CLINICIAN 1 - FULL-TIME
$55K - $72K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
$55K - $72K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
$55K - $72K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
Waterbury, CT · On-site
$190 - $230/hr
We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...
Waterbury, CT · On-site
$190 - $230/hr
We are fully staffed with occupational and group therapists, social workers who support individual therapy and case management, and a dedicated insurance utilization review team. You will also have ...
Hartford, CT · On-site
$70K - $75K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
Hartford, CT · On-site
$70K - $75K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
Hartford, CT · On-site
$55K - $72K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
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Hartford, CT · On-site
$55K - $72K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
Hartford, CT · On-site
$55K - $72K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
Hartford, CT · On-site
$55K - $72K/yr
Follows the utilization review process. * Required to transport clients in personal or Agency vehicle. * Provides a safe and nurturing environment for children when client is in engaged in specific ...
Waterbury, CT · On-site
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program (Diploma/Associates) BSN ...
Waterbury, CT · On-site
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program (Diploma/Associates) BSN ...
Waterbury, CT · On-site
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program (Diploma/Associates) BSN ...
Waterbury, CT · On-site
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program (Diploma/Associates) BSN ...
Rocky Hill, CT · On-site
$62K - $83K/yr
Utilization Management Rep II/Clinical Liaison Utilization Management Representative II/ Clinical ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Rocky Hill, CT · On-site
$62K - $83K/yr
Utilization Management Rep II/Clinical Liaison Utilization Management Representative II/ Clinical ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Rep II/Clinical Liaison Utilization Management Representative II/ Clinical ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Utilization Management Rep II/Clinical Liaison Utilization Management Representative II/ Clinical ... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty ...
Waterbury, CT · On-site
$20.50 - $26.25/hr
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program ( Diploma/Associates) BSN ...
Waterbury, CT · On-site
$20.50 - $26.25/hr
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program ( Diploma/Associates) BSN ...
Shelton, CT · On-site
$19.25 - $26.50/hr
Interact with utilization review/management departments * Assist with gathering EOB's if cash poster is unable to locate * Provide excellent customer service via the handling of inbound and outbound ...
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Shelton, CT · On-site
$19.25 - $26.50/hr
Interact with utilization review/management departments * Assist with gathering EOB's if cash poster is unable to locate * Provide excellent customer service via the handling of inbound and outbound ...
... utilization review. • Be a resource for the primary care physicians. • Respond to urgent calls and facilitate admission to in-patient hospital units when necessary. • Attend medical staff ...
... utilization review. • Be a resource for the primary care physicians. • Respond to urgent calls and facilitate admission to in-patient hospital units when necessary. • Attend medical staff ...
Participate in case reviews, consultations, and utilization review. Be a resource for the primary care physicians. Respond to urgent calls and facilitate admission to in-patient hospital units when ...
Participate in case reviews, consultations, and utilization review. Be a resource for the primary care physicians. Respond to urgent calls and facilitate admission to in-patient hospital units when ...
Waterbury, CT · On-site
$20.50 - $26.25/hr
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program ( Diploma/Associates) BSN ...
Waterbury, CT · On-site
$20.50 - $26.25/hr
Case Management, discharge planning and utilization review experience preferred. * Licensed as a Registered Nurse in the State of Connecticut. * Graduate nursing program ( Diploma/Associates) BSN ...
Stamford, CT · On-site
$60 - $80/hr
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. * Is appropriately ...
Stamford, CT · On-site
$60 - $80/hr
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. * Is appropriately ...
Performs utilization review and management functions; Attends court hearings as a state witness; Performs related duties as required MINIMUM QUALIFICATIONS Incumbents in this class must possess and ...
Performs utilization review and management functions; Attends court hearings as a state witness; Performs related duties as required MINIMUM QUALIFICATIONS Incumbents in this class must possess and ...
Stamford, CT · On-site
$65K - $85K/yr
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. * Is appropriately ...
Stamford, CT · On-site
$65K - $85K/yr
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. * Is appropriately ...
Performs utilization review and management functions; Attends court hearings as a state witness; Performs related duties as required MINIMUM QUALIFICATIONS Incumbents in this class must possess and ...
Quick apply
Performs utilization review and management functions; Attends court hearings as a state witness; Performs related duties as required MINIMUM QUALIFICATIONS Incumbents in this class must possess and ...
... utilization review. • Be a resource for the primary care physicians. • Respond to urgent calls and facilitate admission to in-patient hospital units when necessary. • Attend medical staff ...
... utilization review. • Be a resource for the primary care physicians. • Respond to urgent calls and facilitate admission to in-patient hospital units when necessary. • Attend medical staff ...
Collaborates with case management, utilization review, and operational teams after patient identification to support transition planning and care coordination. Identifies and addresses pre-enrollment ...
Collaborates with case management, utilization review, and operational teams after patient identification to support transition planning and care coordination. Identifies and addresses pre-enrollment ...
$20.35 - $24.47
2% of jobs
$24.47 - $28.58
9% of jobs
$31.40 is the 25th percentile. Wages below this are outliers.
$28.58 - $32.70
21% of jobs
The median wage is $36.03 / hr.
$32.70 - $36.82
23% of jobs
$36.82 - $40.93
13% of jobs
$44.13 is the 75th percentile. Wages above this are outliers.
$40.93 - $45.05
10% of jobs
$45.05 - $49.17
8% of jobs
$49.17 - $53.28
5% of jobs
$53.28 - $57.40
5% of jobs
$57.40 - $61.51
2% of jobs
$61.51 - $65.63
2% of jobs
$20
$40
$65
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.
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.
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.
The most popular types of Utilization Review jobs in Connecticut are:
For Utilization Review jobs in Connecticut, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Connecticut are:
Cities in Connecticut with the most Utilization Review job openings:

$55K - $72K/yr
Full-time
Re-posted 7 days ago
Description
Summary:
An experienced counselor who possesses knowledge about substance abuse treatment. Trained in a variety of therapeutic techniques used to address issues, including but not limited to parenting, depression, addiction and substance abuse, suicidal impulses, stress, problems with self-esteem, and grief. Counselor's work with individuals, families, and groups to address and treat client. Works independently with weekly supervision, is capable of directing and motivation clients toward abstinence and sobriety through specific avenues of treatment.
Essential Duties & Responsibilities:
*All agency staff are required to attend all mandatory department/agency meetings and trainings*
Schedule:
Sunday-Thursday 12:30 PM -9:00 PM, with mandatory staff meetings on Wednesdays, 8:00 AM - 10:00 AM
Requirements
Education &/Or Experience:
A Master's degree, and/or Connecticut State Licensure (LMSW,LCSW, LPC) and two (2) years relevant experience. Also requires experience working in a Recovery-Oriented System of Care and supervisory experience.
Competencies:
Sourced by ZipRecruiter
Non-profits
51 - 200 Employees
East Hartford, CT, US