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 ...
New
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 ...
New
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 ...
New
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 ...
New
UTILIZATION MANAGEMENT CLINICIAN
Muskegon, MI · On-site
$34.40 - $43.34/hr
Medical
Dental
Vision
Life
PTO
ENVIRONMENTAL CONDITIONS A Utilization Management Clinician generally works at the various ... Inquiries should be directed to the County Human Resources Department. PURPOSE The purpose of this ...
New
UTILIZATION MANAGEMENT CLINICIAN
Muskegon, MI · On-site
$34.40 - $43.34/hr
Medical
Dental
Vision
Life
PTO
ENVIRONMENTAL CONDITIONS A Utilization Management Clinician generally works at the various ... Inquiries should be directed to the County Human Resources Department. PURPOSE The purpose of this ...
New
RN CLINICAL MANAGER - UTILIZATION MANAGEMENT (UM)
Saginaw, MI · On-site
Medical
Dental
Vision
Retirement
PTO
This position manages the Utilization Review Staff and ensures compliance with regulatory ... The Manager provides input to the Director of Revenue Cycle regarding daily strategic decisions ...
RN CLINICAL MANAGER - UTILIZATION MANAGEMENT (UM)
Saginaw, MI · On-site
Medical
Dental
Vision
Retirement
PTO
This position manages the Utilization Review Staff and ensures compliance with regulatory ... The Manager provides input to the Director of Revenue Cycle regarding daily strategic decisions ...
Director Case Management
Detroit, MI · On-site
$103K - $155K/yr
Director Level └─────┘ ┌─────┐ Guaranteed Hours 40 hours per week ... Lead utilization management and medical necessity review processes * Ensure compliance with CMS ...
Quick apply
Director Case Management
Detroit, MI · On-site
$103K - $155K/yr
Director Level └─────┘ ┌─────┐ Guaranteed Hours 40 hours per week ... Lead utilization management and medical necessity review processes * Ensure compliance with CMS ...
Utilization Review Manager
Medical
Dental
Vision
Life
Retirement
PTO
... directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the ...
Utilization Review Manager
Medical
Dental
Vision
Life
Retirement
PTO
... directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the ...
Utilization Review Manager
Medical
Dental
Vision
Life
Retirement
PTO
... directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the ...
Utilization Review Manager
Medical
Dental
Vision
Life
Retirement
PTO
... directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the ...
Utilization Review Manager
Grand Rapids, MI · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the ...
Utilization Review Manager
Grand Rapids, MI · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... This is a direct service provided to open cases of all consumer populations where training of ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... This is a direct service provided to open cases of all consumer populations where training of ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... This is a direct service provided to open cases of all consumer populations where training of ...
The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA ... This is a direct service provided to open cases of all consumer populations where training of ...
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.
New
Assists with utilization management reporting, data collection, and performance improvement ... Maintains professional competency through ongoing education and self-directed learning. 24.
New
Summary Description Oversees hospital utilization performance improvement and operational ... Integrates national standards for case management scope of services including: • Utilization ...
Summary Description Oversees hospital utilization performance improvement and operational ... Integrates national standards for case management scope of services including: • Utilization ...
Director - Case Management
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Management supporting medical necessity and denial prevention Transition Management ... As directed, implements external and internal audit recommendations. POSITION SPECIFIC ...
Director - Case Management
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Management supporting medical necessity and denial prevention Transition Management ... As directed, implements external and internal audit recommendations. POSITION SPECIFIC ...
Director - Case Management
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Management supporting medical necessity and denial prevention Transition Management ... As directed, implements external and internal audit recommendations. POSITION SPECIFIC ...
Director - Case Management
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Management supporting medical necessity and denial prevention Transition Management ... As directed, implements external and internal audit recommendations. POSITION SPECIFIC ...
Director - Case Management
Detroit, MI · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Integrates national standards for case management scope of services including: • Utilization ... As directed, implements external and internal audit recommendations. POSITION SPECIFIC ...
