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Utilization Review Jobs in Arizona (NOW HIRING)

The Meadows

Utilization Review Coordinator

Phoenix, AZ · On-site +1

As the Utilization Review Coordinator, you will develop and implement systems for authorizations for Inpatient, RTC, PHP and IOP Services. You will conduct pre-certs, concurrent and extended reviews.

UHS

Utilization Review Coordinator

Scottsdale, AZ · On-site

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and ...

UHS

Utilization Review Coordinator

Scottsdale, AZ

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and ...

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All JobsUtilization Review JobsUtilization Review Jobs in Arizona

Utilization Review information

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$64

How much do utilization review jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for utilization review in Arizona is $39.40, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.

What jobs pay $10,000 a month without a degree?

Utilization Review roles typically do not pay $10,000 a month without relevant experience or certifications; most positions in this field pay lower salaries. High-paying jobs that can reach this level without a degree often include specialized sales, real estate, or entrepreneurship, but they usually require significant skills, networking, or business acumen. Achieving such income without a degree generally involves gaining expertise, certifications, or building a successful independent business.

What does a typical day look like for someone working in Utilization Review?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What skills do you need for utilization review?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

What is a Utilization Review job?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What are the key skills and qualifications needed to thrive in the Utilization Review position, and why are they important?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

What is the least stressful healthcare job?

Utilization review is often considered a less stressful healthcare job because it typically involves reviewing medical cases and insurance claims in a predictable, office-based environment. It usually requires strong analytical skills and certification but involves less direct patient interaction and emergency situations compared to clinical roles.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare professional such as a registered nurse, licensed social worker, or physician completes relevant education and obtains certification in utilization review or case management. Gaining experience in healthcare settings and understanding insurance policies and medical coding can also improve job prospects. Certification programs like the Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM) are often preferred by employers.
What are the most commonly searched types of Utilization Review jobs in Arizona? The most popular types of Utilization Review jobs in Arizona are:
What are popular job titles related to Utilization Review jobs in Arizona? For Utilization Review jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Arizona look for? The top searched job categories for Utilization Review jobs in Arizona are:
What cities in Arizona are hiring for Utilization Review jobs? Cities in Arizona with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Arizona as of June 2026, with employment types broken down into 4% As Needed, 83% Full Time, 4% Part Time, and 9% Contract. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $81,956 per year, or $39.4 per hour.
Utilization Review Coordinator

Utilization Review Coordinator

Meadows of Wickenburg Inc

Phoenix, AZ

Full-time

Posted 19 days ago

Job description

This is where you change your story…

At Meadows we understand that new directions to career advancing, and improvement can be scary, but we are excited to offer you a possible new rewarding chapter with us! Come join us in transforming lives!

Who are we?

Meadows Behavioral Healthcare is a leader in the behavioral health industry. Meadows Behavioral Healthcare offer a range of specialized programs including residential, outpatient and virtual treatment. We provide care for drug and alcohol addiction, trauma, sexual addiction, behavioral health conditions, and co-occurring disorders. We offer state-of-the-art care including neurofeedback and other services. Our evidence-based approach is rooted in decades of clinical experience, with more than 45 years in the field. Our approach is different and success stories from our patients are the proof.

Who are you?

Are you compassionate, innovative and have a passion to make an impact?  Are you looking to get your foot in the door with a company that will believe in your abilities and train you to advance? 80% of our current top-level executive staff are organic internal promotions from within.

We might be a perfect fit for you!

Position Summary:

As the Utilization Review Coordinator, you will develop and implement systems for authorizations for Inpatient, RTC, PHP and IOP Services.  You will conduct pre-certs, concurrent and extended reviews.  You will ensure quality documentation of patient care.

Responsibilities:

  • Utilization Review:
    • Provide professional and thorough communication with external representatives to obtain authorization for admission and continued stay.
    • Monitor each step of the authorization process to proactively identify potential problems and optimize outcome.
    • Minimize the number of cases that need to be referred for psychiatric peer/peer review.
    • Interact with patient care staff to assure patient assessment and treatment plan is accurately and consistently reflected in facility documentation.
    • Prioritize multiple and various types of case activity, coordinate with UM team to ensure all deadlines are met with highest possible quality of delivery.
    • Maintain cumulative documentation regarding action taken during the UR process.
    • Conduct reviews to ensure that services and documentation conform to the facility protocols, and the requirements of third-party payer sources.
  • Clinical Team Member
    • Interact with patient care staff as noted above.
    • Attend treatment staffing and other scheduled meetings to obtain and present information on patient status, care and stay.
    • Communicate authorization status, issues or problems to appropriate staff/departments.
  • Payer Management
    • Obtain and maintain authorization for each patient.  Problem-solve issues relating to stay or service.
    • Respond quickly and effectively to requires for information.
    • Nurture positive and professional relationships with external (third-party payers) sources.

Education and Experience:

  • Bachelor's degree required
  • 3-5 years of experience in utilization review in a behavioral health setting
  • Strong communication skills
  • Ability to work in a fast-paced environment

We are a Drug Free Company. All positions are designated as Safety Sensitive positions and in light of our company mission, the Company does not employ medical marijuana cardholders. Following an offer of employment, and prior to reporting to work, all applicants will be required to submit to and pass a substance abuse screen.

Meadows Behavioral Health is an equal opportunity employer committed to diversity and inclusion in the workplace. Qualified candidates will receive consideration without regard to race, color, religion, sex, sexual orientation, age, national origin, disability, protected veteran status or any other factor protected by applicable federal, state or local laws. Meadows Behavioral Health provides reasonable accommodations to individuals with disabilities and if you need reasonable accommodation during any time of the employment process, please reach out.

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