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.
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.
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.
Utilization Management Registered Nurse
$71K - $97K *
Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...
Reposted 6 days ago
Utilization Management Manager- Remote
$80K - $100K *
Manage the authorization process, ensuring timely patient access to care by building relationships, navigating payer requirements, and collaborating across teams to enhance patient transitions and mai...
Reposted today
Supervisor, Utilization Management (RN)
$75K - $135K *
Contribute to a high-performing clinical review team by supervising utilization management operations, resolving complex care issues, ensuring compliance with standards, and driving quality improvemen...
2 weeks ago
$80K - $110K *
Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...
3 weeks ago
Clinical Manager, Revenue Cycle CCM
$75K - $95K *
Drive impactful change as you manage operations in care management. Oversee team performance, optimize workflow, and enhance staff capabilities in a dynamic environment while ensuring adherence to reg...
6 days ago
Manager, Tax Account Management
$90K - $120K *
Lead a tax account management team focused on delivering exceptional customer service, driving operational excellence, and fostering strategic relationships in a dynamic service environment...
1 week ago
$99K - $109K *
Empower operational excellence by managing diverse processes and a large team, ensuring performance metrics are met, driving efficiency, and identifying growth opportunities that enhance client satisf...
Today
Care Manager RN - Utilization Management (UM) Remote
$68K - $105K *
Unlock your potential by implementing effective utilization management strategies to enhance healthcare services and provider performance while ensuring quality and member satisfaction...
1 week ago
Utilization Management Nurse Consultant
$54K - $116K *
Transform healthcare delivery by utilizing clinical expertise in a collaborative environment to assess and facilitate optimal member services and care options while monitoring quality and compliance i...
4 days ago
$115K - $150K *
Transform project delivery by leading and mentoring a team of Project Managers, ensuring high-quality execution of complex software implementations while maintaining customer satisfaction and driving...
Reposted 2 days ago
Utilization Management Clinician (Tuesday - Saturday)
$70K - $106K *
Join a team that's dedicated to enhancing member care through effective collaboration with medical professionals. Utilize your clinical expertise to coordinate resources and optimize healthcare delive...
Today
$90K - $100K *
Drive end-to-end contingent workforce operations, enhancing client satisfaction and managing relationships with stakeholders. Leverage your staffing experience to elevate program success and explore n...
2 weeks ago
$80K - $120K *
Unlock potential by driving business development efforts in strategic markets, collaborating with leadership and teams to enhance client relationships and marketing initiatives. Utilize expertise in t...
2 weeks ago
$80K - $120K *
Grow your career with a focus on business development, driving revenue and profit growth through strategic client partnerships and innovative marketing initiatives in the power/energy sector...
2 weeks ago
Utilization Management Nurse Lead
$94K - $130K *
Lead efforts to ensure optimal utilization management by analyzing data, guiding teams, and shaping quality outcomes, while collaborating with stakeholders to drive improvements in care and compliance...
2 weeks ago
$90K - $120K *
Transform project delivery by leading complex initiatives, ensuring collaboration across teams, monitoring timelines and budgets, and maintaining clear communication with stakeholders for successful o...
1 week ago
Utility Account Manager- Transmission/Distribution
$128K - $213K *
Drive sales operations by engaging key accounts and managing strategic initiatives. Utilize your commercial expertise to navigate complex challenges and achieve business objectives while influencing t...
Reposted 1 week ago
$120K - $150K *
Champion sustainable energy solutions for a growing data center portfolio, managing commercial relationships and regulatory processes across diverse U.S. markets to ensure reliable, cost-effective ene...
1 week ago
Configuration Manager (Senior)
$86K - $138K *
Lead the charge in managing configuration processes for MODES III systems, ensuring proper documentation and compliance. Utilize your expertise to support military family policies in this critical, re...
Reposted 3 weeks ago
$80K - $120K *
Shape the future of healthcare by strategically guiding health system clients through their journey, maximizing platform adoption, and ensuring their long-term satisfaction and success while driving r...
2 weeks ago
$120K - $150K *
Drive demand flexibility strategies for a global data center portfolio, leading commercial negotiations and regulatory engagement. Collaborate across teams to establish proactive energy solutions that...
1 week ago
$116K - $145K *
Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...
1 week ago
$80K - $90K *
Lead and inspire a team in delivering high-quality clinical care while ensuring compliance and operational excellence in home health practices. Drive performance through effective management of patien...
2 days ago
REMOTE Vendor Management Manager, CMS
$82K - $95K *
Empower your career by leading vendor management initiatives. Oversee processes for selecting, monitoring, and auditing third-party vendors to enhance compliance and operational efficiency in a dynami...
2 weeks ago
Remote Operations Manager ( Call Center)
$75K - $95K *
Lead and enhance the operations of a high-volume remote call center, driving service excellence and operational efficiency while managing resources and ensuring compliance with performance standards a...
Yesterday
What is a Utilization Manager?
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?
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?
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.