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Dental Utilization Management Jobs (NOW HIRING)

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 ...

WelbeHealth

Utilization Management RN

Los Angeles, CA · On-site

By guiding this team, the Utilization Management RN drives the continuous improvement of our care ... Medical insurance coverage (Medical, Dental, Vision) * Work/life balance - we mean it! 17 days of ...

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 ...

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Dental Utilization Management information

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$91K

$167.5K

How much do dental utilization management jobs pay per year?

As of Jun 28, 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 are the key skills and qualifications needed to thrive in the Dental Utilization Management position, and why are they important?

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.

What does a typical day look like for a professional in Dental Utilization Management?

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 is a Dental Utilization Management job?

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.

More about Dental Utilization Management jobs
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Dental Utilization Management jobs near you

Utilization Management Nurse

Integrated Community Living and Par

Allentown, PA

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago

Job description

Benefits:
  • Employee discounts
  • Paid time off
  • 401(k) matching
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Training & development
  • Vision insurance
  • Wellness resources

Benefits/Perks
  • Competitive Compensation
  • Great Work Environment
  • Career Advancement Opportunities
Job Summary
We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.
Responsibilities
  • Review patient files and treatment information for efficiency
  • Monitor the activity of staff to ensure effective patient treatment
  • Advocate for quality patient care to prevent complications
  • Review discharge information for outgoing patients
  • Work closely with clinical staff to provide excellent patient care
  • Prepare reports on patient management and cost assessments
Qualifications
  • Nurse, with state LPN licensure, required
  • Certificate in Case Management or Utilization Management desired
  • Strong communication and interpersonal skills
  • Strong analytical skills