Supervise, coach, and develop case managers and other assigned team members. * Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression ...
Supervise, coach, and develop case managers and other assigned team members. * Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression ...
DIR - UTILIZATION REVIEW / MGMT
Springfield, IL · On-site
$37.55 - $56.33/hr
Supervise, coach, and develop case managers and other assigned team members. * Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression ...
DIR - UTILIZATION REVIEW / MGMT
Springfield, IL · On-site
$37.55 - $56.33/hr
Supervise, coach, and develop case managers and other assigned team members. * Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Utilization Review Nurse
Chicago, IL · On-site
MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. * MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of ...
Utilization Review Nurse
Chicago, IL · On-site
MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. * MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of ...
Utilization Review Nurse
New Lenox, IL · On-site
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Utilization Review Nurse
New Lenox, IL · On-site
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Utilization Review Nurse
New Lenox, IL · On-site
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Utilization Review Nurse
New Lenox, IL · On-site
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Utilization Review Nurse
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Utilization Review Nurse
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Relevant hospital nursing; hospital case management; insurance case management or utilization ...
Coordinate utilization management review functions in accordance with the Hospital Utilization Review Plan, including: * Preadmission reviews * Admission reviews * Continued stay reviews * Discharge ...
Coordinate utilization management review functions in accordance with the Hospital Utilization Review Plan, including: * Preadmission reviews * Admission reviews * Continued stay reviews * Discharge ...
Coordinate utilization management review functions in accordance with the Hospital Utilization Review Plan, including: * Preadmission reviews * Admission reviews * Continued stay reviews * Discharge ...
Coordinate utilization management review functions in accordance with the Hospital Utilization Review Plan, including: * Preadmission reviews * Admission reviews * Continued stay reviews * Discharge ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
Manage authorization denials including referral for peer review. * Document and record all ... Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
Manage authorization denials including referral for peer review. * Document and record all ... Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle ...
Utilization Management Lead-Utilization Review Full Time Days The Utilization Management Lead reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and ...
Utilization Management Lead-Utilization Review Full Time Days The Utilization Management Lead reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
... manager. ESSENTIAL FUNCTIONS Performs all daily Utilization Review Functions, includes communicates with payers, performs clinical reviews utilizing the appropriate guidelines, policies, and ...
... manager. ESSENTIAL FUNCTIONS Performs all daily Utilization Review Functions, includes communicates with payers, performs clinical reviews utilizing the appropriate guidelines, policies, and ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Assures effective utilization of supervised staff * Perform daily administrative tasks to ensure ... Credit review examiner in charge experience preferred * 2 years of prior management experience ...
Quick apply
Assures effective utilization of supervised staff * Perform daily administrative tasks to ensure ... Credit review examiner in charge experience preferred * 2 years of prior management experience ...
... managers and program leaders to identify improvement opportunities when performance measures are not being achieved. Quality Improvement & Analytics * Analyze utilization review findings and ...
... managers and program leaders to identify improvement opportunities when performance measures are not being achieved. Quality Improvement & Analytics * Analyze utilization review findings and ...
Case Manager - Utilization Review RN
Chicago, IL · On-site
$53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Case Manager - Utilization Review RN
Chicago, IL · On-site
$53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Case Manager - Utilization Review RN
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Case Manager - Utilization Review RN
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Utilization Review Manager information
See Illinois salary details
$37.8K - $49.1K
9% of jobs
$57.5K is the 25th percentile. Wages below this are outliers.
$49.1K - $60.4K
22% of jobs
$60.4K - $71.8K
11% of jobs
The median wage is $78.7K / yr.
$71.8K - $83.1K
14% of jobs
$83.1K - $94.4K
12% of jobs
$101.5K is the 75th percentile. Wages above this are outliers.
$94.4K - $105.7K
13% of jobs
$105.7K - $117K
13% of jobs
$117K - $128.4K
5% of jobs
$128.4K - $139.7K
2% of jobs
$139.7K - $151K
0% of jobs
$151K - $162.3K
0% of jobs
$37.8K
$88.2K
$162.3K
How much do utilization review manager jobs pay per year?
Is utilization review a stressful job?
What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?
What are the key skills and qualifications needed to thrive as a utilization review manager?
What is the difference between Utilization Review Manager vs Utilization Review Coordinator?
| Aspect | Utilization Review Manager | Utilization Review Coordinator |
|---|---|---|
| Certifications | Typically requires certifications like CCM or ACU | May require similar certifications but often less advanced |
| Work Environment | Supervises review teams, manages processes in healthcare or insurance settings | Performs case reviews, supports the review process under supervision |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Insurance 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?
