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Utilization Review Obstetrics Jobs (NOW HIRING)

As our OBGYN Physician you will play a pivotal role in delivering exceptional women's healthcare ... peer review, utilization review, and serve on medical staff committees as assigned to enhance ...

As our OBGYN Physician you will join CommonSpirit Mountain Region, a physician-facing organization ... peer review, utilization review, and serve on medical staff committees as assigned to enhance ...

... peer review, utilization review, and serve on medical staff committees as assigned to enhance ... Strong clinical skills and knowledge of OBGYN care principles * Excellent communication ...

OBGYN Physician

Layton, UT ยท On-site

$415K/yr

... peer review, utilization review, and serve on medical staff committees as assigned to enhance ... Strong clinical skills and knowledge of OBGYN care principles * Excellent communication ...

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Utilization Review Obstetrics information

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How much do utilization review obstetrics jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for utilization review obstetrics in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is utilization review in obstetrics?

Utilization review in obstetrics is a process where healthcare professionals evaluate the necessity, appropriateness, and efficiency of medical services provided to pregnant patients. The goal is to ensure that obstetric care is evidence-based, cost-effective, and meets required guidelines. This process helps prevent unnecessary procedures, manages hospital resources, and ensures quality care for mothers and babies. Utilization review specialists often work with insurance companies, hospitals, and healthcare providers to review patient records and treatment plans.

How does a utilization review obstetrics professional typically collaborate with clinical staff and insurance providers?

A Utilization Review Obstetrics professional works closely with obstetricians, nurses, and case managers to review patient records and ensure recommended care aligns with evidence-based guidelines and insurance coverage policies. They frequently communicate with insurance providers to justify the medical necessity of specific treatments or hospital stays, ensuring that patients receive appropriate care while managing costs. Collaboration often involves participating in interdisciplinary meetings, providing documentation for appeals, and educating clinical staff about payer requirements and best practices in documentation. This role requires strong communication and negotiation skills to balance the needs of patients, providers, and payers effectively.

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

To thrive as a Utilization Review Obstetrics Nurse, you need a registered nursing license, strong clinical knowledge in obstetrics, and experience in case management or utilization review. Familiarity with electronic health records (EHRs), utilization management software, and knowledge of insurance and regulatory guidelines are vital. Exceptional analytical skills, attention to detail, and effective communication are important soft skills for collaborating with healthcare teams and payers. These competencies ensure appropriate care delivery, regulatory compliance, and efficient resource use in maternal health settings.

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

AspectUtilization Review ObstetricsUtilization Review Nurse
CredentialsRN, often with obstetrics certificationRN, with general utilization review training
Work EnvironmentHospitals, maternity clinics, insurance companiesHospitals, insurance companies, healthcare facilities
Job FocusObstetric care, maternity services, prenatal/postnatal reviewGeneral utilization review across various specialties

Utilization Review Obstetrics specialists focus on maternity and obstetric cases, requiring specific obstetrics credentials, while Utilization Review Nurses handle broader healthcare cases. Both roles involve reviewing medical necessity and optimizing patient care, but their focus areas differ significantly.

What are popular job titles related to Utilization Review Obstetrics jobs?

For Utilization Review Obstetrics jobs, the most frequently searched job titles are:

Infographic showing various Utilization Review Obstetrics job openings in the United States as of September 2026, with employment types broken down into 77% Full Time, 14% Part Time, and 9% Contract. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Physician Obstetrics & Gynecology - Competitive Salary

Baltimore, MD โ€ข On-site

Source Medical, LLC.
Recruiting and Staffing Servicesย โ€ขย 11 - 50 employees

$400K - $600K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago


Job description

Chief of OB/GYN Opportunity in Baltimore, MD--- Position OverviewA leading regional healthcare organization in Maryland is seeking a Chief of OB/GYN to provide strategic direction and leadership for the Department of Obstetrics and Gynecology. The Chief will oversee departmental operations, faculty, and clinical programs while supporting academic growth and innovation in patient care.--- Assignment DetailsPosition Type: Full-time, employed leadership role Schedule: Variable hours with administrative and clinical responsibilities Team Structure: - 6 generalist OB/GYNs, 2 maternal-fetal medicine physicians, 2 APPs, and 16 residents - Additional 13 community physicians with active medical staff privileges Academic Role: - Faculty appointment available through an affiliated university - Participation in an ACGME-accredited OB/GYN residency program (16 residents total) - Engagement in medical student education and mentorship Services Provided: - Comprehensive prenatal and postnatal care - Advanced gynecologic surgery - Growing maternal-fetal medicine and gynecologic oncology programs - Diabetes management support with registered dietitians - Laborist support for L&D coverage --- ResponsibilitiesLead and manage all departmental clinical, academic, and administrative functions Direct physician staff and coordinate with hospital administration for non-physician operations Oversee departmental budgets, clinical quality, utilization review, and compliance Develop and enforce departmental policies and procedures Participate in recruitment, hiring, and evaluation of department members Provide consultation to other departments and hospital committees Represent the department in community and organizational initiatives Support ongoing strategic planning and clinical innovation --- RequirementsMD or DO from an accredited medical school Board Certified in Obstetrics and Gynecology Eligible for Maryland medical license and DEA certification Minimum 7โ€“10 years of clinical and administrative leadership experience Experience in an academic or complex teaching environment Strong communication, strategic planning, and team leadership skills Masterโ€™s degree in healthcare management or business preferred Prior chair or chief experience preferred, but emerging leaders considered --- Compensation & BenefitsCompetitive base salary $400Kโ€“$600K+, commensurate with experience Incentive bonus opportunities available Comprehensive health, dental, and vision coverage Flexible Spending Accounts (FSA) 403(b) and 457(b) retirement plans CME allowance and tuition reimbursement Life insurance and PSLF eligibility Generous PTO Free parking Discounted membership at a 70,000 sq. ft. fitness and wellness center --- Community InformationBaltimore offers a diverse blend of urban energy and suburban comfort. Convenient access to Washington, D.C., Philadelphia, and New York City Rich arts, dining, and cultural scene Access to outdoor activities including waterfront recreation, hiking, and nearby beaches Excellent public and private schools, and proximity to renowned universities --- Permanent PlacementPosition: Chief of OB/GYN Location: Baltimore, MD Schedule: Full-time, variable hours Compensation: $400Kโ€“$600K base + incentive potential