ZipRecruiter

Log In

1

Manager Utilization Management Jobs in Georgia (NOW HIRING)

LCMC Health

The Director oversees day-to-day utilization review operations, establishes standardized processes ... Provide direct oversight to UM manager and clinical review staff. * Establish productivity ...

next page

Showing results 1-20

All JobsManager Utilization Management JobsManager Utilization Management Jobs in Georgia

Manager Utilization Management information

See Georgia salary details

$32.9K

$76.8K

$141.4K

How much do manager utilization management jobs pay per year?

As of Jun 14, 2026, the average yearly pay for manager utilization management in Georgia is $76,848.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,200.00 and $92,500.00 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?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

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 Georgia? The most popular types of Utilization Management jobs in Georgia are:
What are popular job titles related to Manager Utilization Management jobs in Georgia? For Manager Utilization Management jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Georgia look for? The top searched job categories for Manager Utilization Management jobs in Georgia are:
What cities in Georgia are hiring for Manager Utilization Management jobs? Cities in Georgia with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Georgia as of June 2026, with employment types broken down into 1% As Needed, 96% Full Time, 1% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $76,848 per year, or $36.9 per hour.
Director, Utilization Management

Director, Utilization Management

Emory Healthcare

Atlanta, GA • On-site

Full-time

Posted 23 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

159th of 872 rated healthcare providers

Job description

Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, and leadership programs
  • And more

Work Location: Atlanta, GA
Description
The Director of Utilization Management plays a pivotal role in our healthcare system by overseeing and optimizing the utilization of resources and services across our organization.
Utilization management includes, but is not limited to, analyzing entrance into care environments from multiple perspectives including payors, healthcare system, patient/family, and providers; ensuring appropriate and high quality care in the most appropriate setting and most appropriate cost; analyzing the effectiveness of treatment before, during and after care delivery; and, developing relationships with and educating payors, healthcare executives, patients and families, and providers.
This position is responsible for developing and implementing utilization management strategies that align with our commitment to high quality and safe care, outstanding patient experience, cost-effectiveness, and regulatory compliance.
Strategic Planning:
  • Develop and execute utilization management strategies that align with the organization's mission, vision, and values
  • Collaborate with senior leadership to establish short-term and long-term objectives

Team Leadership:
  • Lead and manage a team of utilization management professionals, including nurses, case managers, and analysts, to ensure efficient and effective utilization of resources

Utilization Review:
  • Implement systemwide utilization review processes and policies to assess the appropriateness of healthcare services, medical treatments, and length of stay
  • Make recommendations for adjustments as needed

Quality and Process Improvement:
  • Collaborate with the Office of Quality to continuously improve care delivery processes and outcomes
  • Ensure adherence to quality standards and regulations

Operational Efficiency:
  • Develop and monitor utilization management programs that control internal and external costs without compromising the quality of care, making data-driven decisions to reduce unnecessary resource utilization

Data Analysis:
  • Utilize data and analytics to identify trends, opportunities for improvement, and areas where resource utilization can be optimized
  • Educate direct reports in utilization of data and analytics to drive performance improvement
  • Regularly report findings and recommendations to the executive team

Regulatory Compliance:
  • Stay informed about healthcare regulations and reimbursement policies, ensuring that the organization complies with all relevant laws and guidelines
  • Ensure that each direct report is aware of these and practices the same

Interdepartmental Collaboration:
  • Foster effective communication and collaboration with various departments, including medical staff, finance, nursing, and administration, to ensure seamless utilization management

Education and Training:
  • Provide training and education to staff members regarding utilization management processes, policies, and best practices

Reporting: Prepare and present regular reports to senior leadership on utilization management initiatives, outcomes, and performance indicators
Required Minimum Qualifications:
  • Masters degree in healthcare management, nursing, or a related field
  • Valid healthcare administration license or certification (e.g., Registered Nurse, Certified Professional in Healthcare Management)
  • Proven leadership experience in utilization management or a related field within the healthcare industry
  • In-depth knowledge of healthcare regulations, insurance, and reimbursement policies
  • Strong analytical, problem-solving, and data-driven decision-making skills
  • Excellent interpersonal, communication, and presentation skills
  • Ability to lead, motivate, and develop a high-performing team
  • Strong project management, process improvement, and organizational skills

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

What Emory Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply