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.
Manager, Utilization Management
$87K - $161K *
Shape the future of healthcare utilization management by leading the Concurrent Review team, enhancing care quality, and optimizing operational efficiency while ensuring compliance with industry stand...
Today
Manager, Utilization Management
$80K - $95K *
Shape the future of healthcare by overseeing efficient utilization management processes, ensuring quality care delivery while managing costs, and leading a dedicated team to uphold industry standards...
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 4 days ago
Manager Utilization Management
$100K - $140K *
Lead the charge in enhancing patient care by overseeing the Utilization Management team, ensuring compliance, operational excellence, and quality outcomes in a collaborative healthcare environment...
4 days ago
Manager Utilization Management
$100K - $140K *
Lead the future of utilization management by overseeing operations, mentoring a dynamic team, and driving quality and compliance in patient care. Collaborate with stakeholders and improve healthcare o...
4 days ago
Manager Utilization Management
$100K - $140K *
Lead the charge in operational excellence and compliance within the Utilization Management department, guiding a team of nursing professionals to enhance patient care and efficiency while collaboratin...
4 days ago
$80K - $95K *
Reimagine the Utilization Management landscape by leveraging your nursing expertise to ensure optimal healthcare service utilization, collaborating across teams, and driving cost-effective care soluti...
2 weeks ago
$75K - $95K *
Lead utilization management initiatives, ensuring compliance and optimal patient care through effective reviews, team management, and regulatory adherence while enhancing operational success and patie...
4 weeks ago
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 yesterday
Utilization Management Case Manager
$75K - $90K *
Partner with us to optimize patient care and discharge planning, ensuring quality outcomes and adherence to healthcare regulations through effective case management and resource utilization for divers...
Reposted 1 week ago
Supervisor, Utilization Management - Operations
$70K - $105K *
Join a team that champions operational excellence by leading a Review Coordinator group, driving strategic initiatives, and enhancing interdepartmental collaboration to foster effective outcomes in He...
1 week ago
Supervisor, Utilization Management - Operations
$70K - $105K *
Manage day-to-day operations and lead a team of Review Coordinators. Drive process improvements and ensure alignment with strategic goals in a dynamic Health Management environment while facilitating...
1 week ago
Supervisor, Utilization Management - Operations
$70K - $105K *
Pioneer a team of Review Coordinators to drive operational excellence and strategic initiatives. Lead cross-functional projects, enhance processes, and cultivate collaboration within Health Management...
1 week ago
Director of Utilization Management (PCN 1527)
$90K - $110K *
Drive strategic oversight of Utilization Management initiatives, ensuring compliance, service quality, and cost containment. Lead the UM team to improve care access and service utilization while maint...
2 weeks ago
Utilization Management Case Manager Lead
$85K - $100K *
Lead and optimize care management processes by training new hires, ensuring regulatory compliance, and collaborating on audits to enhance patient outcomes in a supportive acute care environment...
2 weeks ago
Utilization Management Business Analyst II (Fixed Term) - 26-75
$100K - $127K *
Execute essential analyses and optimize workflows in Epic systems to enhance operational efficiency. Collaborate across teams, streamline processes, and ensure compliance while supporting the Utilizat...
Reposted 2 weeks ago
Utilization Management Nurse, RN
$92K - $111K *
Empower patient care by driving efficient authorization processes, leveraging strong clinical knowledge and advocacy to navigate insurance complexities while supporting a collaborative team dedicated...
6 days ago
Utilization Management Nurse RN
$60K - $107K *
Join us to deliver accurate medical record reviews and compose compelling appeal letters. Collaborate with a dedicated team to support enterprise goals while maintaining high productivity standards in...
Today
$90K - $120K *
Oversee all phases of construction projects, ensuring alignment with client and operational goals. Serve as the primary liaison, managing stakeholder relationships while guiding teams to deliver proje...
1 week ago
$75K - $95K *
Join a team that's shaping the future of aerospace manufacturing. Lead daily operations, optimize workflows, and ensure product quality in a cutting-edge, AS9100-certified environment focused on high...
4 weeks ago
DIR - UTILIZATION REVIEW / MGMT
$100K - $120K *
Champion exceptional healthcare by leading the Utilization Review program, ensuring effective treatment plans for patients. Oversee case management, collaborate with diverse stakeholders, and manage s...
3 days ago
DIR - UTILIZATION REVIEW / MGMT
$80K - $95K *
Advance patient care by leading utilization review processes, ensuring high-quality, cost-effective treatment for individuals facing mental health challenges. Collaborate with cross-functional teams t...
5 days ago
DIR - UTILIZATION REVIEW / MGMT
$90K - $120K *
Drive utilization management excellence by overseeing reviews, compliance, and staff in a collaborative behavioral health environment, enhancing patient outcomes and ensuring effective resource alloca...
3 weeks ago
DIR - Utilization Review/ MGMT
$90K - $110K *
Unlock potential by leading utilization review initiatives in a dynamic behavioral healthcare environment, ensuring optimal patient care management and insurance collaboration to enhance treatment out...
4 days ago
$80K - $95K *
Lead a dynamic team as you optimize maintenance processes and ensure asset reliability. Drive continuous improvement while managing budgets and compliance in a fast-paced manufacturing environment wit...
2 weeks 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.