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Utilization Review Jobs in Utah (NOW HIRING)

Imh

Ambulatory Nurse Care Manager

Moroni, UT

Demonstrated experience in case management, utilization review, or discharge planning. Physical Requirements * Ongoing need for employee to see and read information, labels, assess patient needs ...

Imh

RN Ambulatory Care Manager

Orem, UT

Demonstrated experience in case management, utilization review, or discharge planning. Physical Requirements * Ongoing need for employee to see and read information, labels, assess patient needs ...

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Utilization Review information

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$19

$38

$62

How much do utilization review jobs pay per hour?

As of Aug 16, 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.

Is utilization review work from home?

Utilization review jobs can often be performed remotely, especially with the increased adoption of telecommuting in healthcare and insurance industries. Many employers offer work-from-home options, provided the reviewer has the necessary certifications and access to electronic health records or claims systems. However, some positions may require on-site presence for meetings or audits.

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.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, which can be stressful due to strict deadlines, high accuracy requirements, and the need to balance patient care with insurance policies. The job often requires strong attention to detail, communication skills, and the ability to handle complex cases under time pressure.

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 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, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Relevant skills include knowledge of medical coding, insurance policies, and strong analytical abilities.

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 77% Full Time, 19% Part Time, and 4% Contract. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $80,064 per year, or $38.5 per hour.

Nocturnist Hospitalist

The Chronicle Of Higher Education, Inc.

Salt Lake City, UT • On-site

$200 - $250/hr

Other

Re-posted 10 days ago

Job description

Nocturnist Hospitalist

Details

The Department of Internal Medicine, Division of General Internal Medicine at the University of Utah is seeking candidates for an faculty position as a Nocturnist Hospitalist in the clinical track. Faculty rank is dependent upon the qualifications of the applicant.

We are an extremely high-performing, low-turnover hospital medicine group that is passionate about teaching and about hospital medicine as a career.

Highlights of this position include:
  • Diverse and complex patient mix at an academic medical center drawing from a five-state region of the Mountain West
  • Opportunities to work with a variety of learners including internal medicine residents
  • Very reasonable clinical workload and schedule allows for outstanding patient care, desirable work/life balance, and a fulfilling long-term career
  • Choose between multiple practice settings: tertiary academic center, nationally-recognized NCI-Designated Comprehensive Cancer Center, community hospitals
  • Extensive career possibilities within the group allow the individual to shape their career based on personal interests and goals. Opportunities include teaching, leadership, QI, research, procedures, thrombosis, addiction medicine, global/rural health, palliative care, informatics, ethics, and utilization review
  • Approximately 10 shifts per month with highly flexible scheduling
  • Extensive mentoring and opportunities to participate in QI and scholarship on the local, regional, and national levels
  • Competitive pay and excellent benefits
Minimum qualifications

Medical degree, eligible for Utah Medical License, and ABIM eligible

Preferred qualifications

ABIM certified in Internal Medicine

How to Apply

Please submit a CV and letter of interest via the University's application portal: https://utah.peopleadmin.com/postings/189543

Please email Dr. Nathan Wanner (Nathan.Wanner@hsc.utah.edu) once you apply.

Equal Employment Opportunity Statement

The University of Utah values candidates who have experience working in settings with students and possess a strong commitment to improving access to higher education. Veterans' preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. Consistent with state and federal law, the University of Utah does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, gender expression, pregnancy, pregnancy_related_conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment.

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