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Utilization Review Jobs in Louisiana (NOW HIRING)

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...

The Utilization Review Coordinator proactively monitors utilization of continuum services and optimize reimbursement for the facility. Join our team and discover a rewarding, fulfilling career.

The Utilization Review Coordinator proactively monitors utilization of continuum services and optimize reimbursement for the facility . Join our team and discover a rewarding, fulfilling career.

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Utilization Review information

See Louisiana salary details

$18

$36

$58

How much do utilization review jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for utilization review in Louisiana is $36.16, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $41.54 per hour, depending on experience, location, and employer.

What is a utilization review?

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 does a utilization review do?

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 are the key skills and qualifications needed to thrive in utilization review?

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.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are the most commonly searched types of Utilization Review jobs in Louisiana?

The most popular types of Utilization Review jobs in Louisiana are:

What cities in Louisiana are hiring for Utilization Review jobs?

Cities in Louisiana with the most Utilization Review job openings:

Infographic showing various Utilization Review job openings in Louisiana as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $75,205 per year, or $36.2 per hour.

Utilization Review Director

Lake Charles, LA โ€ข On-site

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago


Job description

NOTE: this position is currently filled. However, it is the policy of Freedom Behavioral to continue to 
take applications so that we can ensure there is no disruption in patient care if a vacancy occurs.


Freedom Behavioral Lake Charles is a rapidly expanding psychiatric hospital committed to providing compassionate, high-quality care to both adult and geriatric patients. We are proud to foster a positive, team-oriented environment where exceptional patient care and strong employee support remain at the center of everything we do. Since opening our first facility in Magnolia, Mississippi in 2015, Freedom Behavioral has continued to grow and now operates 12 facilities across Louisiana, Texas, and Mississippi.


As we continue to grow, we are excited to expand our Lake Charles team in preparation for increasing our capacity to 46 beds, allowing us to provide care and support to even more individuals within our community.


At Freedom Behavioral Lake Charles, our employees are the foundation of our success. Their dedication, compassion, and commitment make a meaningful impact every day, and we are devoted to creating a workplace where team members feel appreciated, respected, and empowered to succeed. We proudly offer competitive compensation, opportunities for career advancement, ongoing education and training, and a strong commitment to promoting a healthy work-life balance.


If you are searching for more than just a career—if you are looking for purpose, professional growth, a supportive team environment, and the opportunity to truly make a difference in the lives of others—Freedom Behavioral Lake Charles is the place for you.


POSITION SUMMARY:

A Utilization Review (UR) Director at Freedom Behavioral Hospital is responsible for overseeing utilization review and discharge planning processes in compliance with CMS, federal, and state regulations, as well as the organization’s mission, policies, procedures, and performance improvement standards.


In this role, the UR Director works closely with admissions, medical providers, and clinical staff to ensure patients receive appropriate, medically necessary care throughout their stay. They review patient records to evaluate the medical necessity of admissions, treatment plans, and length of stay while ensuring compliance with insurance and government reimbursement requirements.


The UR Director manages utilization review activities, including precertification and continued stay authorizations, and serves as the primary point of contact for payor sources. They communicate admission and continued stay criteria with referral sources, families, insurance representatives, and the interdisciplinary treatment team to maintain effective coordination of care. Cases requiring additional clinical expertise are referred to the Medical Director for further review.


As a key member of the multidisciplinary team, the UR Director helps facilitate treatment team processes, supports discharge planning efforts, and promotes effective communication among departments. They also maintain performance improvement initiatives within the department and participate in quality management activities to support regulatory compliance and patient care excellence.


This position requires strong analytical, organizational, and communication skills, along with a commitment to maintaining the highest ethical standards regarding patient care, confidentiality, and patient rights.


PREFERRED KNOWLEDGE, SKILLS AND/OR EXPIERENCE:

Education: A degree in a social science is preferred or nursing education
License:
Experience: 1+ years coordinating utilization review and discharge planning activities


BENEFITS:

• Challenging and rewarding work environment

• Excellent staff to patient ratio
• Competitive Compensation
• Medical, Dental, Vision, and Prescription Drug Plan
• Generous Paid Time Off
• 401(K) with company match


Freedom provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state or local laws.  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

****All applicants selected for employment will be required to undergo a post-offer drug test and federal background investigation. ****