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Manager Utilization Management Jobs in Kentucky (NOW HIRING)

Select Medical

Case Manager - PRN

Bowling Green, KY · On-site

$44/hr

  • Life

  • Retirement

... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...

Covelo Direct LLC

Medical Director

Louisville, KY

  • Medical

  • Retirement

  • PTO

Oversee utilization management, hospitalizations, specialty referrals, and post-acute care services * Supervise, mentor, and evaluate employed providers * Partner with operational, compliance ...

Humana

Compliance UM Nurse (Wed - Sun)

Frankfort, KY · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...

Intermountain Health

Medical Director Physician

Murray, KY · On-site

$332K - $377K/yr

The Medical Director of Utilization Management/Care Management, reporting directly to the Chief Medical Officer, leads the UM and CM functions for Select Health from a clinical perspective, ensuring ...

ScionHealth

Case Manager II

Louisville, KY · On-site

Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and ...

Direct Jobs

Physician (Medical Director)

Florence, KY · On-site

$180 - $240/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Participate in all required utilization management/quality management activities to monitor preadmission screening and utilization performance measures. * Provide or assist primary‑care providers ...

DSV A/S

Manager - Operations

Florence, KY · On-site

Planning of inbound and outbound volume, customer communication activities, space utilization & management, and equipment management. People management responsibilities include hiring and training ...

Bcbsa

Director, Trade Client Relations

Shelbyville, KY · Remote

$155K - $175K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies

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Showing results 41-60

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Kentucky

Manager Utilization Management information

See Kentucky salary details

$33.9K

$79K

$145.5K

How much do manager utilization management jobs pay per year?

As of Aug 13, 2026, the average yearly pay for manager utilization management in Kentucky is $79,046.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,700.00 and $95,100.00 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?

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 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 Kentucky?

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

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

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

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

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

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

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

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $79,046 per year, or $38 per hour.

Case Manager - PRN

Select Medical

Bowling Green, KY • On-site

$44/hr

Per diem

Life, Retirement

Posted 7 days ago

Job description

Hospital Name: Southern Kentucky Rehabilitation Hospital
Joint venture/Partnership/Affiliation with Select Medical
Position: Case Manager
Location: Bowling Green, KY
Schedule: Per Diem
Compensation: $44.00 per Hour

Our Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas.

Why Join Us:

  • Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
  • Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
  • Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members.  Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. 
  • Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the discharge planning process.

  • The primary job functions in Case Management include:
  • Clinical Interventions/Discharge Planning
  • Care Planning Management
  • Fiscal Management
  • Payer/Referral Management

Minimum Qualifications

  • Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.

Preferred Qualifications

  • Previous experience in Case Management and Discharge Planning preferred.
  • CCM Certification Preferred.

Equal Opportunity Employer/including Disabled/Veterans

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