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Utilization Review Salary Jobs (NOW HIRING)

Washington Hospital

Utilization Review Liaison

Fremont, CA · On-site

$32.35 - $43.63/hr

Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...

New

Umpqua Health

Utilization Review Specialist

Winston, OR · On-site

$41K - $47K/yr

Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR ... SALARY Wage Band : $41,600- $47,000 BENEFITS * Salary is dependent on skills, experience, and ...

Netsmart

Utilization Review Nurse

Utilization Review Nurse Responsible for utilization review work for emergency admissions and ... If you are located in a state which grants you the right to receive information on salary range ...

McBee Associates

Utilization Review Nurse

Responsible for utilization review work for emergency admissions and continued stay reviews ... If you are located in a state which grants you the right to receive information on salary range ...

Albanymed

Utilization Review Nurse

Albany, NY

$77K - $119K/yr

Day (United States of America) Salary Range: $77,075.00 - $119,466.00 Responsible for Utilization ... While performing utilization review identifies areas for clinical documentation improvement and ...

Albany Medical Center

Utilization Review Nurse

Albany, NY · On-site

$77K - $119K/yr

Day (United States of America) Salary Range: $77,075.00 - $119,466.00 Responsible for Utilization ... review identifies areas for clinical documentation improvement and contacts appropriate department ...

Albany Med

Utilization Review Nurse

Albany, NY · On-site

$77K - $119K/yr

Day (United States of America) Salary Range: $77,075.00 - $119,466.00 Responsible for Utilization ... review identifies areas for clinical documentation improvement and contacts appropriate department ...

New

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR ... Salary Wage Band: $85,000- $105,340 Benefits * Salary is dependent on skills, experience, and ...

Sevita

Utilization Review Specialist

Akron, OH · On-site

$40K/yr

Salary: $40,170.00 Location: Akron(Portage Lakes area) Schedule: Mon/Tue/Wed/Thur/Fri 8:30 AM - 5 ... SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate ...

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... SALARY Wage Band: $85,000- $105,340 BENEFITS * Salary is dependent on skills, experience, and ...

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Utilization Review Salary information

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How much do utilization review salary jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization review salary 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 are some common challenges utilization review professionals face in balancing patient advocacy with cost management?

Utilization Review professionals often navigate the delicate balance between ensuring patients receive appropriate care and managing healthcare costs for providers and insurers. One common challenge is interpreting complex medical records to make fair, evidence-based decisions while also adhering to strict guidelines and insurance policies. Additionally, communicating denial decisions to providers or patients requires tact and empathy. Staying current with constantly evolving regulations and medical standards is also essential to perform the role effectively.

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

To thrive as a Utilization Review Nurse, you need a valid RN license, clinical experience, and strong knowledge of medical coding and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically required. Excellent analytical thinking, attention to detail, and effective communication skills help professionals excel in this role. These capabilities are crucial for making accurate coverage decisions, ensuring compliance, and facilitating high-quality, cost-effective patient care.

What is the average salary for a utilization review nurse?

The average salary for a Utilization Review Nurse in the United States typically ranges from $65,000 to $85,000 per year, depending on factors such as experience, education, location, and employer. Major metropolitan areas and hospitals may offer higher compensation, while remote or rural locations might pay less. In addition to base salary, some positions may offer benefits like health insurance, retirement plans, and bonuses. It's important to research the specific employer and geographic region for the most accurate salary information.

What is the difference between Utilization Review Salary vs Case Manager Salary?

AspectUtilization Review SalaryCase Manager Salary
Required CredentialsRN, LPN, or other healthcare certificationsRN, social work, or healthcare-related certifications
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Employer & Industry UsageUsed mainly in insurance and healthcare review settingsUsed across healthcare, social services, and insurance sectors

Utilization Review Salary and Case Manager Salary share similar credentials and work environments, often within healthcare and insurance industries. While utilization review focuses on evaluating medical necessity and appropriateness of care, case managers coordinate patient care and support. Both roles require healthcare or social work certifications, but their primary functions differ, with utilization review emphasizing review processes and case management emphasizing patient advocacy and coordination.

What degree do I need for utilization review?

Utilization review professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Many employers prefer candidates with a background in nursing or healthcare management, and some roles may require licensure or certification such as the Certified Professional in Healthcare Quality (CPHQ).
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What states have the most Utilization Review Salary jobs?

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The top searched job categories for Utilization Review Salary jobs are:

Utilization Review Salary jobs near you
Infographic showing various Utilization Review Salary job openings in the United States as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Liaison

Washington Hospital

Fremont, CA • On-site

$32.35 - $43.63/hr

Other

Posted 2 days ago

New

Job description

Description
Salary Range: $32.35 - $43.63 + applicable differentials
Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting Utilization Review Case Managers. The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all Case Management staff, Business Office, Patient Access, and along with the Hospital's Revenue Cycle to ensure quality and efficiency of certain elements of claims processing, denial prevention, and denial management.
Provides office and referral management support services; assists the Utilization Review Team in obtaining medical records, documenting case information in the system, performing data entry into appropriate databases for monitoring and tracking, and following up on phone calls as directed.
Continue to learn about clinical programs, processes, and changes
May also perform office support functions as required
In addition to performing the essential functions listed below, may also be assigned other duties as required.
Washington Hospital Health System does not utilize any form of electronic chatting, such as Google chat for the purposes of interviewing candidates for employment. If you are contacted by any entity or individual attempting to engage you in this format, do not disclose any personal information and contact Washington Hospital Healthcare System.

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