Director - Case Management
Detroit, MI · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Integrates national standards for case management scope of services including: • Utilization ... As directed, implements external and internal audit recommendations. POSITION SPECIFIC ...
Goal-directed and well organized * High level of dependability and accuracy * Ability to work ... Utilization Management * Revenue cycle operations * Denials management * Length of stay improvement ...
Goal-directed and well organized * High level of dependability and accuracy * Ability to work ... Utilization Management * Revenue cycle operations * Denials management * Length of stay improvement ...
Goal-directed and well organized * High level of dependability and accuracy * Ability to work ... Utilization Management * Revenue cycle operations * Denials management * Length of stay improvement ...
Goal-directed and well organized * High level of dependability and accuracy * Ability to work ... Utilization Management * Revenue cycle operations * Denials management * Length of stay improvement ...
Utilization Management Services Rep I
Dewitt, MI · On-site
$13.50 - $18.25/hr
Medical
Dental
Retirement
Summary: This position supports the Utilization Management (UM) workflows by providing ... Assists Medical Directors with scheduling Fair Hearings. * Assists with coordinating Grievance and ...
Utilization Management Services Rep I
Dewitt, MI · On-site
$13.50 - $18.25/hr
Medical
Dental
Retirement
Summary: This position supports the Utilization Management (UM) workflows by providing ... Assists Medical Directors with scheduling Fair Hearings. * Assists with coordinating Grievance and ...
... overseeing utilization management activities that support the delivery of medically necessary ... The Local Care Management Lead will work with the Director of Clinical Quality to support ...
Quick apply
... overseeing utilization management activities that support the delivery of medically necessary ... The Local Care Management Lead will work with the Director of Clinical Quality to support ...
Director Utilization Management information
See Michigan salary details
$15.7K - $20.9K
1% of jobs
$20.9K - $26.1K
3% of jobs
$26.1K - $31.4K
11% of jobs
$34.8K is the 25th percentile. Wages below this are outliers.
$31.4K - $36.6K
16% of jobs
$36.6K - $41.8K
15% of jobs
The median wage is $43.4K / yr.
$41.8K - $47.1K
16% of jobs
$51.4K is the 75th percentile. Wages above this are outliers.
$47.1K - $52.3K
17% of jobs
$52.3K - $57.5K
9% of jobs
$57.5K - $62.8K
7% of jobs
$62.8K - $68K
3% of jobs
$68K - $73.2K
2% of jobs
$15.7K
$45.6K
$73.2K
How much do director utilization management jobs pay per year?
As of Aug 16, 2026, the average yearly pay for director utilization management in Michigan is $45,603.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,900.00 and $52,300.00 per year, depending on experience, location, and employer.
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 are the most commonly searched types of Utilization Management jobs in Michigan?
The most popular types of Utilization Management jobs in Michigan are:
What are popular job titles related to Director Utilization Management jobs in Michigan?
For Director Utilization Management jobs in Michigan, the most frequently searched job titles are:
- Executive Director Of Nursing
- Work From Home No Experience Utilization Management Nurse
- Director Nursing Magnet Program
- Independent Contractor Remote Utilization Management Nurse
- Care Network Healthcare Management Group
- Remote Utilization Management
- Hospice Care Cna
- Executive Director Healthcare
- Remote Utilization Management Nurse
- Flexible Cvs Utilization Management Nurse
What job categories do people searching Director Utilization Management jobs in Michigan look for?
The top searched job categories for Director Utilization Management jobs in Michigan are:
What cities in Michigan are hiring for Director Utilization Management jobs?
Cities in Michigan with the most Director Utilization Management job openings:
Acadia Healthcare rating
6.2
Based on 190 frontline employees who took The Breakroom Quiz
701st of 887 rated healthcare providers
Job description
Overview
PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.
Responsibilities
ESSENTIAL FUNCTIONS:
OTHER FUNCTIONS:
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
LICENSES/DESIGNATIONS/CERTIFICATIONS:
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.
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.
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.
What Acadia Healthcare employees say
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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