ZipRecruiter

Log In

1

Director Of Utilization Jobs (NOW HIRING)

Acadia Healthcare

Director of Utilization

San Rafael, CA · On-site

$105K - $130K/yr

We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...

Bayside Marin

Director of Utilization

San Rafael, CA

$105K - $130K/yr

We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...

Acadia Healthcare

Director of Utilization

El Paso, TX · On-site

Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...

Acadia Healthcare

Director of Utilization

San Rafael, CA · On-site

$105K - $130K/yr

We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...

Acadia Healthcare

Director of Utilization

El Paso, TX · On-site

Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...

UHS

Director of Utilization Review

Gulfport, MS

The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

The Director of Utilization Review : will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the ...

next page

Showing results 1-20

People also search for

All JobsOf Utilization JobsDirector Of Utilization Jobs

Director Of Utilization information

See salary details

$18K

$52.3K

$84K

How much do director of utilization jobs pay per year?

As of Jul 8, 2026, the average yearly pay for director of utilization in the United States is $52,322.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $60,000.00 per year, depending on experience, location, and employer.

What is the highest paying job in healthcare management?

The highest paying roles in healthcare management often include Chief Executive Officers (CEOs) of healthcare organizations and hospital administrators, with salaries exceeding $150,000 annually. These positions require extensive experience, strong leadership skills, and often advanced degrees such as an MBA or healthcare administration certification.

What does a director of utilization management do?

A director of utilization management oversees the review and approval of healthcare services to ensure they are necessary, appropriate, and cost-effective. They develop policies, coordinate with medical staff, and use data analysis tools to optimize resource use and improve patient care outcomes.

What jobs in the US pay 300,000 a year?

In the US, roles such as Director of Utilization, senior healthcare executives, specialized physicians, and certain executive positions in finance or technology can earn $300,000 or more annually. These roles typically require advanced degrees, extensive experience, and strong leadership or technical skills.

What does a Director of Utilization do?

A Director of Utilization oversees the utilization management process within healthcare organizations, ensuring that patients receive appropriate, efficient, and cost-effective care. They are responsible for developing and implementing policies to evaluate the necessity, appropriateness, and efficiency of medical services. Their role often includes supervising utilization review staff, analyzing data to improve patient outcomes, and ensuring compliance with healthcare regulations and payer requirements. This position is crucial for balancing quality care with cost control and resource management.

What is the difference between Director Of Utilization vs Utilization Manager?

AspectDirector Of UtilizationUtilization Manager
CredentialsBachelor's degree, often with healthcare or related certificationsBachelor's degree, relevant certifications may be preferred
Work EnvironmentStrategic planning, overseeing utilization across departmentsOperational focus, managing daily utilization activities
Industry UsageCommon in healthcare, insurance, and staffing agenciesTypically found in healthcare and staffing industries
Primary FocusSetting policies and strategies for optimal resource useImplementing utilization policies and monitoring compliance

The main difference is that the Director Of Utilization focuses on strategic planning and policy development, while the Utilization Manager handles day-to-day management and implementation of utilization practices. Both roles are essential in optimizing resource use within organizations, especially in healthcare and staffing sectors.

What are some common challenges faced by a Director of Utilization in managing resource allocation across multiple departments?

A Director of Utilization often encounters the challenge of balancing resource allocation among departments with competing priorities while ensuring compliance with regulations and organizational goals. Coordinating with clinical and administrative teams to optimize patient flow, reduce unnecessary utilization, and monitor key metrics requires strong communication and analytical skills. Additionally, adapting to shifting healthcare policies and payer requirements can add complexity to daily operations. Proactively addressing these challenges through cross-functional collaboration and continuous process improvement is key to success in this role.

What are the key skills and qualifications needed to thrive as a Director of Utilization, and why are they important?

To thrive as a Director of Utilization, you need in-depth knowledge of utilization management, healthcare regulations, and clinical review processes, typically supported by an advanced degree in healthcare or nursing and relevant licensure. Familiarity with utilization management software, electronic health records (EHRs), and data analysis tools is essential for overseeing workflow and compliance. Strong leadership, communication, and critical thinking skills help in guiding teams, collaborating with providers, and making complex decisions. These competencies are crucial to ensure efficient resource use, regulatory compliance, and optimal patient care outcomes.

What jobs pay 500,000 a year in the US?

High-level executive roles such as Chief Executive Officers, Chief Financial Officers, and other C-suite positions often have annual compensation exceeding $500,000, especially in large corporations. Additionally, specialized roles like certain surgeons, investment bankers, and successful entrepreneurs can also reach or surpass this income level, often requiring advanced skills, extensive experience, and significant responsibility.
What cities are hiring for Director Of Utilization jobs? Cities with the most Director Of Utilization job openings:
What states have the most Director Of Utilization jobs? States with the most job openings for Director Of Utilization jobs include:
Director Of Utilization jobs near you
Director of Utilization

Director of Utilization

Acadia Healthcare

San Rafael, CA • On-site

$105K - $130K/yr

Full-time

Re-posted 22 days ago

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 189 frontline employees who took The Breakroom Quiz

698th of 880 rated healthcare providers

Job description

Overview
Bayside Marin can accommodate 30 residents in two high-end residential estates - 12 on the Canyon side and 18 on the Mountain side. Our staff is the heart and soul of our drug rehabilitation program. You won't find a more passionate, experienced and skilled group of professionals who work closely to ensure a personalized and empowering treatment experience for every client. We treat each client as an individual, and tailor our treatment plans to address the specific challenges that pose a threat to long-term recovery.
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This role partners closely with clinical leadership and external reviewers to ensure timely reviews, optimize reimbursement, and maintain high standards of care across the facility.
PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.
Responsibilities
ESSENTIAL FUNCTIONS:
  • Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs.
  • Conducts and oversees concurrent and retrospective reviews for all patients.
  • Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
  • Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
  • Collaborates with ancillary services in order to prevent delays in services.
  • Evaluates the UM program for compliance with regulations, policies and procedures.
  • May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.
  • Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

OTHER FUNCTIONS:
  • Perform other functions and tasks as assigned.

Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
  • Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
  • Six or more year's clinical experience with the population of the facility preferred.
  • Four or more years' experience in utilization management required.
  • Three or more years of supervisory experience required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:
  • If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.

Pay Range: $105,000 - $130,000
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHCORP
#LI-BM

What Acadia Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Acadia Healthcare logo

About Acadia Healthcare

Sourced by ZipRecruiter

Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

Facebook

View All Acadia Healthcare Jobs

Apply