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Utilization Review Jobs in Butler, PA (NOW HIRING)

Pyramid Healthcare

Case Coordinator

Renfrew, PA · On-site

$17 - $19/hr

This includes coordination for utilization review, legal matters, and employment needs for clients. * Provide individual case coordination sessions and services, including transportation coordination ...

Acadia Healthcare

Case Manager

Cranberry Township, PA · On-site

$19.50 - $25/hr

Previous experience in case management and/or utilization review preferred. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual ...

Acadia Healthcare

Case Manager

Cranberry Township, PA · On-site

$19.50 - $25/hr

Previous experience in case management and/or utilization review preferred. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual ...

SPHS GROUP

Team Leader-CRR Butler

Butler, PA

$16.25 - $21.75/hr

Conducts ongoing utilization review activities including adherence to managed care standards. * Other duties as required. * Adheres to all policies, laws, regulations and codes of ethics and ...

Giant Eagle

Pharmacy Intern

Ellwood City, PA · On-site

$16 - $20/hr

Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time ...

Gianteagle

Pharmacy Intern

Aliquippa, PA

$15.75 - $19.50/hr

Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time ...

Gianteagle

Pharmacy Intern

Wexford, PA · On-site

$15.75 - $19.75/hr

Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time ...

Giant Eagle

Pharmacy Intern

Aliquippa, PA · On-site

$15.75 - $19.50/hr

Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time ...

Gianteagle

Pharmacy Intern

Ellwood City, PA

$16 - $20/hr

Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time ...

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All JobsUtilization Review JobsUtilization Review Jobs in Butler, PA

Utilization Review information

See Butler, PA salary details

$19

$38

$62

How much do utilization review jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for utilization review in Butler, PA is $38.12, according to ZipRecruiter salary data. Most workers in this role earn between $30.14 and $43.80 per hour, depending on experience, location, and employer.

What jobs make $3,000 a day?

High-paying jobs that can reach $3,000 a day include specialized roles such as senior physicians, anesthesiologists, or surgeons, often requiring advanced certifications and extensive experience. Certain executive positions, like CEOs or investment bankers, may also earn this level of daily income, especially through bonuses or profit sharing. These roles typically involve high responsibility, expertise, and demanding schedules.

What jobs pay 4000 a week without a degree?

Utilization Review specialists typically do not earn $4,000 per week without a degree; most roles in this field require healthcare-related certifications or experience. High-paying jobs that can reach this level without a degree include certain sales positions, real estate brokers, or specialized trades like commercial pilots or skilled trades, which often rely on experience, licensing, or certifications rather than formal degrees. These roles may involve commission, bonuses, or overtime to achieve such weekly earnings.

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?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

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?

To become a utilization review specialist, typically a healthcare professional such as a registered nurse, licensed social worker, or physician completes relevant education and gains experience in healthcare or insurance. Certification in utilization review or case management, such as the Certified Professional in Healthcare Quality (CPHQ), can improve job prospects. Strong analytical skills and knowledge of medical coding and insurance policies are also important.
What are popular job titles related to Utilization Review jobs in Butler, PA? For Utilization Review jobs in Butler, PA, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Butler, PA look for? The top searched job categories for Utilization Review jobs in Butler, PA are:
What cities near Butler, PA are hiring for Utilization Review jobs? Cities near Butler, PA with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Butler, PA as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $79,286 per year, or $38.1 per hour.
Case Coordinator

Case Coordinator

Pyramid Healthcare

Renfrew, PA • On-site

$17 - $19/hr

Other

Posted 17 days ago

Pyramid Healthcare rating

4.8

Company rating: 4.8 out of 10

Based on 58 frontline employees who took The Breakroom Quiz

871st of 890 rated healthcare providers

Job description

Pyramid Healthcare at Silvermist is Hiring a Case Coordinator!

Join our exceptional team in Renfrew, PA, as a Case Coordinator and make a difference in the lives of our clients!

Position Details:
  • Hourly Rate: $17 - $19 per hour
  • Schedule: Full Time w/ Benefits
Essential Duties and Responsibilities:
  • Coordinate client engagement through appointments, aftercare plans, schedules, and meetings in collaboration with the treatment team.
  • Maintain professional communication with referral sources and outside providers, assessing needs and documenting contacts during admission and throughout treatment. This includes coordination for utilization review, legal matters, and employment needs for clients.
  • Provide individual case coordination sessions and services, including transportation coordination.
  • Assist in developing aftercare plans, offering referrals and contact information for aftercare providers, and addressing any needs from outside providers.
  • Support clinical services by assisting with group sessions and engaging clients weekly to enhance their participation in the program.
  • Document all interactions with clients, families, referrals, and outside providers in Carelogic, adhering to program timelines.
  • Collaborate with the client navigation team to address aftercare needs effectively.
  • Provide onsite support for Enhanced Outpatient Sessions (EOS) appointments between clients and the Client Navigation team.
  • Perform other duties as assigned.
Education, Licensure, & Experience:
  • High School Diploma or equivalent is required.
  • 1 year of experience in a drug and alcohol or mental health setting is preferred.
  • A valid Driver's License is preferred.
  • CPR/BLS certification is preferred.

We look forward to welcoming a dedicated Case Coordinator to our team at Pyramid Healthcare at Silvermist. If you are passionate about supporting individuals in their recovery journey, we encourage you to apply!

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