ZipRecruiter

Log In

1

Utilization Review Manager Jobs in Ontario (NOW HIRING)

Liberty Dental Plan Careers

CA$74 - CA$82/hr

We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs. This fully remote ...

Compass Health Network

$36.29 - $39.29/hr

Provide licensure supervision and perform utilization review activities as assigned * Attend ... Are adaptable, organized, and able to manage both scheduled and unscheduled patient needs * Believe ...

Brookfield Asset Management Us

Manager, FP&A

Toronto, ON

CA$120K - CA$140K/yr

... utilization to support management reporting, forecasting and analysis * Serve as first reviewer of consolidated forecasts, actual results and business plans, including detailed analysis of key ...

Humber River Health

Patient Flow Manager

Toronto, ON · On-site

CA$115K - CA$141K/yr

Define and prepare reports to inform management, physician chiefs, and administrative team of patient activity and bed utilization to manage surges in patient volumes * Review/Approve Observer ...

Humber River Health

Patient Flow Manager

Toronto, ON · On-site

CA$118K - CA$144K/yr

Define and prepare reports to inform management, physician chiefs, and administrative team of patient activity and bed utilization to manage surges in patient volumes * Review/Approve Observer ...

Humber River Health

Patient Flow Manager

Toronto, ON · On-site

CA$115K - CA$141K/yr

Define and prepare reports to inform management, physician chiefs, and administrative team of patient activity and bed utilization to manage surges in patient volumes * Review/Approve Observer ...

Humber River Health

Patient Flow Manager

Toronto, ON

CA$118K - CA$144K/yr

Define and prepare reports to inform management, physician chiefs, and administrative team of patient activity and bed utilization to manage surges in patient volumes * Review/Approve Observer ...

Magnus HRS

Dispatch & Technical Support Manager

Vaughan, ON · On-site

CA$100K - CA$115K/yr

Keep labour gross margin healthy through technician utilization, rework reduction, and efficient ... reviews, coaching, & corrective action. * Customer prioritization/tiering and escalations that ...

Manulife

Workfront Product Owner

Toronto, ON · On-site

Serve as the primary escalation point for platform decisions and governance reviews. * Manage user ... Develop executive dashboards and reporting that provide visibility into project health, utilization ...

Linde

National Production Manager

Mississauga, ON

* You'd be managing all the variable costs across the site-things like electricity, gas, CO2, water ... costs, utilization, reliability, and environmental impact * You'll also review and approve all ...

next page

Showing results 1-20

All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Ontario

Utilization Review Manager information

See Ontario salary details

$56.5K

$74.6K

$84K

How much do utilization review manager jobs pay per year?

As of Aug 8, 2026, the average yearly pay for utilization review manager in Ontario is $74,627.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,500.00 and $80,000.00 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 Ontario? The most popular types of Utilization Review jobs in Ontario are:
What are popular job titles related to Utilization Review Manager jobs in Ontario? For Utilization Review Manager jobs in Ontario, the most frequently searched job titles are:
What job categories do people searching Utilization Review Manager jobs in Ontario look for? The top searched job categories for Utilization Review Manager jobs in Ontario are:
Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Ontario as of July 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $74,627 per year, or $35.9 per hour.

Registered Nurse - Clinical Documentation

Mercor

Toronto, ON • Remote

CA$60 - CA$80/hr

Full-time

Re-posted 7 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Registered Nurses (Data labelling and training)
Type: Contract
Compensation: $60–$80/hour
Location: Remote

Role Responsibilities

  • Review and assess clinical documentation for accuracy, completeness, and quality.
  • Analyze healthcare workflows and recommend process improvements.
  • Interpret patient records and clinical notes to support product development.
  • Identify documentation gaps, inconsistencies, and edge cases.
  • Collaborate with product, engineering, and operations teams to refine AI-driven healthcare tools.
  • Ensure adherence to healthcare regulations, policies, and best practices.

Qualifications

Must-Have

  • Active Registered Nurse (RN) license.
  • 3–5+ years of clinical nursing experience.
  • Strong understanding of clinical documentation and healthcare workflows.
  • Experience working with EHR systems (Epic, Cerner, Meditech, etc.).
  • Excellent analytical, communication, and problem-solving skills.

Preferred

  • Experience in CDI, case management, utilization review, or quality improvement.
  • Exposure to healthcare technology, AI tools, or digital health products.
  • Ability to collaborate effectively with cross-functional teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.