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Utilization Review Jobs in Baton Rouge, LA (NOW HIRING)

Baton Rouge Orthopaedic Clinic

Physical Therapist

Brusly, LA · On-site

$1.6K - $2.1K/wk

Utilization Review, Quality Assurance, Program Evaluation; Infection Control, and Safety Committee activities. * Develops and maintains relationships with physicians and other referral sources to ...

Baton Rouge Orthopaedic Clinic

Physical Therapist

Brusly, LA · On-site

$1.6K - $2.1K/wk

Utilization Review, Quality Assurance, Program Evaluation; Infection Control, and Safety Committee activities. * Develops and maintains relationships with physicians and other referral sources to ...

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Showing results 21-40

All JobsUtilization Review JobsUtilization Review Jobs in Baton Rouge, LA

Utilization Review information

See Baton Rouge, LA salary details

$20

$40

$66

How much do utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization review in Baton Rouge, LA is $40.60, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.63 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 Baton Rouge, LA? The most popular types of Utilization Review jobs in Baton Rouge, LA are:
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What cities near Baton Rouge, LA are hiring for Utilization Review jobs? Cities near Baton Rouge, LA with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 82% In-person, 3% Hybrid, and 15% Remote job distribution, with an average salary of $84,449 per year, or $40.6 per hour.

Wound Care Nurse (Monday-Friday) Baton Rouge Healthcare Center

CommCare Corporation

Baton Rouge, LA • On-site

$28 - $36/hr

Full-time

Re-posted 7 days ago

Job description

Description
At CommCare Corporation, we're not just another healthcare provider. We're an established, forward-thinking leader in retirement living, skilled nursing, and hospice care across Louisiana and Mississippi. Our team is driven by creativity, expertise, and a passion for caregiving, and we're looking for someone who shares these values to join us.
We're seeking the right candidate for the position of Treatment Nurse at Baton Rouge Healthcare Center. In this vital role, you'll ensure that our residents receive the highest level of care while collaborating with a dedicated team, providing exceptional clinical leadership and support.
What You Bring to the Table:
Essential Qualifications:
Responsibilities
  • Conduct thorough assessments of patients' wounds, including history taking and physical examination.
  • Develop individualized care plans based on assessment findings and patient needs.
  • Perform advanced wound care procedures, including debridement and dressing changes.
  • Administer IV infusions as required for wound management.
  • Process specimen collections for laboratory analysis to monitor healing progress.
  • Collaborate with healthcare professionals to coordinate care and ensure continuity of services.
  • Participate in utilization review processes to evaluate the effectiveness of treatment plans.
  • Educate patients and their families on wound care techniques and preventive measures.
  • Provide support in the training of nursing staff on best practices for wound management.

Requirements
The Ideal Candidate:
  • Current Louisiana Licensed Practical Nurse (LPN) license or Registered Nurse (RN)-current/active
  • CPR certification preferred
  • Knowledge of vital signs monitoring and medical documentation practices.
  • Previous experience in senior care is a plus.
  • Strong critical thinking skills and the ability to make sound clinical decisions.
  • Excellent interpersonal skills with a focus on patient-centered care.
  • Ability to work effectively within a team environment and adapt to changing situations.

Other Qualifications
  • Has not been excluded from participating in Medicare and Medicaid programs.
  • Maintains eligibility to participate in Medicare and Medicaid programs throughout employment.

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