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.
$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
$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...
Reposted 2 weeks ago
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Supervisor Utilization Management
$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
Manager, Utilization Management
$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...
1 week ago
Utilization Management Manager - Full Time
$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
Utilization Management Director
$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
$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
$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
Care Manager - Utilization Management (Must Have UAS Experience)
$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
Configuration Management Manager
$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
Configuration Management Manager
$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
Utilization Review Nurse Case Manager
$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
Utilization Management Nurse, Senior
$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
Utilization Management Nurse, Senior
$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
Utilization Management Nurse, Senior
$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
Utilization Management Nurse, Senior
$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
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.