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.
Clinical Services Manager (MCS)
$80K - $95K *
Engineer impactful healthcare solutions as a key Manager overseeing operations and team performance, driving excellence in patient care and supporting a collaborative culture focused on continuous imp...
1 week ago
Clinical Services Manager (MCS)
$80K - $95K *
Transform patient care by leading a dedicated team focused on innovative healthcare solutions. Drive exceptional clinical outcomes while fostering a supportive community culture that prioritizes perso...
1 week ago
Clinical Services Manager (MCS)
$100K - $120K *
Join our team as we strive to deliver exceptional patient care in a supportive environment. Take ownership of key responsibilities, drive clinical excellence, and foster growth within a dedicated comm...
1 week ago
Clinical Services Manager (MCS)
$85K - $100K *
Lead a dedicated team focused on delivering exceptional patient care, while enhancing operational efficiency and cultivating a positive workplace culture. Collaborate across departments to drive clini...
1 week ago
Clinical Services Manager (MCS)
$95K - $135K *
Drive excellence in clinical services by ensuring safety readiness, coaching staff, and enhancing patient outcomes through audits and quality initiatives. Collaborate with leadership to address perfor...
2 weeks ago
Clinical Services Manager (MCS)
$85K - $100K *
Advance your career by managing complex projects that drive operational excellence and innovation within the organization. Collaborate with cross-functional teams to optimize processes and deliver res...
3 weeks ago
Clinical Services Manager (MCS)
$80K - $95K *
Unlock potential by leading a dedicated team to achieve exceptional clinical outcomes while supporting patients with chronic kidney disease through community-focused initiatives and comprehensive prof...
1 week ago
Clinical Services Manager (MCS)
$90K - $110K *
Join a team that's dedicated to transforming patient care in healthcare. Lead initiatives that enhance clinical outcomes and foster a supportive environment, empowering teammates and patients alike on...
1 week ago
$72K - $95K *
Join a team that's committed to enhancing sustainability through innovative reuse programs. Oversee operations, develop partnerships, and manage resources to optimize waste reduction and promote commu...
2 weeks ago
$100K - $120K *
Lead complex Oracle Fusion implementation projects, ensuring timely delivery, risk management, and seamless communication among stakeholders while mentoring project teams for success and exceeding cli...
2 weeks ago
Implementation Manager, Enterprise PST
$100K - $120K *
Drive successful Enterprise onboarding for complex customer accounts. Lead consultative discovery, configure technical foundations, and ensure effective resource integration while mentoring team membe...
2 days ago
System Director - Risk Management - FT
$110K - $130K *
Drive operational excellence in Risk Management, overseeing a dedicated team to ensure effective program integration within a healthcare setting. Foster communication with administration and enhance r...
3 days ago
MANAGEMENT AND PROGRAM ANALYST
$95K - $115K *
Lead the charge in managing corporate-level IT program operations, ensuring strategic alignment and resource optimization across multiple projects while guiding teams and maintaining compliance with e...
2 days ago
$86K - $112K *
Take ownership of delivering comprehensive nursing care in both clinic and in-home settings. Collaborate with the interdisciplinary team to develop individualized care plans for frail and elderly part...
2 weeks ago
Records Program Services Manager
$98K - $148K *
Manage records program services, ensuring compliance and operational excellence. Lead a team in developing policies, improving processes, and fostering continuous improvement while enhancing service d...
2 days ago
$80K - $95K *
Champion the operational excellence of multi-clinic practices, supervising diverse teams to enhance performance, compliance, and patient satisfaction while driving financial success in a dynamic healt...
Yesterday
$80K - $95K *
Transform clinic operations as you partner with leaders to enhance service quality and drive financial performance. Leverage your expertise in managing complex healthcare environments with a focus on...
1 week ago
Technical Writing Program Manager
$97K - $145K *
Drive your career forward by leading strategic technical documentation initiatives, optimizing processes, and engaging with stakeholders to ensure high-quality content that meets diverse user needs an...
1 week ago
Manager, Acute Care Management
$92K - $133K *
Transform operations through effective leadership and management of care coordination and case management programs. Drive performance, ensure compliance, and foster collaboration to enhance member ser...
1 week ago
$79K - $132K *
Lead facility operations for a large healthcare distribution center, managing maintenance, safety, and team effectiveness while driving operational improvements to enhance productivity and efficiency...
Today
Nurse Manager, Complex Case Management,
$122K - $177K *
Advance your nursing career by managing complex case management and er duties. Collaborate with interdisciplinary teams to improve patient outcomes, streamline discharges, and enhance operational perf...
3 weeks ago
Clinical (RN) Manager - Capital Caring Health - Washington, DC
$100K - $149K *
Manage daily clinical operations, oversee interdisciplinary teams, ensure quality patient care, and enhance staff development while maintaining compliance with regulations and standards. Contribute to...
3 weeks ago
Manager, Workload Planning and Forecasting - Life Company Workforce Management
$93K - $168K *
Transform operational workforce planning and forecasting by managing teams and building strategic relationships to optimize performance in a fast-paced environment focused on serving the military comm...
Yesterday
Implementation Project Manager
$80K - $95K *
Unlock your potential as you lead diverse projects across multiple teams. Collaborate to enhance client experience while managing timelines and deliverables. Thrive in a fast-paced environment and dri...
1 week ago
Project Manager - Digital PMO - Digital Infrastructure
$98K - $148K *
Advance healthcare digital transformation by managing complex IT projects, integrating cross-functional teams, and delivering strategic solutions that enhance operational efficiency and patient outcom...
1 week 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.