ZipRecruiter

Log In

1

Dental Utilization Management Manager Jobs (NOW HIRING)

SIHO Insurance Services, Inc.

Be Seen First

Utilization Management Nurse

Columbus, IN · On-site

Manager of Utilization Management Brief Description of Duties: This position is reserved for a licensed Registered Nurse who will perform the Utilization Management (UM) services for SIHO (and ...

Curana Health, Inc.

Summary The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The ...

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.

next page

Showing results 1-20

All JobsDental Utilization Management Manager Jobs

Dental Utilization Management Manager information

See salary details

$39K

$91K

$167.5K

How much do dental utilization management manager jobs pay per year?

As of Jun 15, 2026, the average yearly pay for dental utilization management manager 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 some of the common challenges faced by a Dental Utilization Management Manager, and how can they be addressed?

Dental Utilization Management Managers often encounter challenges such as balancing cost containment with quality patient care, staying updated on evolving dental guidelines, and effectively communicating with both dental providers and insurance teams. Addressing these challenges typically involves staying current with industry best practices, fostering collaborative relationships with stakeholders, and implementing clear review protocols to ensure consistency and fairness in utilization decisions. Strong analytical and leadership skills are essential for navigating these complexities and ensuring both compliance and high standards of care.

What are the key skills and qualifications needed to thrive as a Dental Utilization Management Manager, and why are they important?

To thrive as a Dental Utilization Management Manager, you need a deep understanding of dental procedures, insurance policies, and utilization review, often supported by a dental degree or certification and experience in managed care. Familiarity with claims processing systems, dental coding (such as CDT codes), and utilization management software is typically required. Strong analytical abilities, attention to detail, leadership, and effective communication are standout soft skills in this role. These competencies ensure accurate benefit determinations, regulatory compliance, and high-quality service for both providers and members.

What does a Dental Utilization Management Manager do?

A Dental Utilization Management Manager oversees the evaluation of dental treatment requests to ensure they are medically necessary and meet established clinical guidelines. They review claims, coordinate with dental providers, manage a team of utilization review specialists, and help implement policies to improve efficiency and cost-effectiveness in dental benefit programs. Their goal is to ensure quality patient care while controlling costs for dental insurance plans.

What is the difference between Dental Utilization Management Manager vs Dental Utilization Review Coordinator?

AspectDental Utilization Management ManagerDental Utilization Review Coordinator
CredentialsTypically requires a dental or healthcare-related degree and management experienceUsually requires dental assisting, dental hygiene, or healthcare certification
Work EnvironmentSupervises teams, manages policies, and oversees utilization processesPerforms case reviews, evaluates treatment plans, and communicates with providers
Employer & Industry UsageFound in insurance companies, healthcare organizations, and dental benefit plansCommon in insurance companies, dental clinics, and healthcare providers

The Dental Utilization Management Manager oversees the utilization review process, manages teams, and develops policies, while the Dental Utilization Review Coordinator focuses on case-by-case reviews and provider communication. Both roles are essential in dental insurance and healthcare settings but differ mainly in scope and responsibilities.

More about Dental Utilization Management Manager jobs
What cities are hiring for Dental Utilization Management Manager jobs? Cities with the most Dental Utilization Management Manager job openings:
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 Manager jobs? States with the most job openings for Dental Utilization Management Manager jobs include:
What job categories do people searching Dental Utilization Management Manager jobs look for? The top searched job categories for Dental Utilization Management Manager jobs are:
Dental Utilization Management Manager jobs near you
Infographic showing various Dental Utilization Management Manager job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 89% Full Time, 9% Part Time, and 1% Contract. Highlights an 92% In-person, 1% Hybrid, and 7% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
RN, Utilization Management | Utilization Management

RN, Utilization Management | Utilization Management

UF Health

Saint Augustine, FL • On-site

Full-time

Posted 26 days ago

Job description

Overview
Make an impact by supporting the right care at the right time through utilization management excellence.
Work Style: Onsite
Location: St. Agustine, FL
FTE: Full-Time (1.0 FTE)
⏰ Schedule: Monday - Friday, 3:00 PM - 11:00 PM
Plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance.
Responsibilities
Key Responsibilities
  • Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services.
  • Coordinates with healthcare providers and care teams to ensure compliance with utilization management guidelines and payer requirements.
  • Supports effective treatment planning, patient care coordination, and appropriate resource utilization.
  • Communicates authorization decisions and utilization determinations while supporting timely discharge planning efforts.
  • Analyzes utilization management data and trends to identify opportunities for improved care coordination and operational efficiency.
  • Collaborates with interdisciplinary teams to ensure accurate documentation, regulatory compliance, and quality patient outcomes.

Qualifications
Education & Licensure
  • Registered Nurse (RN) with a current Florida nursing license required.

Experience & Skills
  • Minimum of three (3) years of experience in utilization review, utilization management, or case management required.
  • Knowledge of healthcare utilization guidelines, payer requirements, and regulatory compliance standards.
  • Experience evaluating medical necessity, treatment plans, and appropriate levels of care.
  • Strong communication and collaboration skills related to authorization determinations and care coordination.
  • Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.

Apply