1

Utilization Review Assistant Jobs in Massachusetts

Pediatric Provider

Worcester, MA · On-site

$169K - $219K/yr

... assistants Contribute to the development and implementation of community health initiatives ... initiatives, utilization review, and staff education Qualifications Education and Experience:

Pediatric Provider

Worcester, MA · On-site

$169K - $219K/yr

Clinical collaboration with the nurse practitioners and physician assistants * Contribute to the ... Actively engage in productivity, quality improvement, performance initiatives, utilization review ...

Pediatric Provider

Worcester, MA · On-site

$169K - $219K/yr

... assistants Contribute to the development and implementation of community health initiatives ... initiatives, utilization review, and staff education Qualifications Education and Experience:

Pediatric Provider

Worcester, MA · On-site

$169K - $219K/yr

... assistants Contribute to the development and implementation of community health initiatives ... initiatives, utilization review, and staff education Qualifications Education and Experience:

Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...

Showing results 21-40

Utilization Review Assistant information

See Massachusetts salary details

$11

$33

$68

How much do utilization review assistant jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for utilization review assistant in Massachusetts is $33.20, according to ZipRecruiter salary data. Most workers in this role earn between $18.82 and $40.74 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 Massachusetts?

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

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

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

Infographic showing various Utilization Review Assistant job openings in Massachusetts as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $69,051 per year, or $33.2 per hour.

$93K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 19 days ago


High Point Treatment Center rating

5.7

Company rating: 5.7 out of 10

Based on 12 frontline employees who took The Breakroom Quiz


Job description

Clinical Director

Program/Location: Men's Addiction Treatment Center (MATC), Brockton
Education/Licensure: Masters degree in a related field with independent license (LMHC, LICSW, LADC1)
Salary: $93,600-$120,640 (based on education and experience) 
Status: Full time
Schedule: Monday-Friday 8am-4:30pm

About Us

High Point & Affiliated Organizations is a health and human service agency whose mission is to treat and prevent substance use disorders and mental illness. High Point has programs located throughout Southeastern Massachusetts offering a full continuum of care for substance use and mental health treatment, including inpatient, outpatient, residential, and community-based services. Programs and services also assist survivors of abuse, violence, and families experiencing homelessness. High Point believes that everyone has inherent goodness, worth, and dignity. Our goal is to help individuals and families achieve personal change and improve their quality of life. 

Benefits

  • Medical Insurance 
  • Dental Insurance 
  • Vision Insurance 
  • Long & short term disability
  • Discounted auto/home and renters insurance 
  • 403b - Retirement
  • FSA & DCA
  • PFML
  • Employee Assistance Program
  • Bonuses & Referral
  • Eligibility for free classes to become a Licensed Counselor or Recovery Coach
  • Education days to use towards CEU's
  • Free meals at select programs and when available
  • Unmatched Leave Time (FT employees can earn up to 3 weeks in first year)

Requirements

  • Must present as courteous and professional at all times
  • Demonstrated flexibility and ability to perform multiple tasks
  • Must have excellent communication skills, including the ability to organize ideas in logical and clear fashion
  • Must have the ability to work with others in cooperative and collaborative manner
  • TB screening
  • Certification in the HPTC approved de-escalation program
  • Strong and effective verbal, written and organizational skills
  • Knowledge of basic computer skills and software programs including the ability to learn, use and train HPTC`s electronic medical records
  • Ability to provide clinical leadership and supervision within the unit/program
  • Knowledge of major clinical therapeutic models and behavioral health best practice
  • Knowledge of diagnostic criteria, assessment skills, and case management ability
  • Strong written and verbal communication skills

    Duties & Responsibilities

    • Review and manage existing program goals and objectives assigned by Program Director

    • Responsible for supervision of Clinicians as assigned by Program Director

    • Provide direct services to clients, which will include but not limited to evaluations of clients; Individual, group and/or family counseling, crisis management, and aftercare planning. Productivity expectations will be determined based on the number of direct supervisees.

    • Facilitate all meetings, case conferences and trainings as assigned

    • Monitor staff attendance at all required meetings and trainings as required

    • Facilitate/participate Multidisciplinary Treatment Team and Utilization Review

    • Assist in development and updating of clinical and psycho- educational programs

    • Preparation of statistics, reports correspondence and participation in RFP grant writing process, Joint Commission preparation, Tally Card and other writing duties as needed

    • Ensure compliance with Federal Regulations, 42 CFR Part 2; and Confidentially of Alcohol and Drug Abuse Patients and HIPPA regulations and best practice processes and protocol in the provision of highest quality client care

    • Develop community contacts and collaboration with other organizations as needed

    • After-hours/on-call program support for patient clinical emergencies, dose verification, and other patient urgent needs on a rotating basis with Program Director

    • Other duties as assigned by the Program Director/Site Director

    Qualifications

    • Master's degree in psychology, social work, mental health counseling or substance abuse counseling
    • Independently licensed (LMHC, LICSW, LADC1)
    • minimum of two (2) years of clinical supervisory experience and four (4) years of behavioral health counseling experience

    What High Point Treatment Center employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom