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Manager Utilization Management Jobs in Louisiana

Baptistjax

Baptist Jacksonville is currently hiring for a PRN Utilization Management Nurse to join our Baptist Downtown Location here in the Jacksonville, FL area. This is a PRN role with flexible scheduling ...

Oceans Healthcare

Director of Utilization Review

Shreveport, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position oversees all aspects and daily processes of the Utilization Management department. Conducts audits of all medical records to ensure criteria for admission and continued stay are met and ...

Memorial Hermann

Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for coordinating the use systems and processes for care/utilization management at the ...

Memorial Hermann

$17 - $22/hr

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Memorial Hermann

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Memorial Hermann

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Louisiana

Manager Utilization Management information

See Louisiana salary details

$33.4K

$77.8K

$143.2K

How much do manager utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for manager utilization management in Louisiana is $77,826.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,900.00 and $93,600.00 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 Louisiana?

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

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

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

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

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

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

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

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Louisiana as of August 2026, with employment types broken down into 90% Full Time, 6% Part Time, and 4% Contract. Highlights an 100% In-person job distribution, with an average salary of $77,826 per year, or $37.4 per hour.

Utilization Management Nurse, PRN, Downtown

Baptistjax

Per diem

Posted 12 days ago

Job description

About Baptist Health
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.

Baptist Jacksonville is currently hiring for a PRN Utilization Management Nurse to join our Baptist Downtown Location here in the Jacksonville, FL area. This is a PRN role with flexible scheduling opportunities

As a Utilization Management Nurse, you will be responsible for:

  • Concurrent monitoring of patient record documentation to verify the need for hospitalization, the appropriate utilization of resources and assist with documentation improvement

  • Responsible for ensuring that the UR Plan is carried out in accordance with all QIO/PRO mandates and government regulations

  • Provides utilization information to commercial carriers per contractual arrangement

  • Assists with discharge planning and case management activities

Experience Requirements:

  • 3-5 Years - Case Management - Required

Education & Credential Requirements:

  • Associates Degree - Required

Primary Location:

Downtown - Howard Building

Apply