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Utilization Review Jobs in Rochester, NH (NOW HIRING)

Robert Half

Production Planner

Farmington, NH · On-site

Review inventory status regularly, identify potential shortages early, and help prevent disruptions ... utilization. * Collaborate with manufacturing, engineering, quality, customer service, and sales ...

High Priority Plumbing

Project Manager

Concord, NH · On-site

$48 - $75/hr

... reviews of progress, productivity, and deliverables, implementing corrective actions as needed. * Coordinate labor, equipment, and materials to optimize utilization and maintain project momentum.

MP RPO

Sterile Processing Supervisor

Wolfeboro, NH · On-site

$90 - $120/hr

Review, revise, and update departmental policies annually as needed. * Maintain all documentation ... Monitor labor utilization and departmental expenses while maintaining performance and attendance ...

MP RPO

Sterile Processing Supervisor

Wolfeboro, NH · On-site

$25 - $35/hr

Review, revise, and update departmental policies annually as needed.Maintain all documentation and ... Monitor labor utilization and departmental expenses while maintaining performance and attendance ...

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All JobsUtilization Review JobsUtilization Review Jobs in Rochester, NH

Utilization Review information

See Rochester, NH salary details

$20

$41

$67

How much do utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review in Rochester, NH is $41.38, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $47.50 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 Rochester, NH look for?

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

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

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

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Rochester, NH as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $86,075 per year, or $41.4 per hour.

Laboratory Director ($10,000 SIGN-ON BONUS)

KA Recruiting Inc.

Portsmouth, NH

$108K - $141K/yr

Full-time

Re-posted 7 days ago

Job description

Are you looking for a new lab leadership position? My name is Caroline and I’m a healthcare recruiter – I’m here to help! 

 

DESCRIPTION

  • Monday-Friday, 8am-4pm
  • 200-bed medical center, 30 FTEs
  • Comprehensive benefits and rewards package
  • 15% incentive bonus eligibility 

 

DUTIES & RESPONSIBILITIES

  • Directs operations, programs and activities to meet organizational and regulatory requirements and to drive innovation.
  • Ensures adequate and qualified staffing for the department through timeliness and consistency of staff hiring, orientation, competency, training, performance feedback and performance management.
  • Develops and recognizes staff through coaching and regular feedback.
  • Sets and executes department strategies to meet goals for service, quality, regulatory compliance, financial, patient satisfaction and personnel management.
  • Oversees the financial operation for the laboratory by monitoring resource utilization, identifying variances and opportunities, and adjusting as needed to meet service and fiscal goals. Prepares Monthly Operating Review report.
  • Assures compliance with standards set forth by accrediting agencies: CAP, JCAHO, CLIA, FDA and CMS. 
  • Other duties as assigned

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