The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Managing denial and/or appeal escalations and communicating delays to the Director, Utilization Management Compliance. * Working closely with the Director, Utilization Management Compliance to ...
Posted today
Quick apply
Managing denial and/or appeal escalations and communicating delays to the Director, Utilization Management Compliance. * Working closely with the Director, Utilization Management Compliance to ...
Posted today
Utilization Management Nurse
Dalton, GA · On-site
Job Title Utilization Management Nurse The Utilization Management Nurse performs comprehensive ... Seek the advice of the Medical Director when appropriate, according to policy. * Assists non ...
Utilization Management Nurse
Dalton, GA · On-site
Job Title Utilization Management Nurse The Utilization Management Nurse performs comprehensive ... Seek the advice of the Medical Director when appropriate, according to policy. * Assists non ...
Job Summary The Director of Utilization Management (UM) is responsible for leading and managing the Utilization Management (UM) functions at Northeast Georgia Medical Center. This position plays a ...
Job Summary The Director of Utilization Management (UM) is responsible for leading and managing the Utilization Management (UM) functions at Northeast Georgia Medical Center. This position plays a ...
Job Summary The Director of Utilization Management (UM) is responsible for leading and managing the Utilization Management (UM) functions at Northeast Georgia Medical Center. This position plays a ...
Job Summary The Director of Utilization Management (UM) is responsible for leading and managing the Utilization Management (UM) functions at Northeast Georgia Medical Center. This position plays a ...
RN Executive Director of Utilization Management and CDI Gainesville, GA As the Executive Director of Utilization Management/CDI, you'll lead efforts to connect clinical excellence with financial ...
Quick apply
RN Executive Director of Utilization Management and CDI Gainesville, GA As the Executive Director of Utilization Management/CDI, you'll lead efforts to connect clinical excellence with financial ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Seek the advice of the Medical Director when appropriate, according to policy. Assists non-clinical ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Seek the advice of the Medical Director when appropriate, according to policy. Assists non-clinical ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Medical Director when appropriate, according to policy. • Assists non-clinical staff in ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Medical Director when appropriate, according to policy. • Assists non-clinical staff in ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Medical Director when appropriate, according to policy. • Assists non-clinical staff in ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Medical Director when appropriate, according to policy. • Assists non-clinical staff in ...
Senior Director Clinical Quality and Policy
Alpharetta, GA · On-site
$78K - $106K/yr
This leader will be accountable for key clinical functions including Utilization Management ... The Senior Director brings strong clinical credibility, policy expertise, business acumen, and ...
Senior Director Clinical Quality and Policy
Alpharetta, GA · On-site
$78K - $106K/yr
This leader will be accountable for key clinical functions including Utilization Management ... The Senior Director brings strong clinical credibility, policy expertise, business acumen, and ...
Senior Director Clinical Quality and Policy
Alpharetta, GA · On-site
$78K - $106K/yr
This leader will be accountable for key clinical functions including Utilization Management ... The Senior Director brings strong clinical credibility, policy expertise, business acumen, and ...
Senior Director Clinical Quality and Policy
Alpharetta, GA · On-site
$78K - $106K/yr
This leader will be accountable for key clinical functions including Utilization Management ... The Senior Director brings strong clinical credibility, policy expertise, business acumen, and ...
Assists with utilization management reporting, data collection, and performance improvement ... Maintains professional competency through ongoing education and self-directed learning. 24.
Assists with utilization management reporting, data collection, and performance improvement ... Maintains professional competency through ongoing education and self-directed learning. 24.
Assists with utilization management reporting, data collection, and performance improvement ... Maintains professional competency through ongoing education and self-directed learning. 24.
Assists with utilization management reporting, data collection, and performance improvement ... Maintains professional competency through ongoing education and self-directed learning. 24.
Assists with utilization management reporting, data collection, and performance improvement ... Maintains professional competency through ongoing education and self-directed learning. * Maintains ...
Assists with utilization management reporting, data collection, and performance improvement ... Maintains professional competency through ongoing education and self-directed learning. * Maintains ...
Utilization Management Representative Lead (Columbus, GA) Utilization Management Representative ... Handles complex situations and ensures UM Reps are directed to the appropriate resources to resolve ...
Utilization Management Representative Lead (Columbus, GA) Utilization Management Representative ... Handles complex situations and ensures UM Reps are directed to the appropriate resources to resolve ...
