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Dental Utilization Management Jobs (NOW HIRING)

Intus Care

Utilization Management Nurse

$80K - $95K/yr

Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help ... dental, and vision insurance, a collaborative, inclusive, and dynamic work environment, and ...

Intus, Inc

Utilization Management Nurse

$80K - $95K/yr

Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... Comprehensive benefits including health, dental, and vision insurance. * A collaborative, inclusive ...

INTUS INC

Utilization Management Nurse

$80K - $95K/yr

Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... Comprehensive benefits including health, dental, and vision insurance. * A collaborative, inclusive ...

Actalent

Utilization Management Nurse

$40/hr

Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide ... Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre ...

HealthCare Support

Utilization Management

Houston, TX · On-site

$38 - $42/hr

RN Outpatient Utilization Review Remote Texas HealthCare Support is actively seeking multiple ... Dental Insurance * Life Insurance * Employee Assistance Program (EAP) * Access to Investment ...

Actalent

Utilization Management Nurse

Des Moines, IA · On-site

$40/hr

Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide ... following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) ...

HealthONE

Utilization Management Nurse

Dalton, GA · On-site

Job Title Utilization Management Nurse The Utilization Management Nurse performs comprehensive ... Dental Insurance * Employee Assistance Program * Flexible Spending Account * Health & Wellness ...

Wellpath

Director Utilization Mgmt

Lemoyne, PA · On-site

$199K - $249K/yr

... dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their ... How you make a difference The Medical Director of Utilization Management leads and oversees ...

Access Dubuque

Utilization Management Nurse

Dubuque, IA · On-site

Utilization Management Nurse Cottingham & Butler/ SISCO 1 Positions ID: 4627707008 Posted On 07/01 ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Humana

Utilization Management Nurse

The Utilization Management Nurse 2 work assignments are varied and frequently require ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Utilization Management Nurse

The Utilization Management Nurse 2 work assignments are varied and frequently require ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Utilization Management Nurse

The Utilization Management Nurse 2 work assignments are varied and frequently require ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Utilization Management Nurse

The Utilization Management Nurse 2 work assignments are varied and frequently require ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Manager, Utilization Management Nursing

Lead and oversee Utilization Management Assistant Supervisors supporting LTSS populations ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

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Dental Utilization Management information

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$39K

$91K

$167.5K

How much do dental utilization management jobs pay per year?

As of Sep 3, 2026, the average yearly pay for dental utilization management in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What is dental utilization management?

A Dental Utilization Management job involves reviewing and analyzing dental treatment plans and insurance claims to ensure they meet clinical guidelines and cost-effectiveness standards. Professionals in this role assess the necessity and appropriateness of dental procedures, working closely with providers and insurance companies to maintain quality patient care while managing costs. They may also help develop policies, conduct audits, and provide education on best practices in dental care utilization.

What does a dental utilization management professional do?

In Dental Utilization Management, your day typically involves reviewing dental insurance claims, applying clinical guidelines to determine coverage, and communicating with dental providers for additional information or clarification. You may use specialized software and medical records systems to evaluate treatment plans and ensure compliance with policy criteria. Collaboration with other utilization management specialists, claims adjusters, and sometimes members of clinical review teams is common. The role demands a blend of independent case analysis and teamwork to support fair and efficient decision-making, making the work both varied and rewarding.

What are the key skills and qualifications needed for dental utilization management?

Excelling in Dental Utilization Management requires a deep understanding of dental procedures, insurance policies, and clinical guidelines, often supported by a background in dental hygiene, dentistry, or healthcare administration. Familiarity with dental claims software, electronic health records (EHR), and relevant certifications such as Registered Dental Hygienist (RDH) or Certified Professional in Healthcare Quality (CPHQ) is highly valuable. Strong analytical thinking, communication, and attention to detail help professionals effectively review cases, collaborate with providers, and ensure accurate claims processing. These competencies are vital for balancing patient care quality, regulatory compliance, and cost-effectiveness within dental insurance programs.

More about Dental Utilization Management jobs

What are the most commonly searched types of Dental Utilization Management jobs?

The most popular types of Dental Utilization Management jobs are:

What states have the most Dental Utilization Management jobs?

States with the most job openings for Dental Utilization Management jobs include:

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Dental Utilization Management jobs near you
Infographic showing various Dental Utilization Management job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Utilization Management Nurse

Intus Care

Remote

$80K - $95K/yr

Other

Medical, Dental, Vision

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Utilization Management Nurse

IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. IntusCare empowers teams to take control of their operations and improve outcomes for dual-eligible seniors – some of the most socially vulnerable and clinically complex individuals in the US healthcare system.

The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual partners closely with PACE Interdisciplinary Teams, Medical Directors, and provider networks to review service utilization, guide care decisions and support timely, appropriate transitions across care settings. Blending clinical expertise with analytical thinking, the Utilization Management Nurse ensures services are medically necessary, aligned with care plans and consistent with PACE regulations and best practices. This role is essential to maintaining program integrity, improving participant outcomes and supporting the delivery of coordinated, value-based care.

Responsibilities include rigorous adherence to PACE program service authorization policies, ensuring that participant care and related claims are reasonable and necessary for diagnosis or treatment and consistent with PCP coordination decisions. Active involvement in various aspects of the utilization management process, including concurrent review of all hospital admissions, retrospective review of inpatient admissions under 48 hours, and coordination and review of all other services delivered by contracted providers. Employ effective use of knowledge, critical thinking, and skills to advocate quality care and enhanced quality of life, maintain accurate records of all patient related interactions, and appeal management in cases of claim rejection.

Qualifications include 3 to 5 years of utilization management experience, current RN license, proven experience working in risk based integrated models of care, ability to use data to drive decisions and collaboration with internal and external stakeholders, strong strategic thinking, problem solving, and decision making skills, and excellent communication and leadership abilities.

What We Offer includes a chance to be a part of a trailblazing team in healthcare technology, competitive salary and equity package, comprehensive benefits including health, dental, and vision insurance, a collaborative, inclusive, and dynamic work environment, and opportunities for professional growth and development.

Compensation: The salary range for this role is $80K-$95K. Work location: This is a fully remote role based in the United States. Sponsorship: This position is not eligible for sponsorship.

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