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Utilization Review Jobs in Utah (NOW HIRING)

Imh

Manager Utilization and Care Management

Murray, UT · On-site +1

$44.99 - $69.44/hr

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of ...

Imh

Hospital Care Management Manager

Salt Lake City, UT · On-site

The manager also collaborates with care management operations across utilization review, acute and emergency department care, and ambulatory/community settings, ensuring alignment with broader system ...

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Utilization Review information

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How much do utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for utilization review in Utah is $38.49, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $44.18 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 Utah?

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

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

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

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

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

What cities in Utah are hiring for Utilization Review jobs?

Cities in Utah with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, 1% Temporary, and 4% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $80,064 per year, or $38.5 per hour.

Utilization Review Therapist

Odyssey House Inc.

Millcreek, UT • On-site

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Odyssey House is looking for a Full-Time Utilization Review Specialist.
Summary: Odyssey House's Mission is "Empowering people to heal and build better lives. We are dedicated to helping individuals and families reclaim their lives through effective substance use treatment, medical care, prevention, and mental health services. Odyssey House continues to receive Best of State awards for our clinical work and has received Top Workplace Awards. Join our amazing team of healthcare professionals today!
Full-Time Benefits:
  • $9k per year tuition eligible
  • Access to 24/7 EAP program (Employee Assistance Program) for Mental Health support and more!
  • Opportunities for paid continuing education/training
  • Monthly incentives and awards
  • Flexible scheduling
  • Casual dress and atmosphere
  • Opportunities for bonuses, awards, raises, and promotions
  • Incredible health insurance (medical, dental, vision, FSA, long and short-term disability)
  • Immediate eligibility to participate in our 403(b)-retirement plan, Employer 100% match up to 5% after 1 year
  • 35 paid days off (additional PTO accrual after 1 year)
  • EXTRA time off and gift packages for PT and FT staff that stay more than 90 days!
  • Sabbatical Program - where we pay you to take a vacation after 5 years of service!
  • On-Demand Pay - Get a portion of your paycheck early for hours already worked! (conditions apply)
  • UTA free passes available for your work commute

Functions of the Job:
  • Track UCE/UR/Insurance Due Dates for all funding and ensure timely submission of all requests.
  • Review all UR submissions for medical necessity, make corrections to UR, and submit for approval.
  • Provide ongoing training to staff regarding writing to medical necessity or other issues that present during reviewing UMs.
  • Resolve funding denials through immediate UR modification and resubmission to minimize loss of days.
  • Update Best Notes and UWITS, as needed, to reflect authorized days.
  • Generate Reports with due dates, notify staff of changes, and manage staff progress.
  • Complete monthly Medicaid check (upload snapshots to Best Notes.)
  • Complete "doc-to-doc" calls, as needed, for insurance authorization.
  • Communicate with OH billing department to resolve issues.
  • Complete all responsibilities in a timely, thorough, and professional manner.
  • Demonstrate fluency in ASAM and DSM-V through successful authorization and processing of UMs.
  • Other Duties as assigned.

Requirements
Licensure / Education / Prior Experience Required:
  • Licensed Mental Health Professional, including - CSW, LCSW, CMHC, ACHMC, LMFT, MFTI.
  • Graduate degree in the mental health field.
  • Willingness and ability to pass a criminal background check
  • First Aid and CPR Certification (available at Odyssey House)
  • Must comply with annual TB tests and Flu immunization (and other immunizations as needed)
  • Must meet employment eligibility
  • Must be able to work variable shifts as needed

All employees of Odyssey House are required to adhere to: Odyssey House mission, philosophy, and scope of service; Division of Human Services Code of Conduct and all other relevant service contract requirement standards; ensuring a safe environment for all clients and staff; providing exemplary customer service to both internal and external customers; fostering a positive work environment; ensuring high-quality client care within the scope of the assigned position.
Each employee is expected to clearly understand roles and responsibilities regarding the following: Specific job positions, time management, personnel file requirements, client record system, incident reporting, mandatory training requirements, maintaining proper client boundaries, and individual rights of clients and staff.
Physical Demands of the Job: Ability to lift up to 15 lbs., drive (or adequate alternate transportation), sit for prolonged periods, and perform light to moderate physical activity at times. Able to passively restrain residents without likely injury to self due to existing medical condition.
EEOC Statement: Odyssey House is an equal-opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

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