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Dental Utilization Management Jobs (NOW HIRING)

HealthCheck360

Utilization Management Nurse

Asbury, IA · On-site

Utilization Management Nurse Onsite in Dubuque, IA. Also accepting remote applicants. We are ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

HealthCheck360

Utilization Management Nurse

Dubuque, IA · On-site

Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

HealthCheck360

Utilization Management Nurse

Dubuque, IA · On-site

Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

Luminis Health

Utilization Management Nurse

Lanham, MD

$34 - $55/hr

Monitors and identifies patterns or trends in utilization management; monitors potential and actual ... Pay Range $34--$55 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance ...

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 ...

CVS Health

MI · On-site

$26.01 - $68.55/hr

As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate ... The benefits for this position include medical, dental, and vision coverage, paid time off ...

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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 Aug 8, 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 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.

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 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.

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:
What job categories do people searching Dental Utilization Management jobs look for? The top searched job categories for Dental Utilization Management jobs are:
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 86% Full Time, and 14% Part Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Registered Nurse - Utilization Management

myPlace Health

Los Angeles, CA • On-site

$53K - $58K/yr

Full-time

Retirement

Posted 23 days ago

Job description

About the Role

Join myPlace Health as a Registered Nurse - Utilization Management in Los Angeles, CA. myPlace Health specializes in providing value-based, comprehensive care and coverage for older adults with significant needs, enabling them to thrive in their homes. In this full-time role, you will play a crucial part in ensuring participants receive appropriate and efficient care through our myPlace PACE model, which provides seamless primary care, integrated health plan coverage, and personalized social engagement.

Key Responsibilities
  • Conduct utilization reviews for medical services to ensure alignment with established guidelines and participant care plans.
  • Assess the medical necessity of admissions, continued stays, and ancillary services.
  • Collaborate with interdisciplinary teams, including physicians, social workers, and other healthcare professionals, to optimize participant outcomes.
  • Document all review activities accurately and thoroughly in accordance with regulatory standards and myPlace Health policies.
  • Identify trends and opportunities for improvement in care delivery and resource utilization.
  • Provide comprehensive reports on utilization management activities and outcomes.
  • Participate in ongoing training and professional development to maintain expertise in utilization management.
Required Qualifications & Experience

Required:

  • 3 years of experience as a Registered Nurse.

Preferred:

  • None specified
Benefits
  • Health insurance
  • Paid time off (PTO)
  • 401(k) match
  • Dental insurance
  • Paid holidays
  • Vision insurance
  • 401(k)