... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
Manager, Utilization Management Nurse Management
El Dorado Hills, CA · On-site
$111K - $167K/yr
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
Manager, Utilization Management Nurse Management
El Dorado Hills, CA · On-site
$111K - $167K/yr
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
... Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply ...
(RN) Manager - Utilization Management - 140306
San Diego, CA · On-site
$200K/yr
DESCRIPTION The Manager of Utilization Management supervises Nurse Case Manager and Referral Coordinator staff responsible for Managed Care Utilization Management (UM), following regulatory and ...
(RN) Manager - Utilization Management - 140306
San Diego, CA · On-site
$200K/yr
DESCRIPTION The Manager of Utilization Management supervises Nurse Case Manager and Referral Coordinator staff responsible for Managed Care Utilization Management (UM), following regulatory and ...
The Utilization Management Nurse supports the delivery of high-quality, medically necessary, cost-effective, and compliant care for myPlace Health participants. This role reviews, coordinates, and ...
The Utilization Management Nurse supports the delivery of high-quality, medically necessary, cost-effective, and compliant care for myPlace Health participants. This role reviews, coordinates, and ...
The Utilization Management Nurse supports the delivery of high-quality, medically necessary, cost-effective, and compliant care for myPlace Health participants. This role reviews, coordinates, and ...
The Utilization Management Nurse supports the delivery of high-quality, medically necessary, cost-effective, and compliant care for myPlace Health participants. This role reviews, coordinates, and ...
Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
... Manager. * Support vendor evaluation and management for clinical review tools, utilization ... management platforms, medical necessity criteria, peer review vendors, case management resources ...
Quick apply
Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
... Manager. * Support vendor evaluation and management for clinical review tools, utilization ... management platforms, medical necessity criteria, peer review vendors, case management resources ...
Manager Utilization Management information
See California salary details
$38.5K - $50K
9% of jobs
$58.5K is the 25th percentile. Wages below this are outliers.
$50K - $61.5K
22% of jobs
$61.5K - $73.1K
11% of jobs
The median wage is $80.2K / yr.
$73.1K - $84.6K
14% of jobs
$84.6K - $96.1K
12% of jobs
$103.3K is the 75th percentile. Wages above this are outliers.
$96.1K - $107.7K
13% of jobs
$107.7K - $119.2K
13% of jobs
$119.2K - $130.7K
5% of jobs
$130.7K - $142.2K
2% of jobs
$142.2K - $153.8K
0% of jobs
$153.8K - $165.3K
0% of jobs
$38.5K
$89.8K
$165.3K
How much do manager utilization management jobs pay per year?
As of Aug 6, 2026, the average yearly pay for manager utilization management in California is $89,819.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,700.00 and $108,100.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a manager utilization management?
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 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 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 California? The most popular types of Utilization Management jobs in California are:
What are popular job titles related to Manager Utilization Management jobs in California? For Manager Utilization Management jobs in California, the most frequently searched job titles are:
- Weekend Physician Advisor Utilization Review
- Rn Case Management No Experience
- Rn Clinical Liaison
- Wic Rn
- No Experience Utilization Management Nurse
- Flexible Utilization Review Nurse
- Remote Telephonic Nurse
- Per Diem Utilization Review Nurse
- Work From Home Nurse Case Management
- Temporary Utilization Review Nurse
What job categories do people searching Manager Utilization Management jobs in California look for? The top searched job categories for Manager Utilization Management jobs in California are:
What cities in California are hiring for Manager Utilization Management jobs? Cities in California with the most Manager Utilization Management job openings:
Other
Re-posted 4 days ago
Job description
Your Role
The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization Management Manager will report to the Director of Utilization Management. In this role you will lead and support a team of clinicians to ensure safe, timely, and appropriate care for members. You will apply advanced clinical knowledge and proven management skills to organize work, coach staff, and manage risk. Your leadership helps drive consistent, high-quality utilization management outcomes.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
- Requires maintaining an active, unrestricted RN license in assigned states or the ability to obtain required state (in addition to primary state license) RN license within 90 days of hire
- Requires 7 years of prior relevant experience including 3 years of management experience gained as a team leader, supervisor or project/program manager
- Requires knowledge of regulatory requirements for government lines of business (Medi-Cal and Medicare)
- Bachelor of Science in Nursing or advanced degree preferred
- Demonstrated experience with basic management approaches such as work scheduling, prioritizing, coaching, process execution, work organization, inventory management, risk management and delegation
- Strong emotional intelligence skills
- Strong communication and computer navigation skills
- Strong teamwork and collaboration skills
- Strong critical thinking skills
- Independent motivation and strong work ethic
Hybrid Virtual Work
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
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