Utilization Review
Tuba City, AZ · On-site
Rn - Utilization Review Cure Healthcare is seeking a RN - Utilization Review for positions in Tuba City, Arizona. Current Arizona license and AHA BLS and ACLS required and additional certifications ...
Utilization Review
Tuba City, AZ · On-site
Rn - Utilization Review Cure Healthcare is seeking a RN - Utilization Review for positions in Tuba City, Arizona. Current Arizona license and AHA BLS and ACLS required and additional certifications ...
Utilization Review Technician
Gadsden, AL · On-site
Social Work Services Shifts Available: Days Employment Type: Full Time Hours: 8-hour shift - 7:30am ... Background in business and office training, preferred Here are some of the benefits of working at ...
Utilization Review Technician
Gadsden, AL · On-site
Social Work Services Shifts Available: Days Employment Type: Full Time Hours: 8-hour shift - 7:30am ... Background in business and office training, preferred Here are some of the benefits of working at ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
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Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
Experience working with children and youth through the adoption process. Experience with ... social work or related field is preferred. Experience Requirements: A minimum of three years of ...
RN Team Lead Utilization Review
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review Supervisor Candidate must have acute care Utilization Review experience ... Collaborates with the physician nurse case manager social worker and other members of the health ...
RN Team Lead Utilization Review
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review Supervisor Candidate must have acute care Utilization Review experience ... Collaborates with the physician nurse case manager social worker and other members of the health ...
Bachelor's degree in Healthcare Administration, Nursing, Social Work, Psychology, or related field * Minimum of 1-3 years of experience in utilization review, case management, or behavioral health ...
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Bachelor's degree in Healthcare Administration, Nursing, Social Work, Psychology, or related field * Minimum of 1-3 years of experience in utilization review, case management, or behavioral health ...
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Utilization Review Assistant
Odessa, TX · On-site
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
RN Team Lead Utilization Review
Clinton, MD · On-site
$89K - $162K/yr
Collaborates with the physician nurse case manager social worker and other members of the health ... Acts as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities
RN Team Lead Utilization Review
Clinton, MD · On-site
$89K - $162K/yr
Collaborates with the physician nurse case manager social worker and other members of the health ... Acts as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities
Utilization Review Nurse
Bradenton, FL · On-site
Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...
Utilization Review Nurse
Bradenton, FL · On-site
Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...
Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...
Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...
Clinical Social Worker
Alton, IL · On-site
Case Management, Utilization Review, Social Services: Provides admission and continued stay reviews ... Lic Clinical Social Worker Preferred Requirements Experience * 2-5 years Benefits and Legal ...
Clinical Social Worker
Alton, IL · On-site
Case Management, Utilization Review, Social Services: Provides admission and continued stay reviews ... Lic Clinical Social Worker Preferred Requirements Experience * 2-5 years Benefits and Legal ...
Psychological and social aspects and characteristics of mental illness and chemical dependency ... Collaboration - Builds constructive working relationships with clients/customers, other work units ...
Psychological and social aspects and characteristics of mental illness and chemical dependency ... Collaboration - Builds constructive working relationships with clients/customers, other work units ...
Psychological and social aspects and characteristics of mental illness and chemical dependency ... Collaboration - Builds constructive working relationships with clients/customers, other work units ...
Psychological and social aspects and characteristics of mental illness and chemical dependency ... Collaboration - Builds constructive working relationships with clients/customers, other work units ...
Utilization Review Nurse
Bradenton, FL · On-site
Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...
Utilization Review Nurse
Bradenton, FL · On-site
Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure injured workers receive appropriate, timely care in accordance with applicable clinical guidelines ...
Utilization Review Specialist - HIM / RHIT
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Utilization Review Specialist - HIM / RHIT
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Assists UM Department with utilization review processes, including the collection and analysis of ... Unusual Physical Demands and Working Conditions: Should be familiar with healthcare operations.
Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan ... Collaborates with the physician, nurse case manager, social worker, and other members of the health ...
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Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan ... Collaborates with the physician, nurse case manager, social worker, and other members of the health ...
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Utilization Review Specialist - HIM / RHIT
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... Physicians, Case Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access ...
Utilization Review Social Worker information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do utilization review social worker jobs pay per hour?
As of Aug 22, 2026, the average hourly pay for utilization review social worker 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 is a utilization review social worker?
A Utilization Review Social Worker evaluates patient care to ensure it meets medical necessity and insurance guidelines. They review treatment plans, coordinate with healthcare providers, and communicate with insurance companies to secure appropriate coverage. Their goal is to optimize healthcare resources while ensuring patients receive necessary care. They also help prevent unnecessary hospitalizations and advocate for patient needs within healthcare systems.
What are the key skills and qualifications needed to thrive as a utilization review social worker?
To thrive as a Utilization Review Social Worker, you need a solid background in social work, case management, and healthcare regulations, typically supported by an MSW degree and licensure (LCSW or equivalent). Familiarity with utilization management software, EMR/EHR systems, and knowledge of insurance protocols are often required. Strong analytical thinking, attention to detail, effective communication, and empathy are key soft skills for success in this role. These abilities ensure informed decision-making, efficient patient care coordination, and effective advocacy during the review process.
What are some common challenges utilization review social workers face in their day-to-day work?
Utilization Review Social Workers often need to balance patient advocacy with healthcare cost containment, which can require navigating complex insurance guidelines and policies. They frequently review medical records to determine medical necessity and may have to communicate difficult decisions to patients, families, or care teams. Managing a high caseload while meeting documentation and regulatory requirements can also be demanding. However, this role offers opportunities for professional growth, multidisciplinary collaboration, and making a positive impact on patient care outcomes.
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Job description
Rn - Utilization Review
Cure Healthcare is seeking a RN - Utilization Review for positions in Tuba City, Arizona. Current Arizona license and AHA BLS and ACLS required and additional certifications related to this specialty. To qualify for this travel assignment, the candidate's primary residence must be located at least 50 miles from the facility address. This shift is 5x8 Days. Required: 2 years of recent experience in Utilization Review. Please inquire for specific job details and confirm shift required by facility.