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Utilization Review Assistant Jobs in Louisiana (NOW HIRING)

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Provides support and review of medical claims and utilization practices. Description Logistics ... Assist with special projects and specialty duties and responsibilities as assigned by management.

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Utilization Review Assistant information

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$8

$24

$49

How much do utilization review assistant jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review assistant in Louisiana is $24.07, according to ZipRecruiter salary data. Most workers in this role earn between $13.65 and $29.55 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 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 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.

How do I get into a utilization review assistant?

To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.

What are the most commonly searched types of Utilization Review jobs in Louisiana?

The most popular types of Utilization Review jobs in Louisiana are:

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For Utilization Review Assistant jobs in Louisiana, the most frequently searched job titles are:

What job categories do people searching Utilization Review Assistant jobs in Louisiana look for?

The top searched job categories for Utilization Review Assistant jobs in Louisiana are:

What cities in Louisiana are hiring for Utilization Review Assistant jobs?

Cities in Louisiana with the most Utilization Review Assistant job openings:

Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Louisiana as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $50,071 per year, or $24.1 per hour.

Utilization Review Supervisor- Full Time

Lake Charles Memorial Health System

Lake Charles, LA • On-site

Full-time

Re-posted 16 days ago

Key responsibilities

  • Review patients' utilization records to identify patterns and make recommendations for improvement.

  • Oversee documentation of providers and employees to ensure medical stay meets medical necessity and continued stay criteria.

  • Review patient utilization data, trends, and patterns to identify deficiencies and suggest strategies to improve patient care.

Lake Charles Memorial Health System rating

6.7

Company rating: 6.7 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

Job description

DESCRIPTION OF POSITION:

  • The Utilization Review Supervisor oversees day to day functions of the department and staff. The Manager actively seeks areas for department to improve (i.e - reduction in denials) &/ or be more efficient.

SUPERVISION: Reports directly to the Practice Manager

RESPONSIBILITIES AND DUTIES:

  • Responsible for reviewing patients' utilization records to identify patterns and to make recommendations for improvement
  • Responsible for reviewing patient utilization data, trends, and patterns to identify areas of deficiency and suggest strategies to improve patient care.
  • Responsible for reviewing patient's utilization records to ensure accurate and timely billing for services provided.
  • Responsible for conducting utilization reviews in accordance with policies and procedures.
  • Responsible for reviewing the daily held claims report and oversee correction of filing claims.
  • Oversee documentation of providers and other employees to ensure medical stay meets medical necessity and continued stay criteria.
  • Submit daily Utilization Review reports in department huddles and monthly leadership meetings.
  • Oversee all utilization review and management activities in psychiatric services and report findings to Director of Psychiatric Services.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

  • Bachelor’s degree in a related field or equivalent work experience required.
  • Minimum of 5 years of experience in utilization review, medical claims, or related healthcare functions required.
  • Demonstrated knowledge of the utilization review of departmental processes, workflows, policies, procedures, and the documentation standard required.
  • Ability to articulate observations and utilization management needs in a clear and concise manner.
  • Excellent communication and interpersonal skills.

Physical Demands/Work Environment

  • Work requires a variety of physical activities, including moving about within and outside of all hospital properties for long periods of time.
  • Must be able to respond quickly and effectively to emergency and non-emergent situations.
  • May be required to assist in controlling disorderly conduct or combative patients.
  • Must be able to exchange accurate information with patient, family, peers and medical personnel.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Working at Lake Charles Memorial Health System | Great Place To Work®

What Lake Charles Memorial Health System employees say

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About Lake Charles Memorial Health System

Sourced by ZipRecruiter

Lake Charles Memorial Health System is the only locally owned, regional community healthcare system in Lake Charles. The health system employs more than 2700 full-time, part-time and PRN employees and is the largest health system in the area. Memorial is a true community health system, run by a board of local volunteers from all walks of business, industry and public service. It is one of an elite group of health systems that belongs to the people of Southwest Louisiana and serves everyone regardless of age, race, gender or financial status.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Lake Charles, LA, US

Year founded

1952

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