As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Utilization Review Specialist (Remote)
Jackson, MI · On-site
$60K - $62K/yr
Utilization Review Specialist/Behavioral Health Substance Abuse (Remote) Reports to ... UR Manager FLSA Classification : Exempt Full-Time or Part-Time : Full-Time Salary Range : $60,000 ...
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Utilization Review Specialist (Remote)
Jackson, MI · On-site
$60K - $62K/yr
Utilization Review Specialist/Behavioral Health Substance Abuse (Remote) Reports to ... UR Manager FLSA Classification : Exempt Full-Time or Part-Time : Full-Time Salary Range : $60,000 ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
RN Utilization Review Nurse
$33 - $37/hr
Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ... least one year) * Interqual experience (at least one year) * Also has a background in patient ...
RN Utilization Review Nurse
$33 - $37/hr
Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ... least one year) * Interqual experience (at least one year) * Also has a background in patient ...
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
The position also participates in management meetings, workgroups, and strategic initiatives while ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
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Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
The position also participates in management meetings, workgroups, and strategic initiatives while ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$56K - $70K/yr
Apply evidence-based utilization management criteria and clinical protocols to establish continued stay review intervals and determine authorization status. * Document clinical reviews, authorization ...
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Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$56K - $70K/yr
Apply evidence-based utilization management criteria and clinical protocols to establish continued stay review intervals and determine authorization status. * Document clinical reviews, authorization ...
Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use ... PharmD with managed care, DUR, or pharmacy benefit experience. * Strong Excel/data analytics ...
Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use ... PharmD with managed care, DUR, or pharmacy benefit experience. * Strong Excel/data analytics ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
The support specialist is a support role crucial to the centralized Utilization Review team for ... Maintain a current knowledge of Utilization Management through interaction with staff and payor ...
The support specialist is a support role crucial to the centralized Utilization Review team for ... Maintain a current knowledge of Utilization Management through interaction with staff and payor ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Hospital utilization review/utilization management experience. Preferred * Clinical appeals ... experience. Preferred * LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required ...
New
Hospital utilization review/utilization management experience. Preferred * Clinical appeals ... experience. Preferred * LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required ...
New
Utilization Review Manager information
See Michigan salary details
$34K - $44.2K
9% of jobs
$51.7K is the 25th percentile. Wages below this are outliers.
$44.2K - $54.4K
22% of jobs
$54.4K - $64.5K
11% of jobs
The median wage is $70.8K / yr.
$64.5K - $74.7K
14% of jobs
$74.7K - $84.9K
12% of jobs
$91.3K is the 75th percentile. Wages above this are outliers.
$84.9K - $95.1K
13% of jobs
$95.1K - $105.3K
13% of jobs
$105.3K - $115.4K
5% of jobs
$115.4K - $125.6K
2% of jobs
$125.6K - $135.8K
0% of jobs
$135.8K - $146K
0% of jobs
$34K
$79.3K
$146K
How much do utilization review manager jobs pay per year?
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, and why are they important?
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?
- Remote Chart Review Nurse
- Utilization Review Physician
- Full Time Physician Advisor Utilization Review
- Flex Schedule Remote Utilization Review Nurse
- Utilization Management Nurse
- Per Diem Utilization Review Nurse
- Utilization Management
- Remote Cvs Utilization Management Nurse
- Cvs Health Utilization Management
- No Experience Utilization Management Nurse
- Night Shift Optum Utilization Review
- Dental Utilization Review
- Nurse Practitioner Utilization Review
- Temporary Medical Utilization Review Physician
- Authorization Utilization Review Bcba
- Flexible Cigna Utilization Review Nurse
- Aetna Utilization Review Nurse
- Remote Bcba Utilization Review
- Optum Utilization Review Nurse
- Cigna Utilization Review Nurse

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 27 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
493rd of 890 rated healthcare providers
Job description
Benefit Highlights:
· Excellent Medical, Dental, Vision and Prescription Drug Plans
· Student Loan Repayment Program
· 401(k) and Roth 401(k) with Company Match
· Employee Stock Purchase Program
· Competitive Compensation & Paid Time Off
· Disability, Life, Pet Insurance and much more!
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring more than 45 years of experience to the evaluation, diagnosis and treatment of a wide range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager.
Position Description:
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Forest View also has a focus on furthering your Education and Career Development:
· Career ladder focus with opportunities to cross train, build skills and grow in leadership
· Tuition reimbursement assistance program
· Tuition savings through a partnership with Chamberlain University
· In-house Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs)
· Career development opportunities across UHS and our 300+ locations!
· HealthStream online learning catalogue with plenty of free CEU courses
Qualifications
Job Requirements:
Education: Bachelor's Degree required.
Experience: A minimum of three years’ experience in Utilization Management Required.
License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.
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. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. 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 all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
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.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
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:Job Requirements:
Education: Bachelor's Degree required.
Experience: A minimum of three years’ experience in Utilization Management Required.
License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.
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. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. 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 all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
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.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
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
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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