ZipRecruiter

Log In

1

Utilization Review Manager Jobs in Arizona (NOW HIRING)

previous page

Showing results 41-60

All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Arizona

Utilization Review Manager information

See Arizona salary details

$36.3K

$84.8K

$156.1K

How much do utilization review manager jobs pay per year?

As of Aug 9, 2026, the average yearly pay for utilization review manager in Arizona is $84,812.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,400.00 and $102,000.00 per year, depending on experience, location, and employer.

Is utilization review a stressful job?

Utilization review managers oversee the assessment of healthcare services to ensure appropriate and efficient care, which can involve high workloads and strict deadlines, leading to stress. The job requires strong organizational skills, attention to detail, and the ability to handle complex cases, which may contribute to job-related stress for some individuals.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What are the key skills and qualifications needed to thrive as a utilization review manager?

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.
What are the most commonly searched types of Utilization Review jobs in Arizona? The most popular types of Utilization Review jobs in Arizona are:
What are popular job titles related to Utilization Review Manager jobs in Arizona? For Utilization Review Manager jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Utilization Review Manager jobs in Arizona look for? The top searched job categories for Utilization Review Manager jobs in Arizona are:
What cities in Arizona are hiring for Utilization Review Manager jobs? Cities in Arizona with the most Utilization Review Manager job openings:
Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Arizona as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 97% In-person, and 3% Remote job distribution, with an average salary of $84,812 per year, or $40.8 per hour.

Botox Utilization Review Specialist - Phoenix, AZ

HealthOp Solutions

Phoenix, AZ

$20 - $25/hr

Full-time

Re-posted 8 days ago

Job description

Job Title: Botox Utilization Review Specialist

Location: Phoenix, AZ

Hours & Schedule: Full-time, Monday through Friday, mornings to 4:00 PM

Work Environment: Neurology Clinic

Salary / Hourly Rate: $20–25 per hour


Why work with us:

This position plays a vital role in ensuring patients receive timely access to medically necessary therapeutic Botox treatments. The role offers a consistent weekday schedule and the opportunity to work closely with clinical teams and insurance payers in a fast-paced, supportive healthcare environment.


What our ideal new team member looks like:

The ideal team member is detail-oriented, highly organized, and experienced in utilization review and prior authorizations. They are comfortable interpreting clinical documentation, navigating payer requirements, and communicating clearly with patients and healthcare staff. They are proactive, collaborative, and committed to supporting quality patient care.


Job Summary:

The Botox Utilization Review Specialist is responsible for obtaining insurance authorization for therapeutic Botox injections, including treatments for migraines, spasms, dystonia, and hyperhidrosis. This role reviews medical records for clinical necessity, verifies benefits, submits authorization requests, and manages denials and appeals. Strong knowledge of insurance processes, medical terminology, and documentation standards is required to ensure timely treatment approval.


Job Duties & Responsibilities:

  • Review medical records to validate diagnoses and supporting documentation
  • Submit prior authorization requests using appropriate ICD-10 and CPT codes
  • Verify medical necessity based on payer-specific clinical criteria
  • Coordinate with insurance carriers to confirm eligibility, benefits, and coverage limitations
  • Track pending, approved, and denied authorizations within the electronic health record
  • Research denied requests and submit appeals with required clinical documentation
  • Communicate authorization status and potential out-of-pocket costs to patients and clinical staff
  • Maintain accurate records while handling confidential information with professionalism


Prerequisites / License & Certification Requirements:

  • High School Diploma or GED
  • Minimum of 3 years of experience in prior authorizations, referrals, or a related medical office role
  • Knowledge of insurance processes and medical terminology
  • Experience using Athena is required
  • Understanding of ICD-10 and CPT coding
  • Strong multitasking and organizational skills
  • Ability to perform efficiently in a high-volume, fast-paced environment
  • Excellent communication, problem-solving, and team collaboration skills


How to Apply

If you’re ready to contribute your skills to a respected neurology practice and grow within a supportive environment, please submit your updated resume for confidential consideration. Cover letters and references are encouraged but not required.


#T1

12001