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

Pharmacist 3

Baton Rouge, LA · On-site

$7.8K - $14K/mo

Develops and approves clinical criteria for drug coverage, participates in Drug Utilization Review (DUR) activities, and recommends strategies to improve prescribing and dispensing practices.

Pharmacist 3

Baton Rouge, LA · On-site

$7.8K - $14K/mo

Develops and approves clinical criteria for drug coverage, participates in Drug Utilization Review (DUR) activities, and recommends strategies to improve prescribing and dispensing practices.

Compliance Manager

Baton Rouge, LA · On-site +1

$77K - $124K/yr

... Utilization Review Accreditation Commission (URAC), federal regulations and state law. * Assists in review of standard correspondence, notifying policy content experts of changes to standard policies ...

Participates in utilization review audits. * Meetings : Participates in patient care conferences, interdisciplinary meetings, staff meetings, and necessary professional and work groups in ...

Grad Pharmacist

Gonzales, LA · On-site

$14.50 - $17.75/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

Grad Pharmacist

Baton Rouge, LA · On-site

$16 - $20/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

Pharmacy Resident

Baton Rouge, LA

$15.25 - $18.50/hr

... utilization reviews/monitors. Documents significant therapeutic interventions and tracks impact of clinical outcomes as required Serves as source of drug information and education for patients and ...

Pharmacy Resident

Baton Rouge, LA · On-site

$15.25 - $18.50/hr

... utilization reviews/monitors. • Documents significant therapeutic interventions and tracks impact of clinical outcomes as required • Serves as source of drug information and education for ...

case manager

Baton Rouge, LA · On-site

$19.25 - $24.75/hr

* The Behavioural Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. * Applies critical ...

Showing results 41-60

Utilization Review information

See Baton Rouge, LA salary details

$18

$36

$60

How much do utilization review jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for utilization review in Baton Rouge, LA is $37.00, according to ZipRecruiter salary data. Most workers in this role earn between $29.23 and $42.50 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 Baton Rouge, LA?

The most popular types of Utilization Review jobs in Baton Rouge, LA are:

What cities near Baton Rouge, LA are hiring for Utilization Review jobs?

Cities near Baton Rouge, LA with the most Utilization Review job openings:

Infographic showing various Utilization Review job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $76,951 per year, or $37 per hour.

Clinical Sales Manager (Central Region)

Karius, Inc.

Central, LA • On-site

$125 - $150/hr

Other

Posted 12 days ago


Key responsibilities

  • Grow sales revenue and test volume in the territory by establishing new hospital business and increasing volume in existing hospitals.

  • Present product features and benefits to key stakeholders, utilizing consultative sales techniques to support evaluations and drive adoption.

  • Build and nurture relationships with clinical and administrative stakeholders, develop trusted advisor status, and secure contracts and renewals.


Job description

About Karius

Karius is a life science, venture-backed clinical metagenomics company, focused on elevating patient care through microbial insights. We are committed to advancing diagnostic science and technology to optimize the diagnosis and treatment of infectious diseases. Through the use of genomics and AI, we are driven to improve the diagnostic landscape for infectious diseases. Karius delivers unprecedented diagnostic insight detecting microbial cell-free DNA circulating in the body to assist physicians to make rapid treatment decisions.

Position Summary

This represents an incredible opportunity to join a growing life sciences company poised to revolutionize the Infectious Disease diagnostics market. We are expanding the launch of our proprietary, Next-Generation Sequencing test in hospitals and health systems across the U.S. Joining Karius in our commercialization effort will both accelerate your career and advance our vision to see a world where infectious disease is no longer a major threat to human health. The Clinical Sales Manager is responsible for the sales efforts of Karius in a defined regional territory, focusing on relationships with infectious disease physicians, lab directors, C-level executives, and other clinical leaders throughout a hospital system.

Why Should You Join Us?

Karius aims to conquer infectious diseases through innovations around genomic sequencing and machine learning. The company’s platform is already delivering unprecedented insights into the microbial landscape, providing clinicians with a comprehensive test capable of identifying more than a thousand pathogens directly from blood, and helping industry accelerate the development of therapeutic solutions. The Karius test we provide today is one of the most advanced solutions available to physicians who aim to deliver better care to many otherwise ineffectively treated patients. Our test is the result of some incredible work done by our scientists, statisticians, engineers, and physicians, all driven by the same mission. You, as part of the Karius team, will be able to see how directly your work has a life-changing impact on people, and at scale.

Reports to:

Regional Sales Director

Territory:

This posting represents a general opportunity for prospective roles within the sales organization. We are seeking candidates with extensive knowledge of and experience within the greater metropolitan area's health systems.

