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Utilization Review Physician Assistant Jobs in Springfield, IL

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Utilization Review Physician Assistant information

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$41.6K

$138.6K

$185.8K

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

As of Sep 1, 2026, the average yearly pay for utilization review physician assistant in Springfield, IL is $138,643.00, according to ZipRecruiter salary data. Most workers in this role earn between $120,400.00 and $155,600.00 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 Springfield, IL?

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

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

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

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

Cities near Springfield, IL 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 Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $138,643 per year, or $66.7 per hour.

Physician Assistant (PA) - Springfield, IL

Vohra Physicians

Springfield, IL • On-site

$99K - $134K/yr

Other

Re-posted 13 days ago

Job description

Physician Assistant (PA) Position with National Wound Physician Group
Get Your Life Back - No Nights, No Call, No Weekends Join Vohra Wound Physicians, the largest and most trusted wound care group in the US.
Why Vohra Wound Physicians?
• We are the premier wound care specialty group.
• We provide bedside care in over 3,000 facilities across 28 states.
• Innovative, thought leader in the field of wound care.
• Enjoy autonomy, a better work-life balance, no call, no weekend and achieve clinical satisfaction while delivering excellent patient outcomes.
• We provide malpractice coverage, administrative support, and an intuitive EMR so you can focus on caring for patients, not paperwork.
• Paid Training
What We Look For:
Join our team and enjoy an individualized practice with flexibility and work/life balance. If you want to become an expert in wound care, learn from highly qualified physician peers, utilize cutting-edge technologies, and spend your time focused on patients and not paperwork, then Vohra is the practice for you. We place a high value on clinical experience, cultural fit, and a passion for helping patients.
We require:
• An active unrestricted license in the state you wish to practice in
• Clinical work experience within the past 6 months
What Our Providers Say
• "I have been with the company for 12 years, and I'm thankful every day that I made the change." Dr. Steve Tran, a trained internal medicine physician who transitioned to Vohra.
• "Working with Vohra has given me independence, autonomy, and a work-life balance while still being able to care for patients." - Dr. Angela Crawford, a trained general surgeon who transitioned to Vohra.
• "The Vohra Model appreciates that most physicians are looking for some degree of professional autonomy, and the organization allows you to take ownership of your practice." - Dr. Alan Powers, a surgical resident before transitioning to Vohra.
What We Look For:
Join our team and enjoy an individualized practice with flexibility and work/life balance. If you want to become an expert in your field, learn from highly qualified physician peers, utilize cutting-edge technologies, and spend your time focused on patients and not paperwork, then Vohra may be the right physician practice for you.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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