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How much do utilization review np jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for utilization review np in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What does a utilization review nurse practitioner do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

What are some common challenges utilization review nurse practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization review nurse practitioner, and why are they important?

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Springfield, IL?

For Utilization Review Np jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Utilization Review Np jobs in Springfield, IL look for?

The top searched job categories for Utilization Review Np jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Utilization Review Np jobs?

Cities near Springfield, IL with the most Utilization Review Np job openings:

Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,164 per year, or $41.9 per hour.

PMHNP Nurse Practitioner - Rochester, IL

LifeStance Health

Rochester, IL • On-site

$120K - $148K/yr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 29 days ago

Lifestance Health rating

6.7

Company rating: 6.7 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

532nd of 891 rated healthcare providers

Job description

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health. 
 
Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team!
 

We are actively looking to hire talented PMHNP-BCs in the area for LifeStance Health Edgewood Clinical Services, who are passionate about patient care and committed to clinical excellence.
Is This You?
  • Wanting to deliver high quality behavioral healthcare.
  • Seeking work life balance.
  • Interested in growing professionally.
What we offer Nurse Practitioners:
  • The ability to work closely with adults and the child/adolescent populations.
  • Open to Full-Time or Part-Time In-Person
  • W2 - Fee for Service
  • Paid Malpractice Insurance
  • Generous Signing Bonus
  • Full benefits package: health, dental, vision, life, 4% match 401k, and paid parental leave
  • Collegial work environment.
  • Newly designed and modern offices.
  • Minimum of 1 year of experience with medication management.
  • Full administrative support.
  • Full time billers and full-time schedulers
  • Latest in digital technology.
  • Strong work/life balance
Nurse Practitioners are a critical part of our clinical team. We’re seeking Nurse Practitioners that are:
  • Licensed in Illinois with a Psychiatric Mental Health Nurse Practitioner Certification (PMHNP-BC) and holding an active DEA.
  • Full Practice Authority License for Illinois is highly preferred but not required.
  • Experienced in both medication management as well as therapy.
LifeStance provides the compensation range and benefits that it in good faith believes it might pay and/or offer for this position. LifeStance reserves the right to ultimately pay more or less than the posted range and offer additional benefits and other compensation, depending on circumstances not related to an applicant’s sex or other status protected by local, state, or federal law.
About LifeStance Health 
LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US.
 
LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.
 
Our values:
Belonging: We cultivate a space where everyone can show up as their authentic self.
Empathy: We seek out diverse perspectives and listen to learn without judgment.
Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.
One Team: We realize our full potential when we work together towards our shared purpose.
 
 
 
 
If you elect to interact with us via our website, please only use www.lifestance.com or www.careers.lifestance.com.  Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security.
 
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at  ADA@lifestance.com or by calling +1-800-308-0994. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.  
 

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About LifeStance Health

Sourced by ZipRecruiter

Since LifeStance Health was founded in 2017, we have grown to over 5,000 clinicians and team members serving patients in more than 500 locations. We acquire clinical practices and open new locations across the country, with thousands of new clinicians joining our mission every year. We are reimagining mental health.

Industry

Hospitals and offices of mental health practitioners

Company size

1,001 - 5,000 Employees

Headquarters location

Scottsdale, AZ, US

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