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Utilization Review Physician Assistant Jobs in Rochester, MN

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Utilization Review Physician Assistant information

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$42.7K

$142.2K

$190.6K

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

As of Sep 6, 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 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 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.

Can physician assistants do utilization review?

Yes, physician assistants can perform utilization review tasks, which involve evaluating the necessity, appropriateness, and efficiency of healthcare services. They often work in collaboration with physicians and may require certification or training in utilization review processes, depending on the healthcare setting and state regulations.

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 August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $142,194 per year, or $68.4 per hour.

Nurse Practitioner or Physician Assistant - Community Internal Medicine, Geriatrics and Palliativ...

Mayo Clinic

Rochester, MN • On-site

$110K - $143K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 3 days ago

New

Mayo Clinic rating

7.8

Company rating: 7.8 out of 10

Based on 706 frontline employees who took The Breakroom Quiz

136th of 898 rated healthcare providers

Job description

Join a collaborative team dedicated to delivering exceptional care to medically complex adults and geriatric patients.


Community Internal Medicine is seeking a compassionate and skilled Nurse Practitioner (NP) or Physician Assistant (PA) to become an integral member of our multidisciplinary primary care team. In this outpatient role, you will provide comprehensive care for established adult and geriatric patients with acute, chronic, preventive, and medically complex healthcare needs.


As an advanced practice provider, you will have the opportunity to build meaningful relationships with patients while working alongside experienced physicians and APP colleagues in a highly collaborative environment. This position utilizes a shared panel model, allowing you to partner closely with a physician or seasoned NP/PA to deliver coordinated, patient-centered care.


What You'll Do

  • Provide comprehensive assessments, evaluations, and ongoing management of adult and geriatric patients.
  • Diagnose and treat acute and chronic medical conditions.
  • Order, perform, and interpret diagnostic and laboratory testing.
  • Prescribe medications, treatments, and evidence-based therapeutic interventions.
  • Develop individualized treatment plans focused on quality outcomes and preventive care.
  • Educate and counsel patients and families regarding health conditions, treatment options, wellness, and disease prevention.
  • Collaborate with physicians, nurses, care coordinators, and other healthcare professionals to ensure seamless, coordinated care.

What Makes This Opportunity Special

  • Collaborative, team-based primary care model.
  • Established patient population with opportunities to make a meaningful impact.
  • Strong provider support through a shared panel approach.
  • Focus on delivering high-quality, patient-centered care to medically complex adults and seniors.
  • Opportunity to practice at the top of your license in a supportive outpatient setting.


If you are passionate about building long-term patient relationships and thrive in a collaborative primary care environment, we invite you to join our team and help improve the health and well-being of our community.

During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. 

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law".  Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

New Grads will not be considered at this time, 2+ years of APP experience required


Nurse Practitioner: Masters-prepared graduate of an accredited school of nursing and Nurse Practitioner program. Current MN RN and APRN license and certification as a FNP, ANP or ACNP.  


Physician Assistant: Graduate of accredited Physician Assistant program with current PA certification by NCCPA and registration as a PA by the MN State Board of Medical Practice.  


Additional Qualifications: 
Active BLS certification from American Heart Association or American Red Cross at start date and DEA registration required


External applicants: To be considered for this position please upload a cover letter and personal statement along with 2-3 letters of reference with your online application. New Graduates: at least 2 letters must be from clinical preceptors.
Mayo Clinic employees: To be considered for this position please upload last 3 performance evaluations, cover letter, and personal statement with the online application.

What Mayo Clinic employees say

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About Mayo Clinic

Sourced by ZipRecruiter

Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Rochester, MN, US

Year founded

1919

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