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Utilization Review Jobs in Wheaton, IL (NOW HIRING)

UHS

Utilization Management Coordinator

Chicago, IL ยท On-site

$58K - $75K/yr

The Utilization Management Coordinato r performs timely, daily clinical reviews with all payer ... Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all ...

New

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL ยท On-site +1

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant hospital nursing; hospital case management; insurance case management or utilization management ...

Clarity Clinic

Utilization Review Clinician

Chicago, IL ยท On-site

$75 - $110/hr

The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic, covering prior authorization for admission, concurrent and continued stay review, peer to peer ...

Clarity Clinic

Utilization Review Clinician

Chicago, IL ยท On-site

The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic, covering prior authorization for admission, concurrent and continued stay review, peer to peer ...

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All JobsUtilization Review JobsUtilization Review Jobs in Wheaton, IL

Utilization Review information

See Wheaton, IL salary details

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$40

$66

How much do utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review in Wheaton, IL is $40.87, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.92 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 are the most commonly searched types of Utilization Review jobs in Wheaton, IL?

The most popular types of Utilization Review jobs in Wheaton, IL are:

What are popular job titles related to Utilization Review jobs in Wheaton, IL?

For Utilization Review jobs in Wheaton, IL, the most frequently searched job titles are:

What job categories do people searching Utilization Review jobs in Wheaton, IL look for?

The top searched job categories for Utilization Review jobs in Wheaton, IL are:

What cities near Wheaton, IL are hiring for Utilization Review jobs?

Cities near Wheaton, IL with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Wheaton, IL as of August 2026, with employment types broken down into 6% Internship, 3% As Needed, 88% Full Time, and 3% Part Time. Highlights an 88% In-person, 9% Hybrid, and 3% Remote job distribution, with an average salary of $85,001 per year, or $40.9 per hour.