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Utilization Review Physician Assistant Jobs in Rochester, MN

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Utilization Review Physician Assistant information

See Rochester, MN salary details

$42.7K

$142.2K

$190.6K

How much do utilization review physician assistant jobs pay per year?

As of Aug 5, 2026, the average yearly pay for utilization review physician assistant in Rochester, MN is $142,194.00, according to ZipRecruiter salary data. Most workers in this role earn between $123,500.00 and $159,600.00 per year, depending on experience, location, and employer.

What is a utilization review physician assistant?

A Utilization Review Physician Assistant (PA) is a healthcare professional who evaluates medical records and treatment plans to ensure that patient care is medically necessary, appropriate, and cost-effective. They review cases to determine if the care provided meets established guidelines and insurance requirements. Utilization Review PAs collaborate with physicians, nurses, insurance companies, and other healthcare providers to promote quality care while managing healthcare resources efficiently. Their work typically involves less direct patient care and more administrative responsibilities compared to traditional clinical PA roles.

What are the key skills and qualifications needed to thrive as a utilization review physician assistant?

To thrive as a Utilization Review Physician Assistant, you need a strong clinical background, current PA licensure, and in-depth knowledge of medical guidelines and insurance protocols. Familiarity with electronic medical records (EMRs), utilization management software, and relevant certification such as the Certified Professional in Utilization Review (CPUR) is often beneficial. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating cases and interacting with healthcare providers and payers. These competencies are essential to ensure appropriate care delivery, compliance with regulations, and cost-effective use of medical resources.

What is the difference between Utilization Review Physician Assistant vs Utilization Review Nurse Practitioner?

AspectUtilization Review Physician AssistantUtilization Review Nurse Practitioner
CredentialsMaster's degree, Physician Assistant (PA) license, certification (e.g., NCCPA)Master's or higher degree, Nurse Practitioner (NP) license, certification (e.g., ANCC, AANP)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, clinics, insurance companies
Employer & Industry UsageCommonly employed in healthcare and insurance sectors for review rolesSimilar usage, often in outpatient and insurance settings

Both roles involve reviewing medical necessity and appropriateness of care, but the Physician Assistant typically has a medical model training background, while the Nurse Practitioner has a nursing model. Both are vital in utilization review, with overlapping responsibilities and work environments.

What are some of the main challenges utilization review physician assistants face when transitioning from direct patient care to a review-focused role?

One of the main challenges Utilization Review Physician Assistants encounter is adapting to a predominantly administrative and analytical environment, as opposed to the hands-on patient care they may be accustomed to. The role requires interpreting clinical documentation, applying payer criteria, and making objective determinations about medical necessity, often with limited patient interaction. Additionally, there can be pressure to meet productivity targets and deadlines while maintaining accuracy and fairness in reviews. Collaboration with physicians, case managers, and insurance representatives is frequent, requiring strong communication and negotiation skills.
What are popular job titles related to Utilization Review Physician Assistant jobs in Rochester, MN? For Utilization Review Physician Assistant jobs in Rochester, MN, the most frequently searched job titles are:
What job categories do people searching Utilization Review Physician Assistant jobs in Rochester, MN look for? The top searched job categories for Utilization Review Physician Assistant jobs in Rochester, MN are:
What cities near Rochester, MN are hiring for Utilization Review Physician Assistant jobs? Cities near Rochester, MN with the most Utilization Review Physician Assistant job openings:
Utilization Review Physician Assistant jobs near you
Infographic showing various Utilization Review Physician Assistant job openings in Rochester, MN as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $142,194 per year, or $68.4 per hour.

Nurse Practitioner (NP) or Physician Assistant (PA) - Urology

Olmsted Medical Center

Rochester, MN • On-site

$61.78 - $84.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

0.6-1.0 FTE - Urology
Salary range: $61.78-$84.25 per hour.
Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.
Incentive Plan: Eligible for a variable, or non-guaranteed, portion of compensation based on achievement of specific citizenship, quality, or other goals. This is currently 7.5% of base income.
At Olmsted Medical Center, we value our clinicians and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for clinicians who are employed at a 0.5 FTE or higher.
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Basic Life Insurance
  • Employer Paid Short-Term Disability and Long-Term Disability
  • Adoption Assistance Plan
  • PTO
  • CME
  • 401K
  • Malpractice

Advanced Practice Registered Nurses - APRNs:
  • Graduate of an accredited school of nursing with a Masters or Doctorate degree
  • Licensed as a registered nurse and as an APRN by the Minnesota Board of Nursing
  • Certified by a national credentialing board
  • Certified by specialty
  • Must complete continuing education and professional development beyond formal education as outlined by certifying body

Physician Assistant - PAs:
  • Graduate of an accredited physician assistant program
  • Licensed by Minnesota Board of Medicine
  • Certified through National Commission on Certification of Physician Assistants
  • Certification by specialty if also available
  • Must complete continuing education and professional development beyond formal education as outlined by certifying body

Both APC positions will also have:
  • Basic Life Support (Advanced Life Support as required by your area of practice)
  • DEA registration
  • Pass background check
  • Register with the Minnesota Prescriptive Monitoring Program (PMP)
  • Completion of Urology Fellowship preferred

Expectations include:
  • Professional and ethical code of conduct
  • Culturally sensitive advocate for diverse populations
  • Ability to work autonomously and in partnership with healthcare team
  • Excellent written and verbal communication skills
  • Commitment to community service area
  • Ability to manage time and stress effectively and adapt to unpredictable situations within the patient care setting
  • Flexibility
  • Demonstrates proficiency in electronic medical record use
  • Works where job is physically demanding
  • Ability to teach and counsel individuals, families, and groups
  • Shares knowledge that promotes quality healthcare and improves clinical outcomes
  • Acts as leader, mentor, educator, researcher, and/or administrator as indicated
  • Participates in health policy activities at the local, state, national, and international levels as indicated
  • Maintains patient confidentiality and privacy at all times
  • Obtains and documents accurate patient(s) health history including medical, social, and psychological needs
  • Diagnoses and manages preventive, acute, and chronic healthcare conditions as indicated specific to your area of practice
  • Provides appropriate patient education
  • Emphasizes health promotion and disease prevention
  • Performs procedures as indicated specific to your area of practice
  • Orders and interprets laboratory and diagnostic tests and procedures; communicates results to patient(s) in a timely manner
  • Discusses assessments, prognosis, and treatment options with patient(s) to develop acceptable, affordable, and culturally sensitive treatment plans
  • Prescribes medications, treatment modalities, and durable medical equipment as indicated by health condition
  • Consults with and refers to other healthcare clinicians when indicated
  • Committee participation and meeting attendance
  • Participates in both professional and lay healthcare forums, conducts research, and applies findings to clinical practice as indicated
  • Other duties as assigned

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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