# Utilization Review

Skill · Healthcare and Medical

Canonical page: https://career.thegoodapps.co/skills/utilization-review

Utilization review is a specific component of utilization management in which clinical staff or insurers assess whether a proposed or delivered medical service is medically necessary and covered under a patient's health plan. It is performed by nurses, physicians, or specialized reviewers at health insurance companies and hospitals to prevent unnecessary care and control healthcare costs.

## Utilization Review in the job market

- Open roles: 6
- Employers hiring: 3
- Last checked: September 13, 2026

## Roles that use Utilization Review

- [Physician](https://career.thegoodapps.co/occupations/physician) — 4
- [Medical Director](https://career.thegoodapps.co/occupations/medical-director) — 1

Related skills: [Case Management](https://career.thegoodapps.co/skills/case-management), [Care Coordination](https://career.thegoodapps.co/skills/care-coordination), [Utilization Management](https://career.thegoodapps.co/skills/utilization-management), [Care Management](https://career.thegoodapps.co/skills/care-management), [Clinical Documentation](https://career.thegoodapps.co/skills/clinical-documentation), [Managed Care](https://career.thegoodapps.co/skills/managed-care), [Medical Management](https://career.thegoodapps.co/skills/medical-management)

## Open roles requiring Utilization Review (6)

- [Medical Director – Otolaryngology – Evicore - Remote](https://career.thegoodapps.co/jobs/75b7a06d-5af3-48ce-a236-333ff8c50e35/medical-director-otolaryngology-evicore-remote-at-cigna) at [Cigna](https://career.thegoodapps.co/organizations/cigna) — Full-time, United States Work at Home · Remote, $207,800 – $346,300
- [BCBA-D/PsyD Autism Specialist Psychologist-Clinical Reviewer (Florida Licensed)](https://career.thegoodapps.co/jobs/a45ccb75-469d-4f72-bb13-f689b1400757/bcba-d-psyd-autism-specialist-psychologist-clinical-reviewer-florida-licensed) at [Elevance Health](https://career.thegoodapps.co/organizations/elevance-health) — Full-time
- [Medical Director Orthopedic Surgery](https://career.thegoodapps.co/jobs/3ff5e7a2-bc45-4505-b5f5-36270b6d210d/medical-director-orthopedic-surgery-at-cohere-health) at [Cohere Health](https://career.thegoodapps.co/organizations/cohere-health) — Full-time, United States, $240,000 – $260,000
- [Medical Director – Pediatric Otolaryngology – Evicore - Remote](https://career.thegoodapps.co/jobs/a117dcf8-d323-4699-b3c2-e3a953b59f2a/medical-director-pediatric-otolaryngology-evicore-remote-at-cigna) at [Cigna](https://career.thegoodapps.co/organizations/cigna) — Full-time, United States Work at Home · Remote, $207,800 – $346,300
- [Medical Director – Spine Surgery (Orthopedic or Neurosurgery) – Evicore - Remote](https://career.thegoodapps.co/jobs/7e0a02f2-eae8-4adc-aa8c-4c92b221f2e1/medical-director-spine-surgery-orthopedic-or-neurosurgery-evicore-remote-at) at [Cigna](https://career.thegoodapps.co/organizations/cigna) — Full-time, United States Work at Home · Remote, $207,800 – $346,300
- [Medical Director – Pediatric Pulmonology – Evicore - Remote](https://career.thegoodapps.co/jobs/25438765-9ff8-499d-a845-dc5e09dd20ea/medical-director-pediatric-pulmonology-evicore-remote-at-cigna) at [Cigna](https://career.thegoodapps.co/organizations/cigna) — Full-time, United States Work at Home · Remote, $207,800 – $346,300