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Manager Optum Utilization Review Jobs in Calgary, AB

DMC Recruitment

Design Manager

Calgary, AB

$90K - $100K/yr

Review designs for accuracy, constructability and compliance with applicable building codes and ... Identify opportunities to improve design workflows, software utilization and departmental ...

Bosch Truck Group Inc.

Service Manager

Calgary, AB

Monitor Dedicated Customer Service and My International Dealer adoption and utilization, addressing ... Review warranty performance and financial impacts, addressing any procedural or training ...

Jobtailor

Senior Reservoir Engineer

Calgary, AB · On-site

$150 - $190/hr

... reviewed literature. * Prepare findings for internal and external audiences including non-AER ... Carbon Capture, Utilization and Storage (CCUS) * Professional Engineer (P.Eng.) * Data Management ...

New

Bosch Truck Group Inc.

Service Manager

Calgary, AB · On-site

Monitor Dedicated Customer Service and My International Dealer adoption and utilization, addressing ... Review warranty performance and financial impacts, addressing any procedural or training ...

Schindler Elevator Corporation

Branch Manager

Calgary, AB · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Support the investigation and review of major occupational incidents, worker's compensation claims ... Assure full utilization of Schindler systems and tools including compliance with established Best ...

SAIT

Manager, Restaurant Operations and Events

Calgary, AB

CA$90K - CA$110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Placement within the range is typically based upon a review of skills, experience, and internal ... Oversee budgets, labour utilization, financial performance, forecasting, and business planning for ...

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All JobsOptum Utilization Review JobsManager Optum Utilization Review JobsManager Optum Utilization Review Jobs in Calgary, AB

Manager Optum Utilization Review information

What does a manager Optum Utilization Review do?

A Manager of Optum Utilization Review oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that all reviews comply with regulatory standards, company policies, and clinical guidelines. Managers also collaborate with healthcare providers, monitor team performance, and help implement process improvements to optimize patient outcomes and resource use. Their role is vital in balancing quality patient care with cost-effective service delivery.

How does a manager Optum Utilization Review typically collaborate with clinical and non-clinical teams to ensure effective case management?

As a Manager in Optum Utilization Review, you will regularly coordinate with clinical teams such as nurses, physicians, and case managers to review patient cases for medical necessity and compliance with policies. You’ll also work closely with non-clinical staff, including data analysts and administrative professionals, to streamline workflows and support accurate documentation. Effective collaboration ensures timely decision-making, helps resolve escalated cases, and supports continuous quality improvement initiatives. This role often requires strong communication and leadership skills to align multidisciplinary teams and achieve organizational goals.

What are the key skills and qualifications needed to thrive as a manager Optum Utilization Review, and why are they important?

To thrive as a Manager, Optum Utilization Review, you need a background in healthcare management, clinical expertise (often as an RN or related field), and experience with utilization management processes. Familiarity with utilization review software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) or URAC accreditation is typically required. Strong leadership, analytical thinking, and effective communication skills help you guide teams and collaborate with providers and payers. These competencies are crucial for ensuring compliance, optimizing patient care, and achieving organizational goals in a complex healthcare environment.

What is the difference between Manager Optum Utilization Review vs Utilization Review Nurse?

AspectManager Optum Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certifications in case management or utilization reviewRegistered Nurse (RN) license, certifications in case management or utilization review
Work EnvironmentSupervises teams, manages review processes, collaborates with healthcare providersConducts patient reviews, assesses medical necessity, documents findings
Employer & Industry UsageCommon in health insurance companies, managed care organizations, healthcare providersPrimarily in hospitals, insurance companies, healthcare organizations

The main difference is that the Manager Optum Utilization Review oversees the review process and team management, while the Utilization Review Nurse focuses on conducting individual patient assessments and reviews. Both roles require nursing credentials and knowledge of healthcare policies, but the manager has additional responsibilities in leadership and process oversight.

What job categories do people searching Manager Optum Utilization Review jobs in Calgary, AB look for?

The top searched job categories for Manager Optum Utilization Review jobs in Calgary, AB are:

Manager Optum Utilization Review jobs near you
Infographic showing various Manager Optum Utilization Review job openings in Calgary, AB as of June 2026, with employment types broken down into 1% As Needed, 83% Full Time, 15% Part Time, and 1% Temporary. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution.

Operations & Logistics Manager

Sideworx Connect Inc

Calgary, AB • On-site

CA$70K - CA$90K/yr

Full-time

Re-posted 14 hours ago

Job description

Operations & Logistics Manager

Sideworx Connect Inc. Calgary, AB (Hybrid Onsite/Remote)
Full-Time | Permanent
Competitive Salary + Performance Incentives

About Sideworx Connect

Sideworx Connect is a fast-growing Alberta-based workforce solutions company specializing in skilled trades and technical staffing for the Oil & Gas, Industrial, Municipal, and Construction sectors. We help companies solve workforce shortages by providing reliable, qualified personnel on time, every time.

Our mission is to simplify the flow of people, projects, and information between our clients and their field teams while maintaining safety, quality, and efficiency across every job we touch.

Position Overview

As Operations & Logistics Manager, you'll be the central link between clients, workers, and management ensuring Sideworx runs smoothly day to day. This position oversees recruitment coordination, job placement logistics, and workforce utilization for multiple ongoing projects across Western Canada.

You'll manage overflow staffing for our existing clients, coordinate worker movement between jobs, and help drive company growth through exceptional service, organization, and communication.

Key ResponsibilitiesOperational Leadership

  • Manage day-to-day flow of field workers across multiple ongoing projects and clients.

  • Coordinate start dates, travel, accommodations, and site readiness for dispatched workers.

  • Monitor live job activity, ensuring smooth hand-offs between shifts, sites, and clients.

  • Forecast workforce needs based on upcoming work scopes and seasonal demands.

  • Maintain consistent communication with clients regarding staffing levels, performance, and scheduling changes.

Recruitment & Workforce Planning

  • Work with internal recruiters to ensure the right people are available and ready for deployment.

  • Review worker qualifications, availability, and suitability for various job types.

  • Support onboarding, orientation, and compliance confirmation prior to job starts.

  • Track utilization rates and ensure maximum efficiency across the active workforce.

Client Relations & Business Growth

  • Serve as a primary contact for key accounts, maintaining professional and timely communication.

  • Identify opportunities to fill additional roles or support client overflow needs.

  • Assist with quoting, rate negotiations, and client satisfaction follow-ups.

  • Build and maintain long-term partnerships by providing responsive, organized, and proactive service.

Administrative & Logistical Oversight

  • Maintain up-to-date records of worker assignments, job details, and client confirmations.

  • Review and verify time entries, travel logs, and project summaries for accuracy.

  • Support the preparation of payroll and invoicing documentation through clear communication and documentation.

  • Track performance metrics such as workforce utilization, turnover, and fulfillment speed.

Ideal Candidate

  • 3+ years of experience in staffing coordination, oilfield dispatching, or logistics management.

  • Strong understanding of the energy, construction, or industrial service sectors.

  • Excellent communication and multitasking skills under tight deadlines.

  • Highly organized, detail-oriented, and client-focused.

  • Leadership mindset with the ability to coach, delegate, and prioritize effectively.

Why Join Sideworx Connect

  • Play a key leadership role in a rapidly growing company with national reach.

  • Be part of a tight-knit, supportive team that values initiative and innovation.

  • Opportunities for growth into senior management as the company expands.

  • Competitive pay, performance bonuses, and a flexible hybrid schedule.