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 ...
Quick apply
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 ...
Quick apply
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 ยท 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 ยท 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 ยท On-site
$60 - $80/hr
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 ยท On-site
$60 - $80/hr
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 ...
Chicago, IL ยท On-site
$70 - $100/hr
Utilization Review Clinician Clarity Clinic, PLLC Chicago, Illinois, United States About this position About Clarity Clinic Clarity Clinic is an interdisciplinary private practice bringing together ...
New
Chicago, IL ยท On-site
$70 - $100/hr
Utilization Review Clinician Clarity Clinic, PLLC Chicago, Illinois, United States About this position About Clarity Clinic Clarity Clinic is an interdisciplinary private practice bringing together ...
New
Chicago, IL ยท On-site
$75 - $110/hr
The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic, covering prior authorization for admission, concurrent and continued stay review, peer to peer ...
Chicago, IL ยท On-site
$75 - $110/hr
The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic, covering prior authorization for admission, concurrent and continued stay review, peer to peer ...
Chicago, IL ยท On-site
The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic, covering prior authorization for admission, concurrent and continued stay review, peer to peer ...
Chicago, IL ยท On-site
The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic, covering prior authorization for admission, concurrent and continued stay review, peer to peer ...
Chicago, IL ยท Remote
$41/hr
This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To ...
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Chicago, IL ยท Remote
$41/hr
This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To ...
Waukegan, IL ยท On-site
$19 - $26/hr
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
Waukegan, IL ยท On-site
$19 - $26/hr
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time Your Work Matters How will you make a difference? The Administrative Assistant is responsible for providing administrative ...
Chicago, IL ยท On-site
$53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Chicago, IL ยท On-site
$53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Chicago, IL ยท On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Quick apply
Chicago, IL ยท On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Chicago, IL ยท On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Chicago, IL ยท On-site
$43.47 - $53/hr
The Case Manager - Utilization Review RN collaborates with physicians, interdisciplinary team members, physician advisors, social workers, revenue cycle staff, and third-party payers to ensure ...
Chicago, IL ยท Remote
$70K - $75K/yr
WHAT YOU'LL BE DOING Utilization Review & Clinical Determinations * Performing timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical ...
Chicago, IL ยท Remote
$70K - $75K/yr
WHAT YOU'LL BE DOING Utilization Review & Clinical Determinations * Performing timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical ...
Chicago, IL ยท On-site +1
$70K - $75K/yr
WHAT YOU'LL BE DOING Utilization Review & Clinical Determinations * Performing timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical ...
Chicago, IL ยท On-site +1
$70K - $75K/yr
WHAT YOU'LL BE DOING Utilization Review & Clinical Determinations * Performing timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical ...
WHAT YOU'LL BE DOING Utilization Review & Clinical Determinations * Performing timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical ...
Quick apply
WHAT YOU'LL BE DOING Utilization Review & Clinical Determinations * Performing timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical ...
Warrenville, IL ยท On-site
$22.14 - $33.21/hr
Supports the Coordinator, Utilization Review by assisting with the workflow which includes conducting precerts and discharge reviews, preparing appeals and completing insurance follow up calls on ...
Warrenville, IL ยท On-site
$22.14 - $33.21/hr
Supports the Coordinator, Utilization Review by assisting with the workflow which includes conducting precerts and discharge reviews, preparing appeals and completing insurance follow up calls on ...
Warrenville, IL ยท On-site
$22.14 - $33.21/hr
Supports the Coordinator, Utilization Review by assisting with the workflow which includes conducting precerts and discharge reviews, preparing appeals and completing insurance follow up calls on ...
Warrenville, IL ยท On-site
$22.14 - $33.21/hr
Supports the Coordinator, Utilization Review by assisting with the workflow which includes conducting precerts and discharge reviews, preparing appeals and completing insurance follow up calls on ...
Chicago, IL ยท On-site
$90 - $120/hr
... utilization ... The QUS through regular reviews and audits and collaboration with the clinical team, facilitates ...
Chicago, IL ยท On-site
$90 - $120/hr
... utilization ... The QUS through regular reviews and audits and collaboration with the clinical team, facilitates ...
Chicago, IL ยท On-site
$90 - $120/hr
... utilization ... The QUS through regular reviews and audits and collaboration with the clinical team, facilitates ...
New
Chicago, IL ยท On-site
$90 - $120/hr
... utilization ... The QUS through regular reviews and audits and collaboration with the clinical team, facilitates ...
New
The Utilization Management Specialist is a critical member of the Utilization Management team ... Perform comprehensive review of referral requests, including eligibility, benefit coverage, medical ...
The Utilization Management Specialist is a critical member of the Utilization Management team ... Perform comprehensive review of referral requests, including eligibility, benefit coverage, medical ...
$21.28 - $25.58
2% of jobs
$25.58 - $29.89
9% of jobs
$32.83 is the 25th percentile. Wages below this are outliers.
$29.89 - $34.19
21% of jobs
The median wage is $37.68 / hr.
$34.19 - $38.50
23% of jobs
$38.50 - $42.80
13% of jobs
$46.15 is the 75th percentile. Wages above this are outliers.
$42.80 - $47.10
10% of jobs
$47.10 - $51.41
8% of jobs
$51.41 - $55.71
5% of jobs
$55.71 - $60.01
5% of jobs
$60.01 - $64.32
2% of jobs
$64.32 - $68.62
2% of jobs
$21
$42
$68
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.
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.
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 Barrington, IL are:
The top searched job categories for Utilization Review jobs in Barrington, IL are:
Cities near Barrington, IL with the most Utilization Review job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 8 days ago
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bJr82KWz18
Sourced by ZipRecruiter
Finance and insurance
51 - 200 Employees
Niles, IL, US
2016