How to become a utilization reviewer?

Common types of Utilization Reviewers include nursing, health insurance, and rehabilitation, such as physical and speech therapy. The minimum qualifications for a career as a Utilization Reviewer include an undergraduate degree and two years of experience in the review area of focus. Some companies seek candidates with certification through an organization like the Utilization Review Accreditation Commission (URAC). For Nurse Utilization Reviewers, a registered nurse license, a bachelor’s degree in nursing, and two years of experience in the field are required. Work experience in sub-specialties might also be necessary based on the focus area. Essential skills include organization, effective communication, analytical, leadership, conflict-resolution, chart auditing, problem-solving, and technical acumen.