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Utilization Review Manager Jobs in Utah (NOW HIRING)

Imh

Ambulatory Nurse Care Manager

Moroni, UT · On-site

Demonstrated experience in case management, utilization review, or discharge planning. Physical Requirements * Ongoing need for employee to see and read information, labels, assess patient needs ...

Imh

RN Ambulatory Care Manager

Orem, UT · On-site

Demonstrated experience in case management, utilization review, or discharge planning. Physical Requirements * Ongoing need for employee to see and read information, labels, assess patient needs ...

CVS Health

Case Manager, Registered Nurse

Mountain Home, UT · On-site

$54K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

AHH delivers flexible medical management services that support cost-effective quality care for ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.25 - $25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.75 - $25.50/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.25 - $25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and ...

University of Utah Health

Case Manager

Park City, UT · On-site

$21 - $27/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.25 - $25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.75 - $25.25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and ...

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Showing results 41-60

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 Aug 13, 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.

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 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 1% As Needed, 85% Full Time, 13% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $82,854 per year, or $39.8 per hour.

Medical Director - Utilization Management (Remote)

MRIoA

Salt Lake City, UT • On-site, Remote

$240K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Description
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we're a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
  • A competitive compensation package
  • Benefits include healthcare, vision, and dental insurance
  • A generous 401(k) match
  • Paid vacation, PTO, and holidays
  • Growth and training opportunities
  • An award-winning remote work environment

Position Summary
Our Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review activities, and clinical quality management activities.
Key Responsibilities
  • Perform utilization management case reviews.
  • Maintain productivity score per company standard.
  • Maintain annual quality score per company standard.
  • Complete annual inter-rater reliability testing.
  • Train across all queues as requested by MRIoA leadership.
  • Complete all client specific training as requested by MRIoA leadership.
  • Maintain up-to-date records of case completion if required
  • Consistently show willingness to take cases as requested.
  • Demonstrate respect in interactions across the company.
  • Consistently submit scheduling requests at least three months in advance. Consistently work scheduled hours.
  • Provide ideas for promotion and growth of the company as requested (i.e., contribute to the vision of the company).
  • Respond appropriately and in a timely manner to licensing/CME requests from the Senior Medical Directors, Vice President of Medical Affairs, or Chief Medical Officer and/or administrative team.
  • Actively participate in the MRIoA evaluation process (both company and individual).
  • Participate in all company meetings and committees as requested.
  • Complete other duties as requested or approved by the CEO and/or chief medical officer.
  • Thorough understanding of the Company's clients, products, departments, workflows, and applicable regulatory requirements and accreditation standards

Work Schedule
  • 40 hours per week
  • Five 8-hour shifts or four 10-hour shifts (available after training)
  • Shifts scheduled between 6:00 AM - 7:00 PM MST
  • Includes 2-3 weekend rotating shifts per month
  • Schedules are fixed and released 60 days in advance

Compensation & Expanded Benefits
  • Base salary: $240,000 per year
  • 20 days of Paid Time Off per year
  • 6 company Holidays (New Year's, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas) and 1 Floating Holiday
  • 8 days of Paid Sick Leave
  • Medical and Prescription Benefits administered by Aetna
  • Dental and Vision benefits
  • Basic Life and Accidental Death and Dismemberment (AD&D) Insurance
  • Short-Term & Long-term Disability insurance

Requirements
Skills and Experience
  • Minimum of five years' full-time equivalent experience providing direct clinical care to patients
  • Minimum of five years' experience administering utilization management and peer review programs preferred
  • Credentialed and privileged by the Company's Credentialing Committee
  • Obtain additional state licensure as required for the position

Education:
  • MD/DO degree
  • Current, unrestricted medical license as required for clinical practice in a state of the United States
  • Board certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) or other board recognized by URAC preferred

Additionally:
  • Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.

Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

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