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Utilization Review Jobs in Ontario (NOW HIRING)

Manager - Owner Operator Network

London, ON ยท On-site

CA$80K - CA$85K/yr

... reviews and complete carrier audits Equipment & Asset Management Oversee truck onboarding process, including licensing, insurance, including utilization tracking, compliance requirements, and ...

Patient Flow Manager

Toronto, ON ยท On-site

CA$115K - CA$141K/yr

Define and prepare reports to inform management, physician chiefs, and administrative team of patient activity and bed utilization to manage surges in patient volumes * Review/Approve Observer ...

Patient Flow Manager

Toronto, ON ยท On-site

CA$118K - CA$144K/yr

Define and prepare reports to inform management, physician chiefs, and administrative team of patient activity and bed utilization to manage surges in patient volumes * Review/Approve Observer ...

Patient Flow Manager

Toronto, ON ยท On-site

CA$118K - CA$144K/yr

Define and prepare reports to inform management, physician chiefs, and administrative team of patient activity and bed utilization to manage surges in patient volumes * Review/Approve Observer ...

Lead Capacity Engineer

Waterloo, ON ยท On-site

CA$98.08 - CA$147K/hr

Provide capacity and utilization reporting for NetApp and EMC storage platforms * Review storage growth trends and identify capacity risks * Use NetApp DII and related storage tools to analyze usage ...

Home First Liaison

Sudbury, ON ยท On-site

CA$49.20 - CA$57.88/hr

... review and assessment of bed availability. Ensure appropriate designation and management of Alternate Level of Care (ALC) patients. REPORTING: Under the general direction of the Manager, Utilization ...

Lead Capacity Engineer

Mississauga, ON ยท On-site

CA$98.08 - CA$147K/hr

Provide capacity and utilization reporting for NetApp and EMC storage platforms * Review storage growth trends and identify capacity risks * Use NetApp DII and related storage tools to analyze usage ...

Terminal Manager

Bolton, ON ยท On-site

CA$80K - CA$90K/yr

Strong knowledge of transportation operations, dispatch, routing, equipment utilization, and fleet ... Strong financial and analytical skills with the ability to manage budgets, review expenses, and ...

Review and analyze financial results monthly, partnering with local leadership to recommend solutions on operational matters such as utilization, chargeable hours, and headcount adjustments * Develop ...

Support the VP of Client Services to monitor budget and hours and their burn, pacing, and utilization across active scopes. * Pull exports, run calculations by staff and department, review month-over ...

Showing results 21-40

Utilization Review information

See Ontario salary details

$13

$39

$76

How much do utilization review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review in Ontario is $39.74, according to ZipRecruiter salary data. Most workers in this role earn between $28.12 and $44.95 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 Ontario?

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

What are popular job titles related to Utilization Review jobs in Ontario?

For Utilization Review jobs in Ontario, the most frequently searched job titles are:

What job categories do people searching Utilization Review jobs in Ontario look for?

The top searched job categories for Utilization Review jobs in Ontario are:

Infographic showing various Utilization Review job openings in Ontario as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $82,652 per year, or $39.7 per hour.

CLINICAL SPECIALIST (PHARMACIST) - HYBRID

GreenShield

Toronto, ON โ€ข Hybrid

Full-time

Posted 4 days ago


Job description

  • Render decisions on complex drug authorization requests
  • Perform literature reviews to assist with clinical escalations
  • Assist with the development of pharmacy benefit management plan design alternatives and product/process enhancements.
  • Collaborate with external stakeholders - Pharmacy and the Pharmaceutical industry - regarding new products as well as the adoption of new policies or practices.
  • Provide expertise to clients, providers, and suppliers related to pharmacy benefit management.
  • Contribute to benefit utilization analyses and preparing position papers and reports.
  • Assist in the development of internal and external communications regarding GSC pharmacy benefit management strategy.
  • Represent GSC in industry peer groups, external presentations, and conferences to reinforce GSC's position as a pharmacy benefit management specialist.