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Utilization Review Supervisor Jobs (NOW HIRING)

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

You will report into the Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan;

Seh

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Supervised Positions * None Qualifications Minimum Education Required * Associates degree in ...

Southeast Health

Utilization Review Nurse

Dothan, AL · On-site

Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Supervised Positions * None Qualifications Minimum Education Required * Associates degree in ...

GRO Community

Utilization Review Manager

Chicago, IL · On-site

Utilization Review Manager Location: Chicago Job Type: Full-Time Reports to: Director of Revenue ... Work closely with Clinical Operations and Counseling supervisors to monitor caseload utilization ...

GRO Community

Utilization Review Manager

Chicago, IL · On-site

Utilization Review Manager Location: Chicago Job Type: Full-Time Reports to: Director of Revenue ... Work closely with Clinical Operations and Counseling supervisors to monitor caseload utilization ...

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All JobsUtilization Review Supervisor Jobs

Utilization Review Supervisor information

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$39K

$91K

$167.5K

How much do utilization review supervisor jobs pay per year?

As of Jul 16, 2026, the average yearly pay for utilization review supervisor in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What is a Utilization Review Supervisor?

A Utilization Review Supervisor is a healthcare professional who oversees the utilization review process within a medical facility or insurance organization. Their primary responsibility is to ensure that patient care services are medically necessary, cost-effective, and compliant with regulatory standards. They supervise a team of utilization review specialists or nurses, monitor workflow, review complex cases, and communicate with medical staff and insurance providers. This role helps optimize resource use and improve patient outcomes while controlling healthcare costs.

What is the difference between Utilization Review Supervisor vs Utilization Review Coordinator?

AspectUtilization Review SupervisorUtilization Review Coordinator
CertificationsTypically requires a nursing license or relevant healthcare certificationOften requires similar healthcare credentials, such as RN or licensed healthcare professional
Work EnvironmentSupervises review teams in healthcare or insurance settingsPerforms case reviews and data collection, often in healthcare or insurance companies
Job ResponsibilitiesOversees utilization review processes, manages staff, ensures complianceConducts reviews, gathers data, and supports the review process

The Utilization Review Supervisor and Utilization Review Coordinator roles share similar credentials and work environments, but the supervisor oversees teams and manages processes, while the coordinator focuses on case reviews and data collection. Both positions are essential in healthcare and insurance industries for managing patient care and resource utilization.

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

To thrive as a Utilization Review Supervisor, you need expertise in healthcare management, case review, and regulatory compliance, often supported by a nursing degree or healthcare-related certification. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance and accreditation standards is typically required. Exceptional leadership, analytical thinking, and communication skills help manage teams and facilitate collaboration across departments. These competencies are vital to ensure appropriate care utilization, regulatory adherence, and the effective operation of review processes.

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

Utilization Review Supervisors often face challenges such as managing high caseloads, ensuring compliance with ever-changing regulations, and balancing the needs of patients with organizational goals. Effective communication with clinical staff and insurance providers is essential, as is staying current with policy updates. Supervisors can address these challenges by fostering strong teamwork, implementing clear protocols, and investing in ongoing training for their teams to ensure consistent, high-quality reviews.
More about Utilization Review Supervisor jobs
What cities are hiring for Utilization Review Supervisor jobs? Cities with the most Utilization Review Supervisor job openings:
What job categories do people searching Utilization Review Supervisor jobs look for? The top searched job categories for Utilization Review Supervisor jobs are:
Utilization Review Supervisor jobs near you
Infographic showing various Utilization Review Supervisor job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
Travel Nurse Supervisor RN - Utilization Review

Travel Nurse Supervisor RN - Utilization Review

Prime Staffing

Carlisle, PA • On-site

Contractor

Posted 6 days ago

New

Job description

Prime Staffing is seeking a travel nurse RN Utilization Review Supervisor for a travel nursing job in Carlisle, Pennsylvania.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/03/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Job Title: RN – Utilization Manager

Location: Carlisle, PA

Contract Length: 7 Weeks

Shift: Days | 7:00 AM – 3:30 PM

Guaranteed Hours: 40 Hours/Week

Requirements:
  • Active RN license
  • Previous Utilization Management/Utilization Review experience required
  • Knowledge of InterQual and/or MCG criteria preferred
  • Strong clinical assessment and documentation skills
  • Experience with EMR systems
  • BLS Certification
Responsibilities:
  • Conduct utilization reviews to determine medical necessity and appropriate level of care
  • Collaborate with physicians, case managers, and interdisciplinary teams
  • Ensure compliance with payer and regulatory guidelines
  • Review and maintain accurate clinical documentation
  • Assist with discharge planning and care coordination
  • Communicate with insurance providers regarding authorizations and appeals

Apply today to join a dedicated healthcare team supporting quality patient care and efficient resource utilization.

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.



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