Primary Responsibilities
  • Grow sales revenue and test volume in territory by establishing new business in hospitals while increasing volume in existing hospitals. Introduce a transformational, life-saving diagnostic technology which will change the world of infectious disease by engaging key stakeholders in the hospital that are involved with the decision process to implement new diagnostic tests.
  • Collaboration with Inside Sales, Customer Success, Medical Affairs, and Marketing to achieve territory and company goals.
  • Develop thought leaders and early adopters for this new approach to infectious disease diagnosis.
  • Help establish the foundation and culture of a world-class commercial organization.
  • Build, manage and nurture market-based/regional territory, comprising hospital & health system accounts.
  • Prioritize and segment hospital & health system accounts to maximize opportunity and growth.
  • Present product features and benefits to key stakeholders and clinical call points, utilizing consultative sales techniques (qualifying leads, assessing needs, supporting evaluations, and closing). Manage early evaluations to activate initial adoption of Karius test/solutions and drive increased utilization over time.
  • Serve as a subject matter expert, speaking with clinicians of all levels regarding the science and technology of the Karius test and how to best leverage its capabilities. Speak fluently on the unique merits and value of our proprietary test, positioning our differentiation from the competition.
  • Build deep relationships, educate and drive consensus across multiple stakeholders among both prospective and existing partners.
  • Develop a ‘trusted advisor’ relationship and establish oneself as fully accountable for demonstrating ROI to the partner account, ensuring both regular interaction and utilization review.
  • Secure contracts and agreements, where necessary or optimal, to memorialize long-term relationships with partners, define an exchange of value, and augment predictability into revenue.
  • Manage and secure renewals of partner agreements.
  • Collaborate with Sales, Marketing, and Product leadership to provide valuable market feedback, to inform all functions.
  • Partner, and co-present, with Karius’ Clinical/Medical Affairs teams (including Medical Science Liaisons) to support partner interactions, both remote and in-person, and manage follow-up.
  • Collaborate with Customer Success to onboard new accounts, share feedback, proactively address risks, immediately address concerns/problems, manage expectations, promote successes, and maintain close pulse on the health of the partner.
  • Partner with Marketing to identify and co-manage regional meeting opportunities, develop Key Opinion Leader (KOL) panels, and other local market activities.
  • Participate in broader sales meetings, training programs, conventions, and industry trade shows as required.
  • Complete paperwork and administrative duties in a timely and accurate fashion, including documentation in SalesForce, expense reporting, speaker program information, etc.
What’s Fun About the Job?

Karius is operating at the edge of what is now known to be possible in infectious disease diagnostics. With that, comes a wave of new and incredible challenges and opportunities. To deliver on that value, you will be tapping into some of the most advanced technologies, architecting and innovating where the current solutions simply don't suffice. You will get to see how much your work really matters.

Travel:

Up to 70%.

Physical Requirements

Subject to extended periods of sitting and/or standing, vision to monitor and moderate noise levels. Work is generally performed remotely in the field.

Position Requirements
  • Bachelor’s degree; advanced degree or MBA a plus.
  • 5 years of sales/business development experience in Life Sciences / Biotech, Medical Device, Diagnostic Equipment, and/or Pharmaceutical industries.
  • Valid driver's license.
  • Previous success in introducing transformational, novel products or services to physicians and hospitals which have changed clinical practice prior to significant peer-reviewed publications or inclusion in guidelines for support.
  • Robust network of existing relationships in hospitals and health systems, across microbiology labs, send-out labs, physician groups, C-level executives, and administrators of clinical functions.
  • Strong vision and planning capabilities to grow the territory.
  • Excellent business acumen combined with outstanding analytical aptitude and problem-solving skills.
  • Strong ability to develop relationships from C-level executives to physicians and lab directors, building credibility through subject matter and industry expertise.
  • Demonstrated track record of top sales achievement, meeting and exceeding sales objectives.
  • Experience with multi-level account management.
Personal Qualifications
  • Entrepreneurial spirit and is comfortable multitasking and working in a fast-paced, ambiguous, growth-oriented environment.
  • Team player willing to collaborate with all customer facing teams to share best practices.
  • Ability to set priorities, allocate resources, take accountability and achieve results.
  • Strong presentation acumen and negotiation skills, ability to manage and facilitate engaging discussions with both small and large groups.
  • Unquestionable personal code of ethics, integrity, confidentiality and ability to build trusting and professional relationships.
  • Passionate about the mission and reputation of Karius while investing in the culture as the company grows.
Disclaimer

The above job description is intended to describe the general nature and level of work being performed by individuals assigned to this position. It is not intended to be an exhaustive list of all duties, responsibilities, and skills required. Responsibilities and duties may change or be adjusted to meet the needs of the company, and additional duties may be assigned as necessary. The job description is subject to change at any time at the discretion of Karius.

At Karius, we value a diverse and inclusive workplace and provide equal employment opportunities for all applicants and employees and are committed to honor and invest in the full diversity of people, in our hiring, recruiting and development of employees across the Company. All qualified applicants for employment are encouraged to apply and will be considered without regard to an individual’s race, color, sex, gender identity and gender expression (including transgender individuals who are transitioning, have transitioned, or are perceived to be transitioning to the gender with which they identify), religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state or local laws. If you are unable to submit your application due to a disability, please contact us at recruiting@kariusdx.com and we will accommodate qualified individuals with disabilities.

$118,337 - $177,505 a year

+ Stock options, Commission

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