What are the most commonly searched types of Utilization Review jobs in Illinois?
The most popular types of Utilization Review jobs in Illinois are:
What are popular job titles related to Utilization Review Manager jobs in Illinois?
For Utilization Review Manager jobs in Illinois, the most frequently searched job titles are:
- Non Exempt No Experience Utilization Management Nurse
- Per Diem Utilization Review Nurse
- No Experience Utilization Management Nurse
- Utilization Review Physician
- Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Telephonic Utilization Management Nurse
- Evening Optum Health Utilization Review
- Utilization Review Specialist
- Utilization Management Nurse
What job categories do people searching Utilization Review Manager jobs in Illinois look for?
The top searched job categories for Utilization Review Manager jobs in Illinois are:
- Lpn Utilization Review Work From Home
- Utilization Review
- Remote Dental Utilization Review
- Remote Navihealth Utilization Review
- Utilization Management Physician
- Fulltime Cigna Utilization Review Nurse
- Remote Hca Utilization Review
- Remote Aetna Utilization Review Nurse
- Aetna Utilization Review Nurse
- Commission Authorization Utilization Review Bcba
What cities in Illinois are hiring for Utilization Review Manager jobs?
Cities in Illinois with the most Utilization Review Manager job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 24 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
493rd of 887 rated healthcare providers
Job description
We are hiring a Director of Case Management (Utilization Management) at Lincoln Prairie Behavioral Health Center and offering a $5,000 sign-on bonus!
Lincoln Prairie Behavioral Health Center is a 97-bed facility located in Springfield, Illinois. We are dedicated to providing youth with compassionate mental health treatment that encourages self-responsibility and personal growth. We are the only facility of our kind in Central Illinois! We provide psychiatric treatment to children and adolescents that present with a broad range of psychiatric and behavioral disorders. A clinically skilled multidisciplinary team works to partner with the youth and family to accomplish their goals in a supportive and therapeutic environment.
The Director of Case Management (Utilization Management) is responsible for the leadership, oversight, and daily operations of theUtilization Management and Case Management functions. This role ensures effective coordination of care, appropriate resource utilization, regulatory compliance, and collaboration with clinical andmultidisciplinary teams to support positive patient outcomes.
Qualifications
Duties and Responsibilities:
- Provide operational and strategic leadership for the Case Management and Utilization Management
departments. - Supervise, coach, and develop case managers and other assigned team members.
- Ensure timely and accurate utilization review activities and payer communications.
- Monitor patient progression, discharge planning, and continuity of care processes.
- Collaborate with physicians, nursing leadership, therapists, and hospital administration.
- Maintain compliance with regulatory, accreditation, and organizational requirements.
- Analyze performance metrics and implement process improvement initiatives.
Benefit & Rewards Highlights
- Retention Bonus Program
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Tuition savings
- Career development opportunities within UHS and its 300+ Subsidiaries!
- Pet Insurance
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Requirements:
- Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered.
- 3-5 years of case management experience required.
- 3-5 years of clinical team management or supervisory experience preferred.
- Master’s degree in healthcare administration is a plus.
- Strong knowledge of utilization management, discharge planning, and behavioral health operations.
- Excellent leadership, communication, and interdisciplinary collaboration skills.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications:Duties and Responsibilities:
- Provide operational and strategic leadership for the Case Management and Utilization Management
departments. - Supervise, coach, and develop case managers and other assigned team members.
- Ensure timely and accurate utilization review activities and payer communications.
- Monitor patient progression, discharge planning, and continuity of care processes.
- Collaborate with physicians, nursing leadership, therapists, and hospital administration.
- Maintain compliance with regulatory, accreditation, and organizational requirements.
- Analyze performance metrics and implement process improvement initiatives.
Benefit & Rewards Highlights
- Retention Bonus Program
- Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Tuition savings
- Career development opportunities within UHS and its 300+ Subsidiaries!
- Pet Insurance
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Requirements:
- Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered.
- 3-5 years of case management experience required.
- 3-5 years of clinical team management or supervisory experience preferred.
- Master’s degree in healthcare administration is a plus.
- Strong knowledge of utilization management, discharge planning, and behavioral health operations.
- Excellent leadership, communication, and interdisciplinary collaboration skills.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
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About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US