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Utilization Review Manager Jobs in Connecticut (NOW HIRING)

Clinical Supervisor

Canaan, CT ยท On-site

$80K - $95K/yr

... Manager to promote high-quality, evidence-informed care and strong client outcomes. The ideal ... Support utilization review processes, including medical-necessity documentation, clinical summaries ...

Clinical Supervisor

Canaan, CT ยท On-site

$80K - $95K/yr

... Manager to promote high-quality, evidence-informed care and strong client outcomes. The ideal ... Support utilization review processes, including medical-necessity documentation, clinical summaries ...

Case Manager

Waterbury, CT

$20.50 - $26.25/hr

Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program ( Diploma/Associates) BSN ...

Case Manager

Waterbury, CT ยท On-site

$20.50 - $26.25/hr

Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program ( Diploma/Associates) BSN ...

The Director, Care Management, is responsible for the daily oversight and management of case management, social work, utilization review, transitional care, compliant documentation, and resource ...

The Director, Care Management, is responsible for the daily oversight and management of case management, social work, utilization review, transitional care, compliant documentation, and resource ...

The Director, Care Management, is responsible for the daily oversight and management of case management, social work, utilization review, transitional care, compliant documentation, and resource ...

Showing results 21-40

Utilization Review Manager information

See Connecticut salary details

$37.1K

$86.6K

$159.3K

How much do utilization review manager jobs pay per year?

As of Aug 22, 2026, the average yearly pay for utilization review manager in Connecticut is $86,578.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,600.00 and $104,200.00 per year, depending on experience, location, and employer.

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 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 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 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.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

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

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

What cities in Connecticut are hiring for Utilization Review Manager jobs?

Cities in Connecticut with the most Utilization Review Manager job openings:

Infographic showing various Utilization Review Manager job openings in Connecticut as of August 2026, with employment types broken down into 84% Full Time, 11% Part Time, 2% Temporary, and 3% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $86,578 per year, or $41.6 per hour.

Clinical Supervisor

Mountainside Treatment Center

Canaan, CT โ€ข On-site

$80K - $95K/yr

Full-time

Retirement, PTO

Posted 10 days ago


Job description

Description:Clinical SupervisorCanaan, CT

About the Position:

The Clinical Supervisor provides advanced clinical services and leadership within Mountainside’s residential program. This role combines direct clinical care with the supervision and development of clinical staff, making it an excellent opportunity for an experienced clinician looking to grow as a leader.


The Clinical Supervisor provides individual and group therapy, completes assessments and treatment planning, coordinates care across disciplines and levels of care, and supports clients and families throughout treatment. In a supervisory capacity, this role provides clinical guidance, coaching, mentorship, and performance support to assigned staff while partnering with the Clinical Director and Program Manager to promote high-quality, evidence-informed care and strong client outcomes.


The ideal candidate is a confident clinical leader who is passionate about supporting both clients and clinicians and thrives in a collaborative, multidisciplinary treatment environment.


Schedule:

Monday - Friday: 8:00 am - 4:30 pm

Must be able to participate in on-call weekend and holiday coverage as scheduled.


Your Role:

  • Provide individual and group therapy using evidence-informed, recovery-oriented approaches.
  • Complete biopsychosocial assessments, clinical screenings, treatment plans, progress notes, and other required clinical documentation in a timely and accurate manner.
  • Develop and maintain individualized treatment plans, including appropriate referrals to psychiatry, wellness, family services, continuing care, and other resources.
  • Coordinate care with clients, families/supports, medical and psychiatric providers, referral sources, and other external partners, consistent with releases of information.
  • Support clients throughout the therapeutic process by reinforcing treatment expectations, recovery-oriented skills, and healthy communication within the residential milieu.
  • Collaborate with the multidisciplinary team to ensure coordinated care, effective communication, and consistent execution of treatment plans.
  • Support utilization review processes, including medical-necessity documentation, clinical summaries, authorization needs, and insurance peer reviews as needed.
  • Lead daily clinical huddles to review census, clinical priorities, risk and safety concerns, documentation needs, and care coordination.
  • Coordinate admissions and length-of-stay reviews by providing clinical feedback and recommendations as appropriate.
  • Coordinate discharge and continuing-care planning to support clients’ ongoing recovery and transition to appropriate services.
  • Maintain active clinical licensure, credentialing, NPI, and payer enrollment requirements as applicable.
  • Provide clinical and administrative supervision to assigned staff, including case consultation, workload prioritization, risk assessment, and support with clinical decision-making.
  • Lead individual and group supervision, case conferences, and other opportunities for clinical consultation and professional development.
  • Coach, mentor, and support the professional growth and development of assigned clinical staff.
  • Establish clear performance expectations and provide ongoing feedback, coaching, and support to promote staff success and accountability.
  • Conduct regular 1:1 meetings, performance reviews, and goal-setting with direct reports and address performance concerns in partnership with Human Resources and the Clinical Director when needed.
  • Support onboarding, orientation, training, and competency development for new clinical staff, interns, and direct reports.
  • Review clinical documentation and charting for quality, compliance, and clinical accuracy; provide feedback and implement corrective actions as needed.
  • Support clinical quality initiatives, chart audits, accreditation readiness, curriculum development, and staff training.
  • Participate in interviewing, selection, and onboarding decisions for clinical team members.
  • Manage day-to-day clinical workflows, including caseload assignments, coverage, scheduling, and PTO approvals to support effective staffing.
  • Participate in on-call weekend and holiday coverage as scheduled.

Qualifications:

  • Master’s degree in counseling, social work, marriage and family therapy, or a related field required.
  • Current independent clinical license required (LCSW, LPC, LMFT, LMHC, or equivalent).
  • 5+ years of post-licensure clinical experience preferred.
  • 2+ years of clinical supervisory experience preferred.
  • Experience in addiction, behavioral health, residential, and/or substance use disorder treatment preferred.
  • Experience with utilization review, medical-necessity documentation, and interdisciplinary care coordination preferred.
  • Demonstrated leadership skills with the ability to coach, mentor, provide constructive feedback, and support staff development.
  • Strong clinical judgment, communication, organization, and collaboration skills.

Compensation:


The base rate of pay for this position is $80,000 to $95,000 per year. Actual pay is determined based on a number of job-related factors including skills, education, training, credentials, experience, scope and complexity of role responsibilities, geographic location, performance, and working conditions.


Benefits:

  • Comprehensive benefit package
  • Paid Time Off (which increases after 1 year with Mountainside)
  • Paid holidays including a Multicultural Holiday
  • 401(k) with employer matching
  • Free meals while working on the Canaan campus
  • Monthly $75.00 wellness reimbursement. Our Wellness Reimbursement benefit is meant to encourage employees to engage in productive self-care to avoid burnout and compassion fatigue.

About Mountainside:


Mountainside Treatment Center is a dynamic, fast-paced and growing recovery facility that values innovation and an obsession with providing Best in Class service to our Clients. Founded in 1998, we are a leading behavioral healthcare provider dedicated to treating alcohol dependency and drug addiction. Accredited by The Joint Commission and CARF for its high standards of care, Mountainside seeks out passionate and talented individuals to join its staff. We believe that every employee, regardless of position, plays a vital role in our success.


Here at Mountainside Treatment Center, we strongly prefer all employees to be fully vaccinated for Covid-19 (including regularly scheduled boosters) and the Flu as recommended by the CDC.
Mountainside is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.
#JoinMountainside



Requirements: