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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$93K - $117K *

Join a team that's dedicated to optimizing patient care by leading the Utilization Review department. Oversee operations, mentor specialists, and collaborate with clinical teams to ensure effective pa...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...

US-AnywhereRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

Today

  •   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...

Today

  •   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...

Today

  •   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...

Today

  •   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...

Today

  •   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...

Today

  •   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...

Today

  •   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...

Today

  •   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...

Today

  •   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...

Today

  •   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

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $95K *

Grow your leadership skills by overseeing the Utilization Management program, ensuring compliance with regulations, enhancing patient satisfaction, and leading a dedicated team within a collaborative...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $215K *

Drive strategic oversight of utilization management, ensuring clinical reviews are effective, timely, and compliant. Collaborate across departments and with payers to enhance operations and improve re...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$104K - $114K *

Lead the coordination of patient care while promoting positive outcomes through daily clinical reviews, quality documentation, and effective appeals management to optimize reimbursement in a psychiatr...

4 weeks ago

  •   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 week 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...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$142K - $178K *

Join us in leading configuration management efforts that ensure product integrity and lifecycles across engineering and supply chain functions. Play a key role in optimizing workflows, managing change...

3 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$142K - $178K *

Oversee configuration management activities, ensuring product integrity and compliance across engineering, quality, and supply chain functions while supporting government program requirements and lead...

3 weeks ago

  •   5 - 7 years exp.  •   Aerospace & Defense

$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...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Drive efficiency in utilization management through effective case reviews and approvals. Contribute to the accurate assessment of medical necessity while supporting clinicians with a focus on complian...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Join a team that's dedicated to ensuring quality healthcare through thorough review of clinical guidelines and establishing timely, accurate prior authorizations for diverse lines of business in a sup...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $110K *

Unlock your potential as a senior nurse in utilization management, guiding critical authorization processes. Collaborate with a dynamic team to ensure compliance and improve member care. Your expertis...

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $120K *

Transform healthcare delivery by leading utilization management reviews and ensuring adherence to guidelines while collaborating with clinical teams to provide optimal care for members across various...

3 days ago

  •   5 - 7 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.