Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Director of Utilization
Tucson, AZ · On-site
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 ...
Director of Utilization
Tucson, AZ · On-site
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 ...
... Care Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize ... Resource and Patient Management System (RPMS) or similar patient information tracking system;
... Care Utilization Manager (YMCU) works with the Executive Director of Health to plan, organize ... Resource and Patient Management System (RPMS) or similar patient information tracking system;
CSP Utilization Review Specialist/Quality Manager
Tucson, AZ · On-site
$71K/yr
Co-Chair quarterly Quality Management/Utilization Review Committee meetings. * Provide training to all staff in the area of Quality and Improvement. * Develop and implement the PYCSP Strategic Plan ...
CSP Utilization Review Specialist/Quality Manager
Tucson, AZ · On-site
$71K/yr
Co-Chair quarterly Quality Management/Utilization Review Committee meetings. * Provide training to all staff in the area of Quality and Improvement. * Develop and implement the PYCSP Strategic Plan ...
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Payer Utilization Management & Business Integration, Manager
Phoenix, AZ · On-site
$99K - $232K/yr
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Payer Utilization Management & Business Integration, Manager
Phoenix, AZ · On-site
$99K - $232K/yr
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...
Hematologist-Oncologist Senior Medical Director of Utilization Management needed to join a practice in Tucson, AZ. This position is with a group that is committed to providing quality services in ...
Hematologist-Oncologist Senior Medical Director of Utilization Management needed to join a practice in Tucson, AZ. This position is with a group that is committed to providing quality services in ...
... Management and Utilization Management programs. He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable ...
... Management and Utilization Management programs. He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable ...
... Management and Utilization Management programs. He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable ...
... Management and Utilization Management programs. He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable ...
Serve as the primary compliance liaison for Care Management and Utilization Management operations, providing strategic guidance and oversight to ensure adherence to applicable regulatory and ...
Serve as the primary compliance liaison for Care Management and Utilization Management operations, providing strategic guidance and oversight to ensure adherence to applicable regulatory and ...
Co-Chair quarterly Quality Management/Utilization Review Committee meetings. Provide training to all staff in the area of Quality and Improvement. Develop and implement the PYCSP Strategic Plan for ...
Co-Chair quarterly Quality Management/Utilization Review Committee meetings. Provide training to all staff in the area of Quality and Improvement. Develop and implement the PYCSP Strategic Plan for ...
Under the direction of the Manager or Director of Care Management, the RN Care Management ... or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas, and ...
Under the direction of the Manager or Director of Care Management, the RN Care Management ... or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas, and ...
RN Care Management Coordinator Pool
Phoenix, AZ · On-site
$49/hr
Under the direction of the Manager or Director of Care Management, the RN Care Management ... or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas, and ...
RN Care Management Coordinator Pool
Phoenix, AZ · On-site
$49/hr
Under the direction of the Manager or Director of Care Management, the RN Care Management ... or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas, and ...
Manager Utilization Management information
See Arizona salary details
$36.3K - $47.2K
9% of jobs
$55.3K is the 25th percentile. Wages below this are outliers.
$47.2K - $58.1K
22% of jobs
$58.1K - $69K
11% of jobs
The median wage is $75.7K / yr.
$69K - $79.9K
14% of jobs
$79.9K - $90.8K
12% of jobs
$97.6K is the 75th percentile. Wages above this are outliers.
$90.8K - $101.7K
13% of jobs
$101.7K - $112.5K
13% of jobs
$112.5K - $123.4K
5% of jobs
$123.4K - $134.3K
2% of jobs
$134.3K - $145.2K
0% of jobs
$145.2K - $156.1K
0% of jobs
$36.3K
$84.8K
$156.1K
How much do manager utilization management jobs pay per year?
As of Jun 15, 2026, the average yearly pay for manager utilization management in Arizona is $84,812.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,400.00 and $102,000.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?
To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.
What is the difference between Manager Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.
What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?
Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.
What does a Manager of Utilization Management do?
A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What are the most commonly searched types of Utilization Management jobs in Arizona? The most popular types of Utilization Management jobs in Arizona are:
What are popular job titles related to Manager Utilization Management jobs in Arizona? For Manager Utilization Management jobs in Arizona, the most frequently searched job titles are:
- Rn Clinical Liaison
- Weekend Physician Advisor Utilization Review
- Registered Nurse No Weekends No Holidays
- Part Time Remote Utilization Review Nurse
- Nurse Case Management
- Registered Nurse Case Management
- Rn Utilization Management
- Registered Nurse Utilization Review
- Overnight Utilization Review Nurse
- Work From Home Nurse Case Management
What job categories do people searching Manager Utilization Management jobs in Arizona look for? The top searched job categories for Manager Utilization Management jobs in Arizona are:
What cities in Arizona are hiring for Manager Utilization Management jobs? Cities in Arizona with the most Manager Utilization Management job openings:
Acadia Healthcare rating
6.2
Based on 185 frontline employees who took The Breakroom Quiz
693rd of 872 rated healthcare providers
Job description
Come join our team as a Director of Utilization at Sierra Tucson Behavioral Health! A place of hope and healing for individuals and families whose lives have been disrupted by medical and behavioral health challenges. Sierra Tucson is a place of peace, hope, and healing.
On our serene, 160-acre campus, experienced professionals provide integrative, evidence-based care to help adults of all genders achieve lasting recovery from addiction and mental illness. Located in the foothills of the beautiful Santa Catalina Mountains near Tucson, Arizona, the 160-acre campus offers a natural healing environment with the highest level of confidentiality, serenity, and individual respect. The secluded setting is ideal for an atmosphere of tranquility as well as safety.
PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.
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.
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 supervisoryexperience 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.
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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