Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...
Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...
Physical Therapy Utilization Management Reviewer
Hingham, MA · On-site
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation services. The position works to ...
Physical Therapy Utilization Management Reviewer
Hingham, MA · On-site
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation services. The position works to ...
Physical Therapy Utilization Management Reviewer
Hingham, MA · On-site
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation services. The position works to ...
Physical Therapy Utilization Management Reviewer
Hingham, MA · On-site
$42.18 - $51.56/hr
The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation services. The position works to ...
Ensures that Utilization Review nurses are consistently recommending the appropriate admission status and provides education as needed. * Interacts with physicians to manage high risk patients most ...
Ensures that Utilization Review nurses are consistently recommending the appropriate admission status and provides education as needed. * Interacts with physicians to manage high risk patients most ...
Concurrent Review RN
Waltham, MA · On-site
Participate in utilization management committees and work on special projects related to ... Audit case reviews to ensure compliance with utilization management policies and procedures ...
Concurrent Review RN
Waltham, MA · On-site
Participate in utilization management committees and work on special projects related to ... Audit case reviews to ensure compliance with utilization management policies and procedures ...
RN Manager, Case Management / Utilization Management
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The manager will lead a clinical team, foster a culture of excellence, and ensure delivery of medically ...
RN Manager, Case Management / Utilization Management
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The manager will lead a clinical team, foster a culture of excellence, and ensure delivery of medically ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
RN Manager, Case Management / Utilization Management
Hingham, MA · On-site
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The manager will lead a clinical team, foster a culture of excellence, and ensure delivery of medically ...
RN Manager, Case Management / Utilization Management
Hingham, MA · On-site
$104K - $127K/yr
This role directs the utilization review clinical team operations for our Commercial plans. The manager will lead a clinical team, foster a culture of excellence, and ensure delivery of medically ...
Performs all aspects of audits and appeals including the peer to peer process. - Perform utilization review to evaluate for appropriate level of care and faxes all insurance reviews timely to prevent ...
Performs all aspects of audits and appeals including the peer to peer process. - Perform utilization review to evaluate for appropriate level of care and faxes all insurance reviews timely to prevent ...
RN Case Manager - 40 hrs Days
Milford, MA · On-site
Utilization Review RN General Certifications: N/A Please CLICK HERE to view details.
Quick apply
RN Case Manager - 40 hrs Days
Milford, MA · On-site
Utilization Review RN General Certifications: N/A Please CLICK HERE to view details.
Case Manager - Nursing - Travel
$2.8K - $3.0K/wk
This position offers the opportunity to work with a dedicated healthcare team while utilizing your skills in utilization review, making a real impact in the lives of patients. If you're a motivated R ...
Case Manager - Nursing - Travel
$2.8K - $3.0K/wk
This position offers the opportunity to work with a dedicated healthcare team while utilizing your skills in utilization review, making a real impact in the lives of patients. If you're a motivated R ...
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
Quick apply
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
RN - Case Manager
Everett, MA · On-site
$2.9K - $3.0K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Everett, Massachusetts Start Date: January 27, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...
RN - Case Manager
Everett, MA · On-site
$2.9K - $3.0K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Everett, Massachusetts Start Date: January 27, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
Quick apply
Submit accurate, complete documentation within 48 hours of each assessment and maintain a high completeness and quality standard as measured through the health plan's review and audit. * Complete ...
Utilization Review information
See Boston, MA salary details
$23.24 - $27.94
2% of jobs
$27.94 - $32.64
9% of jobs
$35.86 is the 25th percentile. Wages below this are outliers.
$32.64 - $37.35
21% of jobs
The median wage is $41.15 / hr.
$37.35 - $42.05
23% of jobs
$42.05 - $46.75
13% of jobs
$50.40 is the 75th percentile. Wages above this are outliers.
$46.75 - $51.45
10% of jobs
$51.45 - $56.15
8% of jobs
$56.15 - $60.85
5% of jobs
$60.85 - $65.55
5% of jobs
$65.55 - $70.25
2% of jobs
$70.25 - $74.95
2% of jobs
$23
$45
$74
How much do utilization review jobs pay per hour?
What jobs make $3,000 a day?
What jobs pay 4000 a week without a degree?
What does a typical day look like for someone working in Utilization Review?
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 skills do you need for utilization review?
What is a Utilization Review job?
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 the Utilization Review position, and why are they important?
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?
- Remote Utilization Review
- Utilization Review Clinician
- Insurance Utilization Review
- Remote Lpn Utilization Review
- Remote Bcba Utilization Review
- Weekend Utilization Review
- Remote Utilization Review Nurse Practitioner
- Commission Authorization Utilization Review Bcba
- Authorization Utilization Review Bcba
- Remote Preservice Review Nurse

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 20 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
494th of 890 rated healthcare providers
Job description
Utilization Review Coordinator Opportunity -
HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient and partial programs and services. This is a 40 hour per week, salaried position.
About Us
HRI Hospital is 66-bed psychiatric facility with adult inpatient services and several partial hospitalization programs. We are part of the largest private mental health system in Massachusetts and can therefore provide competitive salaries, benefits, and opportunities for growth and development. At the same time, the smaller size of our facility allows us to provide personalized attention and training to all our employees. Employees are part of a multi-disciplinary team of dynamic professionals providing high quality care to a diverse inpatient and outpatient group of individuals. We are located in Brookline – right near Boston University and Coolidge Corner – and provide easy access to public transportation and free parking. Employees are our most valued asset and we encourage qualified individuals to apply.
Website: https://www.hrihospital.com
As the Utilization Review Coordinator, you will:
- Complete initial precertification and concurrent reviews for patients in the inpatient and partial hospital settings
- Collaborate with members of multi-disciplinary treatment teams to formulate justification for continued treatment using medical necessity criteria
Benefit Highlights
- Tuition Reimbursement
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off (31 days per year + roll over)
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Requirements
- Education: Master’s in psychology, social work or related field
- Experience: 3 years of Utilization Management / Utilization Review experience required; 5 years of experience preferred
- License: LCSW, LMHC, or LICSW preferred
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications:Requirements
- Education: Master’s in psychology, social work or related field
- Experience: 3 years of Utilization Management / Utilization Review experience required; 5 years of experience preferred
- License: LCSW, LMHC, or LICSW preferred
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US