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

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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.

Certified Occupational Therapy Assistant (COTA) - PRN

Lagniappe Rehabilitation Services

Gonzales, LA

$24.50 - $32.75/hr

Per diem

Re-posted 18 days ago

Job description

Job Summary:

To assist in providing quality patient care while maintaining positive levels of interaction with facilities and clients, under the direction of a licensed or registered Occupational Therapist. Adheres to applicable state regulation concerning occupational therapy.

Essential Functions:
  • Under the direction of the licensed/certified occupational therapist, optimizes functional abilities and skills of patients in facilities by: assisting in screening and initial evaluation of all patients; implementing treatment for all assigned patients; delivering treatment according to the established treatment plan; accurately documenting progress toward objectives and communicating patient status and needs to the patient, the patient's family, the staff and other professionals.
  • Provides direct supervision of Rehab Aide in skilled tasks during group and individual treatment in a manner that promotes appropriate utilization of resources and development of clinical skills in accordance with State Practice Acts and Lagniappe Rehabilitation policy.
  • Builds a strong rehabilitation care practice within each facility by: establishing and maintaining courteous and helpful interaction patterns with staff, patients and families which reflects sensitivity to individual needs and a problem-solving approach; contributing to facility patient care, utilization review, administrative staff/department head, and family conference activities/communications as directed by the Occupational Therapist; establishing and maintaining good working relationships with other healthcare professionals and colleagues in the community; maintaining awareness of change in patient populations, patient conditions and programs and keeping the licensed or registered Occupational Therapist informed directly and in a timely manner, of patient progress and facility issues; adhering to the requirements of the patient's Bill of Rights; adhering to established facility policies and procedures related to environmental safety, orderliness, risk management, infection control and emergency situations.
  • Enhancing clinical expertise, professional and management skills through interaction with managers, therapists and other professional staff, self-study, and other continuing education activities; maintaining valid state license (where appropriate); obtain membership and participate in professional organizations; maintain awareness of issues related to the profession of occupational therapy and the health care environment.
  • Understand managed care/Prospective Payment System (PPS) billing and treatment guidelines. Provide quality care as well as reasonable goals and outcomes within the guidelines.
  • Compliant with infection control procedures and environmental safety protocol within a facility.
  • Maintain confidentiality of Lagniappe Rehabilitation, facility and patient information.
Required Credentials:
  • Graduate of an ACOTE accredited school for Occupational Therapy Assistants.
  • Valid National Board for Certification of Occupational Therapy (NBCOT) certification as an Occupational Therapy Assistant.
  • Valid state license (where appropriate).
  • Valid driver's license.
Abilities:
  • Travel between facilities during scheduled hours.
  • Work varying hours, including weekends and holidays.
  • Performs all other duties as assigned by Rehabilitation Director.
  • Attendance at all Lagniappe Rehabilitation staff meetings is mandatory.
  • Patient lifting using appropriate biomechanical techniques frequently throughout the course of a work day/shift; must be capable of easily lifting (50) pounds of dead weight alone.
  • To walk, bend, stand and reach constantly during a work day/shift.
  • Visual, auditory and speaking skills sufficient to evaluate, diagnose, communicate and monitor patient needs, and to maintain accurate records, recognize people and provide and understand written, verbal and gestural communications.
  • Fine motor skills for legible and accurate writing and key stroking for charting, scheduling, daily correspondence, and reports.
  • Fine motor skills for handling of diagnostic and therapeutic equipment.
  • Sustain activity for multiple consecutive hours in accordance with state labor laws.

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