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Utilization Review Manager Jobs in Utah (NOW HIRING)

Imh

Manager Utilization and Care Management

Murray, UT · On-site +1

$44.99 - $69.44/hr

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of ...

Imh

Hospital Care Management Manager

Salt Lake City, UT · On-site

The manager also collaborates with care management operations across utilization review, acute and emergency department care, and ambulatory/community settings, ensuring alignment with broader system ...

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All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Utah

Utilization Review Manager information

See Utah salary details

$35.5K

$82.9K

$152.5K

How much do utilization review manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization review manager in Utah is $82,854.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,200.00 and $99,700.00 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 Utah?

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

What are popular job titles related to Utilization Review Manager jobs in Utah?

For Utilization Review Manager jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Utilization Review Manager jobs in Utah look for?

The top searched job categories for Utilization Review Manager jobs in Utah are:

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

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

Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Utah as of August 2026, with employment types broken down into 80% Full Time, 19% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $82,854 per year, or $39.8 per hour.

Utilization Review Therapist

Odyssey House Inc.

Millcreek, UT • On-site

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Odyssey House is looking for a Full-Time Utilization Review Specialist.
Summary: Odyssey House's Mission is "Empowering people to heal and build better lives. We are dedicated to helping individuals and families reclaim their lives through effective substance use treatment, medical care, prevention, and mental health services. Odyssey House continues to receive Best of State awards for our clinical work and has received Top Workplace Awards. Join our amazing team of healthcare professionals today!
Full-Time Benefits:
  • $9k per year tuition eligible
  • Access to 24/7 EAP program (Employee Assistance Program) for Mental Health support and more!
  • Opportunities for paid continuing education/training
  • Monthly incentives and awards
  • Flexible scheduling
  • Casual dress and atmosphere
  • Opportunities for bonuses, awards, raises, and promotions
  • Incredible health insurance (medical, dental, vision, FSA, long and short-term disability)
  • Immediate eligibility to participate in our 403(b)-retirement plan, Employer 100% match up to 5% after 1 year
  • 35 paid days off (additional PTO accrual after 1 year)
  • EXTRA time off and gift packages for PT and FT staff that stay more than 90 days!
  • Sabbatical Program - where we pay you to take a vacation after 5 years of service!
  • On-Demand Pay - Get a portion of your paycheck early for hours already worked! (conditions apply)
  • UTA free passes available for your work commute

Functions of the Job:
  • Track UCE/UR/Insurance Due Dates for all funding and ensure timely submission of all requests.
  • Review all UR submissions for medical necessity, make corrections to UR, and submit for approval.
  • Provide ongoing training to staff regarding writing to medical necessity or other issues that present during reviewing UMs.
  • Resolve funding denials through immediate UR modification and resubmission to minimize loss of days.
  • Update Best Notes and UWITS, as needed, to reflect authorized days.
  • Generate Reports with due dates, notify staff of changes, and manage staff progress.
  • Complete monthly Medicaid check (upload snapshots to Best Notes.)
  • Complete "doc-to-doc" calls, as needed, for insurance authorization.
  • Communicate with OH billing department to resolve issues.
  • Complete all responsibilities in a timely, thorough, and professional manner.
  • Demonstrate fluency in ASAM and DSM-V through successful authorization and processing of UMs.
  • Other Duties as assigned.

Requirements
Licensure / Education / Prior Experience Required:
  • Licensed Mental Health Professional, including - CSW, LCSW, CMHC, ACHMC, LMFT, MFTI.
  • Graduate degree in the mental health field.
  • Willingness and ability to pass a criminal background check
  • First Aid and CPR Certification (available at Odyssey House)
  • Must comply with annual TB tests and Flu immunization (and other immunizations as needed)
  • Must meet employment eligibility
  • Must be able to work variable shifts as needed

All employees of Odyssey House are required to adhere to: Odyssey House mission, philosophy, and scope of service; Division of Human Services Code of Conduct and all other relevant service contract requirement standards; ensuring a safe environment for all clients and staff; providing exemplary customer service to both internal and external customers; fostering a positive work environment; ensuring high-quality client care within the scope of the assigned position.
Each employee is expected to clearly understand roles and responsibilities regarding the following: Specific job positions, time management, personnel file requirements, client record system, incident reporting, mandatory training requirements, maintaining proper client boundaries, and individual rights of clients and staff.
Physical Demands of the Job: Ability to lift up to 15 lbs., drive (or adequate alternate transportation), sit for prolonged periods, and perform light to moderate physical activity at times. Able to passively restrain residents without likely injury to self due to existing medical condition.
EEOC Statement: Odyssey House is an equal-opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

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