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.
$95K - $124K *
Lead the charge in project management to implement complex initiatives efficiently. Collaborate with stakeholders, manage resources, and ensure project success within scope, timeline, and budget. Driv...
Today
$80K - $95K *
Lead operations in a healthcare facility, directing maintenance, safety, and compliance while managing budgets and teams to ensure an optimal environment for patient care. Drive initiatives for contin...
3 days ago
Smart Utilities Managing Consultant
$90K - $175K *
Lead the charge in shaping Smart Utilities solutions, engaging with clients to craft innovative proposals, and delivering strategic consulting to navigate complex power and utility challenges, while b...
Reposted 3 days ago
$88K - $105K *
Shape the future of utility projects, collaborating across departments to oversee budgets and ensure timely delivery while advancing community engagement and project efficiency for a dynamic team...
Reposted 3 days ago
$88K - $133K *
Empower your career by leading document control for large-scale design-build projects. Oversee compliance, manage documentation, and coordinate between various stakeholders to ensure seamless project...
3 weeks ago
Care Management District Manager
$90K - $110K *
Accelerate progress at the forefront of care management by overseeing operational excellence and regulatory compliance across multiple healthcare programs while enhancing provider engagement and impro...
1 week ago
$130K - $155K *
Join our team to manage and grow sustainable energy solutions for data centers, focusing on electricity and gas markets. You'll negotiate agreements, build stakeholder relationships, and shape our glo...
Yesterday
Business Analyst/Project Manager
$135K - $145K *
Elevate processes and technology solutions as a Business Analyst/Project Manager. Lead strategic initiatives, collaborate with stakeholders, and drive impactful improvements across enterprise systems...
4 weeks ago
ADA Assessment Program Manager
$80K - $110K *
Transform the delivery of ADA Paratransit Eligibility by managing operations, ensuring compliance, and leading a dedicated team. Drive efficiency and excellence in service, while acting as a crucial l...
Today
$150K - $160K *
Manage configuration management for systems, ensuring compliance and documentation across development, testing, and production environments. Collaborate with teams to implement policies and automated...
1 week ago
$150K - $160K *
Drive the configuration management discipline throughout system lifecycles. Collaborate with teams to establish baselines and utilize tools for efficient operations. Ensure adherence to policies while...
1 week ago
$147K - $250K *
Pioneer digital transformation and acquisition support efforts across engineering, advising on performance, cost, and scheduling within advanced technology programs while integrating Agile methodologi...
4 weeks ago
$115K - $135K *
Join a team that drives quality excellence by leading initiatives across departments to enhance operational efficiency and customer satisfaction. You will identify risks, implement improvements, and e...
4 days ago
$80K - $95K *
Develop and oversee the recruitment lifecycle of IT and engineering professionals, managing applicant pipelines and collaborating with hiring teams to attract high-quality talent while ensuring alignm...
1 week ago
Clinical Guide: Utilization Management Nurse (Outpatient Prior Authorization)
$82K - $96K *
Shape the future of healthcare by joining a dynamic team of Clinical Guides. You'll conduct clinical reviews of outpatient authorization requests, ensuring members receive appropriate care while navig...
1 week ago
Clinical Guide: Utilization Management Nurse (Outpatient Prior Authorization)
$82K - $96K *
Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...
1 week ago
Utilization Review Case Manager - Partial Hospitalization Program
$81K - $122K *
Shape the future of patient care by overseeing concurrent utilization reviews, ensuring appropriate clinical documentation, and managing case referrals with medical staff and third-party payors for op...
Reposted yesterday
Utilization Review Case Manager - Partial Hospitalization Program
$81K - $122K *
Transform patient care by leading utilization reviews and case management for optimal placement. Collaborate with professionals to ensure quality documentation and liaise with payors for efficient car...
Reposted yesterday
$88K - $105K *
Drive financial excellence by managing corporate accounting operations and overseeing accurate financial reporting, ensuring compliance with U.S. GAAP and enhancing internal controls while leading and...
1 week ago
$110K - $120K *
Drive comprehensive assessments and connect participants with essential healthcare services, ensuring compliance with regulatory standards while enhancing quality of life through tailored care plans a...
Today
$110K - $120K *
Drive clinical excellence by conducting comprehensive assessments to determine healthcare eligibility, educate participants on services, and collaborate with various stakeholders to support quality ca...
Today
$110K - $120K *
Champion the clinical assessment process to enhance participant eligibility and care planning. Collaborate with various teams to ensure comprehensive evaluations are conducted, impacting the quality o...
Yesterday
$110K - $115K *
Lead clinical assessments as a key participant touchpoint, ensuring eligibility for services. Collaborate with teams to address healthcare needs, manage documentation and ensure compliance with releva...
Reposted 3 weeks ago
$110K - $115K *
Elevate lives as a Clinical Assessment Manager, conducting comprehensive assessments to determine eligibility and connect individuals to essential services across The Bronx and Manhattan, enhancing th...
3 weeks ago
$110K - $115K *
Elevate healthcare quality by conducting critical assessments, determining eligibility for services, and collaborating with various teams to connect participants to essential care. Empower individuals...
Reposted 3 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.