1

Utilization Review Jobs in Chicago, IL (NOW HIRING)

The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and ...

The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and ...

Transfer RN/UR

Chicago, IL ยท On-site

$70K/yr

Utilization Review Experience (Preferred) * Full time 11am-7 pm * Experience with Cerner (Preferred) * Excellent communication and organizational skills * Assesses, develops, facilitates, and ...

Transfer RN/UR

Chicago, IL ยท On-site

$70K/yr

Utilization Review Experience (Preferred) * Full time 11am-7 pm * Experience with Cerner (Preferred) * Excellent communication and organizational skills * Assesses, develops, facilitates, and ...

Showing results 21-40

Utilization Review information

See Chicago, IL salary details

$22

$43

$71

How much do utilization review jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for utilization review in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 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 Chicago, IL? The most popular types of Utilization Review jobs in Chicago, IL are:
What cities near Chicago, IL are hiring for Utilization Review jobs? Cities near Chicago, IL with the most Utilization Review job openings:
Infographic showing various Utilization Review job openings in Chicago, IL as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.

Administrative Assistant for Utilization Review

LAKE BEHAVIORAL HOSPITAL

Waukegan, IL โ€ข On-site

$19 - $26/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago


Job description

JOIN OUR TEAM AS A Administrative Assistant โ€“ Utilization Review โ€“ Part Time

Your Work Matters How will you make a difference?

The Administrative Assistant is responsible for providing administrative support for the Utilization Management department, including performing clerical duties, attending departmental meetings, coordinating staff activities, staff educational files and providing support for the Director of Clinical Programming.

Schedule: Monday โ€“ Friday flexiable hours ( 8amโ€“1pm) or Monday โ€“ Thursday (8am- 2pm)

Your Experience Matters What weโ€™re looking for:

  • Education: Associate Degree in Business Administration or related field preferred; or an equivalent combination of education and experience.
  • Experience: At least one (1) year experience as an Administrative Assistant in a health care settingย ย ย  preferred in a health care setting; or combination of education, training and experience.
  • Additional Requirements: Must be able to type at least 65 w.p.m.; knowledge of Word and Excel software programs; and experience as a mental health technician desired. Ability to work overtime and flexible hours, as requested.

PRIMARY RESPONSIBILITIES

Primary duties may include, but are not limited:

  • Completes frontline and clerical support to the Utilization Review team in processing daily, weekly, and monthly reports
  • Managing incoming calls or incoming emails from insurance companies and route them appropriately.
  • Follow-up on appeal submissions to determine status.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensureย clinical requests and questions are handled appropriately and in a timely manner.
  • Verify patient insurance eligibility as needed
  • Complete follow-up calls for Utilization Review Coordinators to maintain compliance on authorization timeframes.
  • Provide support for documentation uploads of authorizations.
  • Troubleshoot for missing documentation as requested.
  • Responds to tasks and written request from coordinators, providers and internal departments.
  • Open and distribute mail for the department.
  • Order supplies for the department, maintain a cost-effective and efficient office.
  • Consistently prioritize workloads to ensure daily work is completed.
  • Adhere to facility, department and Corporate Personnel Policies and Procedures.

Your Care Matters What we provide for our team:

  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long term disability insurance
  • Paid time off
  • Cafeteria on site + discounted meals
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What sets us apart:

  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

Disclaimer: Benefits are subject to change at the discretion of Lake Behavioral Hospital.

Compensation:

This is a Part-Time role and the expected compensation range for this role is $19.00 -$26.00 hourly. ย Weโ€™re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Administrative Assistant for Utilization Review.

Get to know us Outstanding Care, Compassionate People, Unparalleled Service

Discover a fulfilling career at Lake Behavioral Hospital (LBH)!

We are a 161-bed acute care facility located in Waukegan, IL and has been providing mental health treatment to the community and the state of Illinois since 2018. We are dedicated to offering services to meet the ever-changing emotion and behavioral healthcare needs of adolescents, adults, and their families. We offer specialized inpatient programs and outpatient services proven to decrease symptoms of mental illness and we are committed to help people live healthier lives. Our compassionate and experienced team of psychiatrists, licensed therapists, nurses and support staff are here to create an atmosphere of health, hope, and healing.

Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.

  • To learn more about LBH, visit us at: https://www.lakebehavioralhospital.com/

TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.

Individuals Maintaining Positive Attitude and Commitment To Service

____________________________________________________________

At Lake Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.