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Utilization Review Supervisor Jobs (NOW HIRING)

Summit BHC

Assigns all clients to Utilization Review staff and supervises staff to ensure staff are completing insurance verifications on time and compliant with regulatory standards and requirements. * Ensures ...

tmn

Utilization Review Specialist

Akron, OH · On-site

$40K/mo

SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate ... Performs other related duties and activities as required SUPERVISORY RESPONSIBILITIES May direct ...

ERC Pathlight

Utilization Review Manager

Aspen, CO · On-site

$93K - $117K/yr

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review ... Clinically supervises teammates in 1:1 and group settings; provides in-moment assistance on ...

ERC Pathlight

Utilization Review Manager

Denver, CO · On-site +1

$93K - $117K/yr

As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review ... Clinically supervises teammates in 1:1 and group settings; provides in-moment assistance on ...

VIVA USA INC

Utilization Review Nurse

Albuquerque, NM · On-site +1

Review Service Requests, Collect Clinical And Non-Clinical Data, Verify Eligibility, Determine ... Consult with supervisor/Medical Director regarding complex or difficult cases. 20.Provide ...

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Utilization Review Supervisor information

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$39K

$91K

$167.5K

How much do utilization review supervisor jobs pay per year?

As of Jun 12, 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.

How much should a supervisor be paid?

The salary for a Utilization Review Supervisor typically ranges from $70,000 to $100,000 annually, depending on experience, location, and the size of the organization. Factors such as certifications, healthcare industry knowledge, and supervisory skills can influence compensation levels.

What jobs pay 2000 a day?

Jobs that can pay around $2,000 a day typically include specialized roles such as senior medical consultants, high-level legal professionals, certain executive positions, and highly experienced consultants in fields like finance or engineering. These roles often require advanced skills, certifications, or extensive experience, and may involve freelance or contract work with high hourly rates. Such positions are usually found in industries with high demand for expertise and limited supply of qualified professionals.

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.

What degree do I need for utilization review?

Utilization Review Supervisors typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Many employers prefer candidates with a master's degree or relevant certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in clinical settings and knowledge of healthcare regulations are also important for this role.

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Financial Officer (CFO) tend to be the highest paying positions, often earning six-figure salaries or more. These roles require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.
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 June 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
Utilization Review Nurse

Utilization Review Nurse

Global Force USA

Las Vegas, NV

Full-time

Posted 4 days ago

Job description

Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts, determining whether care provided is within established parameters.

Job Requirement

Education/Experience:
Graduation from an accredited school of nursing and five (5) years of acute hospital clinical nursing experience, one (1) year of which was in Utilization Management, Case Management, or Clinical Documentation Improvement.

Licensing/Certification Requirements:
Valid license by the State of Nevada to practice as a Registered Nurse.

Additional Position Requirements
  • Minimum three (3) years of Utilization Management experience.
  • Minimum of three (3) year's experience with discharge planning in an acute care facility.
  • Recent documented experience with InterQual, and ability to pass the InterQual exam.
  • Recent documented experience with Milliman experience.
Knowledge, Skills, Abilities, and Physical Requirements

Knowledge of:
Interquel or Milliman utilization review criteria, Medicare/Medicaid guidelines, hospital policies and procedures; Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, and other relevant regulations and standards; clinical medical and nursing procedures; disease processes; department and hospital safety practices and principles; patient rights; age specific patient care practices; infection control policies and practices; department and hospital emergency response policies and procedures.
Skill in:
Interpreting patient charts to determine whether care given is within best practice, appropriate for the diagnosis and properly documented; excellent ability to collaborate, co-ordinate and communicate findings; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; applying investigative and interviewing techniques; using a computer and a variety of software applications; communicating with a wide variety and establishing interpersonal relationships to interact effectively with co-workers, supervisor, staff in other work units and exchange or convey information.
Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a computer screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May work shifts and weekends. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.