Welcome to Utilization Manager Job Opportunities at Ladders

Choose from a comprehensive collection of Utilization Manager jobs that pay more than $100,000 a year. Our list includes positions in healthcare policy, insurance, and clinical resources management.

Why Choose a Career as a Utilization Manager?

As a Utilization Manager, you will have the opportunity to make a significant impact on healthcare settings by ensuring the effective use of resources and improving patient care. Your role includes evaluating the appropriateness of care, auditing patient records, coordinating with physicians and staffing.

Qualifications for Utilization Manager Jobs

Typical qualifications for these roles include a nursing degree, excellent organizational skills, understanding of medical terminologies and procedures, and strong communication skills. Experience with healthcare databases and patient management systems is also a plus.

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$87K - $142K *

Empower healthcare quality by leading a dedicated Utilization Management team to excel in delivering efficient, effective, and compliant care while fostering a collaborative environment that enhances...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $133K *

Empower quality healthcare delivery by leading a dedicated UM team. Oversee operations, ensure compliance, and inspire excellence in patient care while fostering a culture of collaboration and continu...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Transform healthcare outcomes by leading a Utilization Management team. Ensure quality, cost-effective care delivery while supporting your team’s growth and excellence in clinical practices. Drive eff...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Unlock your potential by leading a dynamic team in Utilization Management. Supervise coordinated care activities to enhance health outcomes and ensure compliance in a hybrid work environment, fosterin...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Advance team success by leading Utilization Management operations, ensuring delivery of quality care through effective supervision, coordination, and communication across multiple programs while foste...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Oversee a dynamic Utilization Management team to enhance care delivery, ensure compliance, and drive quality outcomes across programs, while fostering a culture of improvement and supporting clinical...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Optimize team performance and healthcare quality by leading Utilization Management efforts. Drive compliance with clinical guidelines and improve patient outcomes while mentoring a dedicated team to e...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Shape the future of healthcare by leading a Utilization Management team to deliver quality, cost-effective care. Supervise staff, coordinate activities, and ensure compliance while fostering a culture...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Lead and oversee a team in utilization management, ensuring high-quality, cost-effective care delivery through various programs. Collaborate with staff to enhance processes and support clinical practi...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $142K *

Lead the charge in shaping effective care delivery through oversight of utilization management. Supervise a dynamic team to drive quality outcomes, streamline processes, and enhance patient experience...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Optimize the utilization management department by supervising workflows, enhancing service quality, participating in strategic planning, and ensuring compliance with policies to deliver high-quality i...

Today

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Elevate operational excellence by managing daily workflows, fostering team development, and ensuring quality compliance within the utilization management department for optimal service delivery and st...

Today

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Join us to lead daily operations in Utilization Management, ensuring quality service, compliance, and team performance while fostering a collaborative work environment in a hybrid setting...

Today

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Join a team that's dedicated to enhancing utilization management through leadership, quality improvement, and strategic planning. Oversee daily operations and foster collaboration to achieve high serv...

Today

  •   Less than 5 years exp.  •   Healthcare

$75K - $95K *

Drive departmental excellence by overseeing daily operations and quality initiatives while fostering a collaborative environment that balances in-office engagement with remote flexibility for optimal...

Today

  •   Less than 5 years exp.  •   Healthcare

$118K - $132K *

Lead the Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with regul...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$113K - $119K *

Champion operational excellence by leading Utilization Management programs, focusing on prior authorizations, inpatient reviews, and post-care management while collaborating with multidisciplinary tea...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $145K *

Drive operational excellence by leading a team of patient navigators in managing non-clinical services for high-risk populations, ensuring seamless care transitions and effective service delivery in a...

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $145K *

Oversee the daily operations of non-clinical patient navigation services, ensuring efficient workflows, timely access to care, and high-quality service delivery while leading a team to support high-ri...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Champion patient care excellence by leading Utilization Management practices and quality improvement initiatives to enhance operational efficiency and outcomes across assigned units, fostering collabo...

Today

  •   Less than 5 years exp.  •   Healthcare

$90K - $130K *

Apex is seeking a dynamic and organized Mission Manager to oversee the satellite bus development process and serve as the primary liaison between customers and internal teams. The role involves managi...

Reposted 1 month ago

  •   Less than 5 years exp.  •   Aerospace & Defense

$75K - $95K *

Optimize patient care by managing complex medical cases to enhance outcomes and reduce costs through effective coordination of healthcare services, ensuring adherence to established protocols and regu...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $123K *

Accelerate your career by applying your nursing expertise to conduct utilization reviews for workers' compensation cases, ensuring treatment decisions align with medical guidelines and regulatory stan...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $114K *

Accelerate progress at the forefront of patient care by conducting detailed chart reviews and denying management. Collaborate across teams to enhance efficiency, improve outcomes, and ensure proper ut...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$201K - $227K *

Transform utilization management through strategic leadership, ensuring service access and cost optimization while enhancing clinical outcomes and member satisfaction across various care settings...

1 week ago

  •   8 - 10 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What is a Utilization Manager?question toggle

    A Utilization Manager is a healthcare professional who is responsible for ensuring that all health and medical services, procedures and facilities are being used in a cost-effective way in the healthcare setting.

  • What are the typical duties of a Utilization Manager?question toggle

    Utilization Managers typically review patient services to determine efficiency and necessity, work to enhance the cost-effectiveness of health management strategies, and determine if a case or treatment plan is clinically appropriate based on a patient’s needs and overall health.

  • What qualifications do I need for a Utilization Manager job?question toggle

    Most Utilization Manager positions require a degree in nursing and relevant experience in a clinical setting. You should also have a good understanding of medical terminologies and procedures.