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Manager Utilization Management Jobs in Idaho (NOW HIRING)

MSCCN

Care Manager (UM/UR) - Remote - Boise, ID

Boise, ID · On-site +1

$60K - $75K/yr

Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. Knowledge and experience in inpatient and/or outpatient setting. Knowledge of DSM ...

BPA Health Inc

Clinical Director

Boise, ID · On-site

$76K - $103K/yr

Utilization Management Provide behavioral health consultation for UM. Review behavioral health criteria. Monitor consistency of behavioral health decisions. Support appeals analysis and improvement.

BPA Health Inc

Clinical Director

Boise, ID · On-site

$76K - $103K/yr

Utilization Management Provide behavioral health consultation for UM. Review behavioral health criteria. Monitor consistency of behavioral health decisions. Support appeals analysis and improvement.

BPA Health Inc

Clinical Director

Boise, ID · On-site

$76K - $103K/yr

Utilization Management • Provide behavioral health consultation for UM. • Review behavioral health criteria. • Monitor consistency of behavioral health decisions. • Support appeals analysis ...

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Showing results 21-40

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Idaho

Manager Utilization Management information

See Idaho salary details

$36.7K

$85.6K

$157.6K

How much do manager utilization management jobs pay per year?

As of Sep 4, 2026, the average yearly pay for manager utilization management in Idaho is $85,632.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $103,000.00 per year, depending on experience, location, and employer.

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 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 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 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 the most commonly searched types of Utilization Management jobs in Idaho?

The most popular types of Utilization Management jobs in Idaho are:

What are popular job titles related to Manager Utilization Management jobs in Idaho?

For Manager Utilization Management jobs in Idaho, the most frequently searched job titles are:

What job categories do people searching Manager Utilization Management jobs in Idaho look for?

The top searched job categories for Manager Utilization Management jobs in Idaho are:

What cities in Idaho are hiring for Manager Utilization Management jobs?

Cities in Idaho with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Idaho as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 100% In-person job distribution, with an average salary of $85,632 per year, or $41.2 per hour.

Utilization Management Nurse - St. Luke's Health Plan

St. Luke's Health System

Boise, ID • On-site

Full-time

Medical, Dental, Vision, Retirement

This job post has expired 2 days ago. Applications are no longer accepted.

St. Luke's Health System (Idaho) rating

7.6

Company rating: 7.6 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

191st of 898 rated healthcare providers

Job description

Description & Requirements
At St. Luke's Health Plan, we're on a mission to connect people with affordable, hassle-free health care. We are the only health plan in Idaho putting doctors and insurance on the same team to deliver a more efficient and quality health care experience with less stress. Join us in this bold ambitious journey. We'd love to hear from you!
St. Luke's Health Plan is a wholly-owned, not-for-profit subsidiary of St. Luke's Health System, offering health insurance coverage for individuals, families and employers across south central and southwestern Idaho. Building on more than 120 years of committed service to Idaho, St. Luke's Health Plan is on a bold and ambitious mission to redefine the coverage to care experience, removing barriers for both members and providers and creating a more seamless, hassle-free experience.
What You Can Expect:
  • Responsible for reviewing and assessing requests for medical procedures, treatments, services, and inpatient admissions to ensure they meet medical necessity criteria
  • Timely and accurate review of preauthorization requests, facilitating the best possible care for St. Luke's Health Plan members while managing healthcare costs
  • Fully benefitted position with hospital contributions
  • Hybrid Work Schedule-3 days at home, 2 days on site
  • Monday-Friday 8-4:30
  • One Saturday coverage per year

Qualifications:
  • Education: Bachelor of Science in Nursing (BSN) or Associates of Nursing Degree
  • Experience: 3 years relevant experience (BSN) or 5 years relevant experience (ASN)
  • Licenses/Certifications: Current RN licensure in Idaho

UM experience and Medicare Advantage plan preferred
What's In It For You
At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.

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