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Utilization Review Radiation Technologist Jobs (NOW HIRING)

UK St Claire

Utilization Review Nurse

Morehead, KY · On-site +1

Supports utilization review processes by planning, analyzing data, and setting goals to ensure appropriate reimbursement and adherence to guidelines. Essential Functions • Abstracts and assembles ...

UK St Claire

Supports utilization review processes by planning, analyzing data, and setting goals to ensure appropriate reimbursement and adherence to guidelines. Essential Functions Abstracts and assembles data ...

MNCP Staffing

Utilization Review Nurse

Las Vegas, NV

My Next Career Path Staffing - With over 20 years' experience in Technology Staffing, MNCP Staffing ... Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance ...

Sutter Health

Utilization Review Tech III

San Mateo, CA

$48.91 - $68.47/hr

Critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. * Interpersonal, organizational ...

Sutter Health

Utilization Review Tech III

San Mateo, CA · On-site

$48.91 - $68.47/hr

Critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. * Interpersonal, organizational ...

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All JobsUtilization Review Radiation Technologist Jobs

Utilization Review Radiation Technologist information

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$33

$55

$71

How much do utilization review radiation technologist jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for utilization review radiation technologist in the United States is $55.74, according to ZipRecruiter salary data. Most workers in this role earn between $43.27 and $63.94 per hour, depending on experience, location, and employer.

What is the difference between Utilization Review Radiation Technologist vs Radiation Therapist?

AspectUtilization Review Radiation TechnologistRadiation Therapist
CredentialsCertification in radiation technology, often ARRT or equivalentARRT certification in radiation therapy
Work EnvironmentHealthcare facilities, primarily in utilization review settingsHospitals, cancer treatment centers, clinics
Primary ResponsibilitiesReviewing treatment plans, ensuring appropriate use of radiation servicesAdministering radiation treatments to patients
Industry UsageUsed in healthcare administration and insurance sectorsDirect patient care in oncology

The Utilization Review Radiation Technologist focuses on evaluating radiation treatments for appropriateness, often working in administrative or review settings. In contrast, Radiation Therapists are directly involved in delivering radiation therapy to patients. Both roles require radiation technology certifications but differ significantly in daily duties and work environments.

What are the key skills and qualifications needed to thrive as a Utilization Review Radiation Technologist, and why are they important?

To thrive as a Utilization Review Radiation Technologist, you need a solid background in radiation therapy, medical imaging, and knowledge of clinical guidelines, typically backed by ARRT certification and relevant state licensure. Familiarity with electronic medical record (EMR) systems, utilization management software, and insurance authorization processes is crucial. Excellent analytical skills, attention to detail, and effective communication help you interpret clinical data and coordinate with healthcare teams. These skills ensure appropriate care delivery, regulatory compliance, and optimal resource utilization in patient treatment planning.

What are some common challenges faced by Utilization Review Radiation Technologists, and how can they be addressed?

Utilization Review Radiation Technologists often encounter challenges such as keeping up with constantly evolving clinical guidelines, balancing caseloads with administrative tasks, and ensuring clear communication between clinical teams and insurance providers. Staying current with continuing education, leveraging electronic health records efficiently, and fostering strong relationships with both clinical staff and payers can help address these challenges. Additionally, being proactive in seeking clarification and advocating for patient care are important skills that aid success in this role.

What does a Utilization Review Radiation Technologist do?

A Utilization Review Radiation Technologist is responsible for evaluating the medical necessity, appropriateness, and efficiency of radiation therapy services. They review patient records, treatment plans, and clinical documentation to ensure that radiation treatments meet established guidelines and payer requirements. This role helps optimize patient care, control costs, and support compliance with healthcare regulations. Utilization Review Radiation Technologists often collaborate with physicians, insurance companies, and other healthcare professionals to facilitate approvals and resolve coverage issues.
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What cities are hiring for Utilization Review Radiation Technologist jobs? Cities with the most Utilization Review Radiation Technologist job openings:
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Utilization Review Radiation Technologist jobs near you
Infographic showing various Utilization Review Radiation Technologist job openings in the United States as of July 2026, with employment types broken down into 10% As Needed, 80% Full Time, 5% Part Time, and 5% Contract. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $115,943 per year, or $55.7 per hour.

Director, Utilization Review

Cobalt Benefits Group LLC

Exeter, NH • On-site

$135K - $155K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Description:

The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically sound, timely, and compliant medical necessity determinations across all lines of business, while driving integration across Claims, Appeals, Stop Loss, and vendor partners. The position also advances technology-enabled utilization management, interoperability, and population health strategies in alignment with CBG’s operational and client objectives.


Clinical & Operational Leadership:

  • Provide leadership and oversight of the Utilization Review department
  • Ensure consistent, evidence-based medical necessity determinations
  • Establish and enforce clinical guidelines, documentation standards, and review protocols
  • Maintain alignment with MCG guidelines and internal clinical governance standards

Claims, Appeals & Stop Loss Integration:

  • Ensure seamless alignment between UR and Claims workflows
  • Provide clinical expertise and documentation support for Appeals processes
  • Partner with Stop Loss teams on high-cost claim reviews and determinations
  • Promote end-to-end workflow efficiency across clinical and administrative functions

Regulatory Compliance & Audit Readiness:

  • Ensure compliance with CMS, state, ERISA/non-ERISA, and accreditation requirements
  • Maintain audit-ready documentation and defensible clinical decisions
  • Oversee development and accuracy of denial and determination letters
  • Partner with Compliance and Legal to ensure regulatory alignment across all lines of business

Technology, Interoperability & Data Strategy:

  • Drive automation and digital workflow enhancements within UR
  • Enable interoperability across UR, Claims, Appeals, and vendor systems
  • Support real-time data exchange (EDI, integration platforms)
  • Leverage analytics to inform utilization trends, clinical outcomes, and population health initiatives

Quality, Training & Performance Management:

  • Establish quality assurance programs, audit processes, and performance standards
  • Develop and deliver training programs for clinical and operational staff
  • Implement dashboards and KPIs to measure productivity, compliance, and outcomes
  • Foster a culture of continuous improvement and accountability
Requirements:
  • Active Registered Nurse (RN) license
  • Minimum 5+ years of Utilization Review leadership experience
  • Strong knowledge of MCG guidelines, regulatory standards, and claims integration
  • Preferred experience within a TPA or health plan environment
  • Preferred familiarity with clinical platforms, workflow automation, and interoperability tools

Why Join Cobalt Benefits Group?

Cobalt Benefits Group is a trusted third-party administrator specializing in self-funded benefit plans. With over 30 years of experience and 180+ employees, we support employers through customized health plan administration, claims management, and specialized programs including FSAs, HSAs, COBRA, and retiree billing.

After a 60-day waiting period, full-time employees are eligible for a comprehensive benefits package, including:

  • Medical, dental, and vision coverage with employer HSA contributions
  • Company-paid life, AD&D, and disability insurance
  • 401(k) with up to a 6% employer match
  • Generous paid time off, sick time, and 10+ paid holidays
  • Flexible Spending Accounts
  • A collaborative culture with regular company events