registered Nurse - Utilization Review

Owensboro Health

Owensboro, KY • On-site

Other

Re-posted 19 days ago

Owensboro Health rating

6.9

Company rating: 6.9 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

452nd of 887 rated healthcare providers

Job description

Entity: Owensboro Health Regional Hospital | Department: Case Management | Work Hours: 1930 - 0330 | Weekend Requirements: N/A | 1.0 FTE
Job Summary:
Facilitates cost-effective, quality patient outcomes and transitions by determining the appropriate level of care and providing guidance, education, and support to assigned patients.
Job Responsibilities:

  • Assessment of complete chart and knowledge of patient's medical condition, financial status, emotional needs, and support systems.
  • Conducts initial and concurrent reviews of clinical documentation for medical necessity and appropriate level of care using approved criteria within specified time frame.
  • Provides appropriate clinical information to payers as requested within specified time frame.
  • Collaborates with the Attending Physician, Physician Advisor, Director, Manager, or Supervisor of Case Management on patients who are not meeting the regulatory requirements for hospitalization and delays in services and/or discharge.
  • Delivers regulatory letters to patients as needed.
  • Works in collaboration with the interdisciplinary team to ensure quality support of care and resource information
  • May assist patients/families with referrals to community agencies, post-acute providers, and/or provide education and resources.
  • Provides education and acts as a resource for physicians, staff, and patients/families regarding case management processes.
  • Trains new case managers, students, and interns as needed.
Skills and Attributes:
  • Requires critical thinking skills and decisive judgment.
  • Works under minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
Position Requirements:
Work Experience
  • No experience required.
Education
  • Bachelor's degree or higher in Nursing required upon hire
Licensure/Certification/Registration
  • RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire.
Organizational Responsibilities:
  • Supports Owensboro Health's Mission, Vision, Core Commitments, and business interests. Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.
Additional Job Information:
  • This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description.
  • The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.

Standard ADA Settings:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands: (Clinical-Hospital)
Standing: 75%
Walking: 75%
Sitting: 50
Lifting 0-25 lbs: 75%
Lifting 25-75 lbs: 25%
Lifting over 75 lbs: 25%
Carrying 0-25 lbs: 75%
Carrying 2575 lbs: 25%
Carrying over 75 lbs: 25%
Pushing/Plling 0-25 lbs: 75%
Pushing/Pulling 25-75 lbs: 75%
Pushing/Pulling over 75 lbs: 75%
Climbing: 50%
Bending/Stooping: 75%
Kneeling: 50%
Crouching/Crawling: 50%
Reaching: 75%
Talking: 75%
Hearing: 75%
Repetitive Foot/Leg Movements: 25%
Repetitive Hand/Arm Movements: 75%
Keyboard Data Entry: 75%
Running: 50%
Vision: Depth Perception: 75%
Vision: Distinguish Color: 75%
Vision: Seeing Far: 75%
Vision: Seeing Near: 75%
Hazardous Drug Risk Exposure:
Risk Level: Low-Risk
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.

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