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$91K

$167.5K

How much do utilization review supervisor jobs pay per year?

As of Jun 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.

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 Support Specialist-2

Utilization Review Support Specialist-2

Nationwide Children's Hospital

Columbus, OH • On-site

Full-time

Posted 11 days ago

Nationwide Children's Hospital rating

7.1

Company rating: 7.1 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

437th of 999 rated hospitals

Job description

Overview:
Schedule: M-F (Day Shift)
Job Description Summary:
Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information.
Job Description:
Essential Functions:
  • Coordinates with external healthcare providers, payors, patients, and internal teams to obtain and provide necessary account information.
  • Serves as a liaison for inquiries and issues regarding authorizations, denials, and utilization reviews.
  • Manages incoming and outgoing telephones, emails, and faxes. Monitors and completes multiple work queues.
  • Maintains accurate and complete documentation of admission authorizations and other utilization review information.
  • Reports utilization review progress to leadership and ensures compliance with contractual standards and regulations.
  • Participates in quality improvement initiatives to enhance utilization review processes.

Education Requirement:
  • High School Diploma or equivalent, required.
  • Associate's Degree, preferred.

Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
Working knowledge of medical terminology, general medical office procedures, and HIPAA regulations.
Experience:
  • One year of experience in hospital setting or medical office, required.
  • Experience with CPT, ICD-10 and HCPCS coding, preferred.
  • Two years of managed care experience including experience in a call center, preferred.

Physical Requirements:
OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Machinery, Pushing / Pulling: 0-25 lbs, Standing
FREQUENTLY: Color vision, Flexing/extending of neck, Interpreting Data, Reaching above shoulder, Repetitive hand/arm use, Walking
CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Peripheral vision, Problem solving, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
Talking on the phone/in person Constantly
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

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About Nationwide Children's Hospital

Sourced by ZipRecruiter

Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Columbus, OH, US

Year founded

1892

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