ZipRecruiter

Log In

1

Utilization Review Jobs in Dover, NH (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Haverhill, MA · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

The Ridge RTC

Program Manager

Milton, NH

Assisting with the discharge process while utilizing discharge tools and tracking the entire process through the EMR, while ensuring constant communication with billing and Utilization Review team ...

The Ridge RTC

Program Manager

Milton, NH · On-site

$70K - $75K/yr

Assisting with the discharge process while utilizing discharge tools and tracking the entire process through the EMR, while ensuring constant communication with billing and Utilization Review team ...

The Ridge RTC

Education Coordinator

Milton, NH

Maintain accurate documentation and consistent communication with clinical, billing, and utilization review teams. Qualifications * Bachelor's degree preferred. * Minimum of 2 years of experience in ...

Acadia Healthcare

RN Admissions

Haverhill, MA · On-site

$40 - $50/hr

Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for ...

Acadia Healthcare

RN Admissions

Haverhill, MA

$40 - $50/hr

Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for ...

Haverhill Behavioral Health

RN Admissions

Haverhill, MA · On-site

$40 - $50/hr

Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most appropriate level of care for ...

CVS Health

Case Manager, Registered Nurse

Sanford, ME · On-site

$54K - $155K/yr

... in Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years' experience with MCG, NCCN and/or Lexicomp. * Bilingual in Spanish preferred. * Bachelors degree ...

The Ridge RTC

Education Coordinator

Milton, NH · On-site

$23 - $25/hr

Maintain accurate documentation and consistent communication with clinical, billing, and utilization review teams. Qualifications * Bachelor's degree preferred. * Minimum of 2 years of experience in ...

J & K Staffing Solutions, LLC

Case Manager

Salem, NH · On-site

$70 - $85/hr

Participate in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI). * Report and record all applicable infections, occurrences, and ...

New

Gianteagle

Pharmacy Intern

Brentwood, NH · On-site

$17.25 - $21.50/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 ...

Team Select Home Care

Case Manager

Salem, NH · On-site

$20 - $25.75/hr

Participates in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned. Reports/records all applicable infections ...

Team Select Home Care

Case Manager

Salem, NH · On-site

$20 - $25.75/hr

Participates in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned. Reports/records all applicable infections ...

next page

Showing results 1-20

All JobsUtilization Review JobsUtilization Review Jobs in Dover, NH

Utilization Review information

See Dover, NH salary details

$21

$43

$70

How much do utilization review jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization review in Dover, NH is $43.17, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $49.57 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 job categories do people searching Utilization Review jobs in Dover, NH look for?

The top searched job categories for Utilization Review jobs in Dover, NH are:

What cities near Dover, NH are hiring for Utilization Review jobs?

Cities near Dover, NH with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Dover, NH as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 4% Contract, and 1% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $89,804 per year, or $43.2 per hour.

Utilization Specialist

Acadia Healthcare

Haverhill, MA • On-site

Full-time

Re-posted 16 hours ago

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

697th of 898 rated healthcare providers

Job description

Overview
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Responsibilities
ESSENTIAL FUNCTIONS:
  • Act as liaison between managed care organizations and the facility professional clinical staff.
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
  • Conduct quality reviews for medical necessity and services provided.
  • Facilitate peer review calls between facility and external organizations.
  • Initiate and complete the formal appeal process for denied admissions or continued stay.
  • Assist the admissions department with pre-certifications of care.
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

OTHER FUNCTIONS:
  • Perform other functions and tasks as assigned.

Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
  • Required Education: High school diploma or equivalent.
  • Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred

LICENSES/DESIGNATIONS/CERTIFICATIONS:
  • Required Licensure: LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
  • First aid may be required based on state or facility requirements.

ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
HVBHL
#LI-HPBH

What Acadia Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Acadia Healthcare logo

About Acadia Healthcare

Sourced by ZipRecruiter

Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

Facebook

View All Acadia Healthcare Jobs

Apply