Utilization Management Representative Lead (Columbus, GA) Utilization Management Representative ... Handles complex situations and ensures UM Reps are directed to the appropriate resources to resolve ...
New
Utilization Management Representative Lead (Columbus, GA) Utilization Management Representative ... Handles complex situations and ensures UM Reps are directed to the appropriate resources to resolve ...
New
Director Utilization Management information
See Georgia salary details
$15.2K - $20.3K
1% of jobs
$20.3K - $25.3K
3% of jobs
$25.3K - $30.4K
11% of jobs
$33.7K is the 25th percentile. Wages below this are outliers.
$30.4K - $35.5K
16% of jobs
$35.5K - $40.5K
15% of jobs
The median wage is $42.1K / yr.
$40.5K - $45.6K
16% of jobs
$49.8K is the 75th percentile. Wages above this are outliers.
$45.6K - $50.7K
17% of jobs
$50.7K - $55.7K
9% of jobs
$55.7K - $60.8K
7% of jobs
$60.8K - $65.9K
3% of jobs
$65.9K - $70.9K
2% of jobs
$15.2K
$44.2K
$70.9K
How much do director utilization management jobs pay per year?
What is a director utilization management?
A Director of Utilization Management oversees the review and approval of medical services to ensure they are necessary, efficient, and cost-effective. They develop strategies to improve care quality while managing healthcare costs, working closely with providers, payers, and regulatory bodies. Their responsibilities include policy development, compliance with healthcare regulations, and leading a team of utilization review professionals. This role is common in hospitals, insurance companies, and managed care organizations.
What are the typical daily responsibilities of a director utilization management?
A Director Utilization Management generally oversees a team responsible for reviewing patient care to ensure appropriate resource use and compliance with payer requirements. Daily tasks may include analyzing utilization data, developing policy and process improvements, collaborating with clinical and administrative staff, and addressing escalated cases or issues. Directors frequently attend strategy meetings, conduct staff training, and engage with external partners like insurance providers. This role requires balancing administrative oversight with hands-on problem solving to support both cost efficiency and quality patient care.
What are the key skills and qualifications needed to thrive in the director utilization management position, and why are they important?
To thrive as a Director Utilization Management, you need a strong background in healthcare administration, case management, and data-driven decision-making, often supported by a clinical degree and several years of management experience. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM or ACM are typically valued. Exceptional leadership, communication, and problem-solving skills distinguish top performers in this role. These competencies are vital for optimizing resource use, ensuring regulatory compliance, and leading teams to meet quality care standards.
What does a director of utilization management do?
What are the most commonly searched types of Utilization Management jobs in Georgia?
The most popular types of Utilization Management jobs in Georgia are:
What are popular job titles related to Director Utilization Management jobs in Georgia?
For Director Utilization Management jobs in Georgia, the most frequently searched job titles are:
- Entry Level Utilization Management Nurse
- Remote Utilization Management
- Director Nursing Magnet Program
- Care Network Healthcare Management Group
- Executive Director Of Nursing
- Hospice Care Cna
- Independent Contractor Remote Utilization Management Nurse
- Cigna Medical Director
- Utilization Management Nurse
- Assistant Director Healthcare
What job categories do people searching Director Utilization Management jobs in Georgia look for?
The top searched job categories for Director Utilization Management jobs in Georgia are:
What cities in Georgia are hiring for Director Utilization Management jobs?
Cities in Georgia with the most Director Utilization Management job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 27 days ago
Universal Health Services rating
6.9
Based on 254 frontline employees who took The Breakroom Quiz
456th of 891 rated healthcare providers
Job description
Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Director of Utilization Review to add to our growing team.
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community.
Job Duties/Responsibilities:
- Working manager who oversees the Utilization Review coordinators
- Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
- Authorizing entities to ensure initial precertification and continued authorization is achieved
- Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)
Benefit Highlights:
- Referral Bonus Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: uhsguest.com
About Universal Health Services:
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Education and Experience:
- Masters Degree in nursing, social work, mental health counseling, or related field
- Minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting
- Including one year of managing a related function preferred
- Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities
Certifications, License, Registration:
Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications:Education and Experience:
- Masters Degree in nursing, social work, mental health counseling, or related field
- Minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting
- Including one year of managing a related function preferred
- Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities
Certifications, License, Registration:
Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US