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Full Time Utilization Management Jobs (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Ocklawaha, FL · On-site

$20 - $24/hr

We are looking to for a Full Time Utilization Review Specialist to join our team. The UR specialist ... Act as liaison between managed care organizations and the facility professional clinical staff.

Acadia Healthcare

Utilization Specialist

Ocklawaha, FL · On-site

$20 - $24/hr

We are looking to for a Full Time Utilization Review Specialist to join our team. The UR specialist ... Act as liaison between managed care organizations and the facility professional clinical staff.

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Full Time Utilization Management information

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$163K

How much do full time utilization management jobs pay per year?

As of Aug 3, 2026, the average yearly pay for full time utilization management in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is Utilization Management in a full-time position?

Utilization Management (UM) in a full-time role involves evaluating the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. Professionals in this field, often nurses or healthcare administrators, review patient cases, coordinate with healthcare providers, and ensure that care meets established guidelines while controlling costs. Their goal is to optimize patient outcomes by ensuring the right level of care is provided at the right time, while also helping organizations comply with regulations and insurance requirements.

What are the key skills and qualifications needed to thrive as a Full Time Utilization Management professional, and why are they important?

To thrive in Full Time Utilization Management, you need a background in healthcare (often as an RN or other clinical license), strong knowledge of medical necessity criteria, and familiarity with insurance guidelines. Expertise in case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) are typically required. Attention to detail, critical thinking, effective communication, and negotiation skills help you advocate for appropriate patient care while managing costs. These skills ensure efficient resource allocation, compliance with regulations, and optimal patient outcomes within healthcare organizations.

How does a Full Time Utilization Management role typically interact with clinical and administrative teams?

In a Full Time Utilization Management position, you will regularly collaborate with both clinical staff, such as physicians and nurses, and administrative teams, like case managers and billing specialists. Your main responsibility is to review patient care requests, ensure services are medically necessary, and coordinate approvals or denials based on established guidelines. Effective communication and teamwork are essential, as you’ll often facilitate discussions between departments to optimize patient outcomes and resource use. This collaborative environment helps you build a broad understanding of healthcare processes and strengthens your problem-solving skills.

What is the difference between Full Time Utilization Management vs Utilization Review Nurse?

AspectFull Time Utilization ManagementUtilization Review Nurse
CredentialsRN license, certifications in case management or utilization reviewRN license, certifications in utilization review or case management
Work EnvironmentTypically full-time, office-based, healthcare organizationsOften part-time or per review, hospital or insurance settings
Employer & IndustryHealth insurance companies, healthcare providersHospitals, insurance companies, third-party review organizations

Full Time Utilization Management professionals oversee the entire utilization review process, often in a full-time capacity, focusing on managing patient care and resource utilization. Utilization Review Nurses perform specific review tasks, usually on a case-by-case basis, and may work part-time or per review. Both roles require RN licensure and related certifications, but Full Time Utilization Management roles involve broader responsibilities and continuous oversight.

What cities are hiring for Full Time Utilization Management jobs? Cities with the most Full Time Utilization Management job openings:
What are the most commonly searched types of Utilization Management jobs? The most popular types of Utilization Management jobs are:
What states have the most Full Time Utilization Management jobs? States with the most job openings for Full Time Utilization Management jobs include:
Full Time Utilization Management jobs near you

Utilization Management Clerk

VitalCore Health Strategies

Lansing, MI

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 3 days ago

VitalCore Health Strategies rating

6.2

Company rating: 6.2 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Join the VitalCore Team in Michigan! We're people who are fueled by passion, not profit.


VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for full-time Utilization Management Clerk at Michigan Regional Office in Lansing, MI!

At VitalCore we pride ourselves on retaining and acquiring compassionate and dedicated individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.


UTILIZATION MANAGEMENT CLERK BENEFITS PACKAGE:

Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day

  • Medical
  • Dental
  • Vision
  • Health Savings Account
  • Life Insurance
  • Short Term/Long Term Disability
  • Identity Theft Protection
  • Pet Insurance
  • Employee Assistance Program and Discount Center
  • 401K & Plan Matching
  • Annual Incentive Bonus


UTILIZATION MANAGEMENT CLERK POSITION SUMMARY

The UTILIZATION MANAGEMENT CLERK is responsible and accountable for the maintenance of health records. The UTILIZATION MANAGEMENT CLERK organizes and maintains a system of files and records concerning diagnoses, treatments, admissions, and discharges. This position is an ONSITE position Monday-Friday.

UTILIZATION MANAGEMENT CLERK MINIMUM REQUIREMENTS

  • Ensuring compliance with health policies and confidentiality standards.
  • One (1) year experience in emergency or correctional service.
  • Good understanding of medical and pharmacological terminology.
  • Must receive a satisfactory background report.
  • CMA or CMAA certificate required

UTILIZATION MANAGEMENT CLERK ESSENTIAL FUNCTIONS

  • Retrieve medical charts for all healthcare staff and clinics as requested.
  • File all currently used medical records. Secure all active and inactive medical records.
  • Ensure that charts are counter-signed by Physician and check charts for completeness.
  • Release information at the direction of the Medical Records Supervisor, Medical Director, or Health Services Administrator.
  • Answer telephone, take messages, and makes telephone calls. Type letters, reports, and memorandums.
  • Maintain a roster or appointment book based on scheduled appointments for both on and off-site appointments.
  • Order, receive and maintain office supplies.
  • Other duties as assigned.

VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.

Keywords: Medical Records Clerk, Clerical, Correctional Facility #INDMS


Full-Time
Monday-Friday
8:00 am - 4:30 pm

PIae0b499c29ad-25405-40743700

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