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Director Utilization Management Jobs in Hawaii (NOW HIRING)

Altais, Inc.

Per Diem Medical Director

Honolulu, HI · On-site

  • Medical

The Medical Director of Utilization and Medical Management will report directly to the Senior Medical Director with a dotted line to the Chief Officer for Health and Innovation, and work closely with ...

AlohaCare

Medical Director

Honolulu, HI · On-site

$151.54 - $185.98/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Provides medical leadership of all utilization management, cost containment, and medical quality ... Assists Director, Behavioral Health in planning and establishing goals and policies to improve ...

AlohaCare

Medical Director

Honolulu, HI

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Provides medical leadership of all for utilization management, cost containment, and medical ... Assists Director, Behavioral Health in planning and establishing goals and policies to improve ...

AlohaCare

Medical Director

Honolulu, HI

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Provides medical leadership of all for utilization management, cost containment, and medical ... Assists Director, Behavioral Health in planning and establishing goals and policies to improve ...

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Director Utilization Management information

See Hawaii salary details

$18.7K

$54.4K

$87.3K

How much do director utilization management jobs pay per year?

As of Aug 13, 2026, the average yearly pay for director utilization management in Hawaii is $54,360.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,600.00 and $62,300.00 per year, depending on experience, location, and employer.

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 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 most commonly searched types of Utilization Management jobs in Hawaii?

The most popular types of Utilization Management jobs in Hawaii are:

What are popular job titles related to Director Utilization Management jobs in Hawaii?

For Director Utilization Management jobs in Hawaii, the most frequently searched job titles are:

What job categories do people searching Director Utilization Management jobs in Hawaii look for?

The top searched job categories for Director Utilization Management jobs in Hawaii are:

Director Utilization Management jobs near you
Infographic showing various Director Utilization Management job openings in Hawaii as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $54,360 per year, or $26.1 per hour.

RN - Utilization Management

Spectrum Healthcare Resources

Honolulu, HI • On-site

Other

Posted 10 days ago

Job description


Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our Nation's Active Duty and eligible retirees.
The Nurse will be working remotely Monday through Friday, 8 hours per day.
Requirements
  • Bachelors Nursing Degree
  • At least one active state nurse license, preferably compact state licensure
  • At least 2 years' experience working as a UMRN, preferably in a remote or hybrid environment.
  • Possess current certification in either
    • Completion of an accredited Certified Professional Utilization Review (CPUR) program
    • Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.

-OR-
  • Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years. Notwithstanding the aforementioned experience requirements, the HCWs must have pertinent clinical experience within the past two (2) years sufficient to demonstrate current clinical competency for the setting and procedures required by this contract.
  • Highly organized, self-directed worker able to function in a high-volume environment without distractions.
  • Strong verbal and written communication skills.
  • Proficient level of experience with Microsoft Office applications and strong technical aptitude.
  • Must have access to secure, high speed internet.

Company Overview:
Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans
Location : Location
US-HI-Honolulu
Recruiter : Full Name: First Last
Joseph Day
Direct phone number
314-744-4138
Recruiter : Email
joseph_day@spectrumhealth.com
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About Spectrum Healthcare Resources

Sourced by ZipRecruiter

Spectrum is a leading organization that provides program management and physician and clinical staffing services to United States Military Treatment Facilities, VA Clinics and Federal Agencies. We are dedicated to the markets we serve, leading our organization’s experience for almost three decades.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Saint Louis, MO, US

Year founded

1988

Social media

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