New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
Chicago, IL · On-site
MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. * MUST HAVE 6 months of Prior Authorization.
Chicago, IL · On-site
MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. * MUST HAVE 6 months of Prior Authorization.
Champaign, IL · On-site
$61K - $71K/yr
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...
Champaign, IL · On-site
$61K - $71K/yr
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
New Lenox, IL · On-site
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...
Position Summary The Utilization Review/Reimbursement Specialist is responsible for coordinating Medical Record and Utilization Management activities in accordance with Sinai Chicago Medical Staff ...
Position Summary The Utilization Review/Reimbursement Specialist is responsible for coordinating Medical Record and Utilization Management activities in accordance with Sinai Chicago Medical Staff ...
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...
Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...
Position Summary The Utilization Review/Reimbursement Specialist is responsible for coordinating Medical Record and Utilization Management activities in accordance with Sinai Chicago Medical Staff ...
Position Summary The Utilization Review/Reimbursement Specialist is responsible for coordinating Medical Record and Utilization Management activities in accordance with Sinai Chicago Medical Staff ...
Skokie, IL · On-site +1
We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain ...
Skokie, IL · On-site +1
We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain ...
Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression, discharge planning, and continuity of care processes. * Collaborate with physicians ...
Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression, discharge planning, and continuity of care processes. * Collaborate with physicians ...
Utilization Management Lead-Utilization Review Full Time Days The Utilization Management Lead reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and ...
Utilization Management Lead-Utilization Review Full Time Days The Utilization Management Lead reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and ...
Springfield, IL · On-site
$37.55 - $56.33/hr
Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression, discharge planning, and continuity of care processes. * Collaborate with physicians ...
Springfield, IL · On-site
$37.55 - $56.33/hr
Ensure timely and accurate utilization review activities and payer communications. * Monitor patient progression, discharge planning, and continuity of care processes. * Collaborate with physicians ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team. * Serves in a lead role by ...
Performs a variety of utilization review activities to promote quality, clinical and cost-effective outcomes, including evaluation of length of stay and resource consumption. Manages activities of ...
Performs a variety of utilization review activities to promote quality, clinical and cost-effective outcomes, including evaluation of length of stay and resource consumption. Manages activities of ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
This position provides utilization review, documentation auditing, performance monitoring, and grant compliance support across a diverse portfolio of behavioral health programs. The Utilization ...
$20.73 - $24.92
2% of jobs
$24.92 - $29.12
9% of jobs
$31.99 is the 25th percentile. Wages below this are outliers.
$29.12 - $33.31
21% of jobs
The median wage is $36.70 / hr.
$33.31 - $37.50
23% of jobs
$37.50 - $41.70
13% of jobs
$44.96 is the 75th percentile. Wages above this are outliers.
$41.70 - $45.89
10% of jobs
$45.89 - $50.08
8% of jobs
$50.08 - $54.27
5% of jobs
$54.27 - $58.47
5% of jobs
$58.47 - $62.66
2% of jobs
$62.66 - $66.85
2% of jobs
$20
$40
$66
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.
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.
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 Illinois are:
For Utilization Review jobs in Illinois, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Illinois are:
Cities in Illinois with the most Utilization Review job openings:
$34.73 - $45.15/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 4 days ago
6.9
Based on 51 frontline employees who took The Breakroom Quiz
553rd of 1,059 rated hospitals
Get the full story on Breakroom
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At Silver Cross, we pride ourselves on delivering unrivaled care to every patient, every time. As a result, our focus on safety, quality and patient experience has earned us numerous national awards over the years. As the needs of our community have grown, so has Silver Cross—in both size and stature. Our many healthcare services rapidly expanded, evolved and increased in complexity. To serve you and your loved ones even better than before, we've proudly partnered with many of Chicago's leading academic medical centers, bringing extraordinarily advanced care close to home.
Health care and social assistance
1,001 - 5,000 Employees
New Lenox, IL, US
1895
