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Manager Utilization Management Jobs in Michigan (NOW HIRING)

Ambition 24Hours Inc

Director Case Management

Detroit, MI · On-site

$103K - $155K/yr

... hospital utilization management, transition management, care coordination, and operational ... leadership within a high-volume acute care hospital setting. This role is responsible for driving ...

Corewell Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...

Spectrum Health

RN Care Coordinator

Royal Oak, MI · On-site

Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...

Corewell Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...

Spectrum Health

RN Care Coordinator

Grosse Pointe, MI · On-site

Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...

Corewell Health

RN Care Coordinator

Royal Oak, MI · On-site

Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...

TH Medical

Director - Case Management

Detroit, MI · On-site

Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination ...

Spectrum Health

RN Care Coordinator

Royal Oak, MI

Has accountability for the care coordination and discharge planning of all hospitalized patients. 1. Identifies patients that need care management services (i.e. utilization review; care coordination ...

Corewell Health

RN Care Coordinator

Royal Oak, MI

Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...

Corewell Health

RN Care Coordinator

Royal Oak, MI · On-site

Has accountability for the care coordination and discharge planning of all hospitalized patients. 1. Identifies patients that need care management services (i.e. utilization review; care coordination ...

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All JobsManager Utilization Management JobsManager Utilization Management Jobs in Michigan

Manager Utilization Management information

See Michigan salary details

$34K

$79.3K

$146K

How much do manager utilization management jobs pay per year?

As of Jun 14, 2026, the average yearly pay for manager utilization management in Michigan is $79,325.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,900.00 and $95,400.00 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 Michigan? The most popular types of Utilization Management jobs in Michigan are:
What are popular job titles related to Manager Utilization Management jobs in Michigan? For Manager Utilization Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Michigan look for? The top searched job categories for Manager Utilization Management jobs in Michigan are:
What cities in Michigan are hiring for Manager Utilization Management jobs? Cities in Michigan with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Michigan 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 $79,325 per year, or $38.1 per hour.

Director Case Management

Ambition 24Hours Inc

Detroit, MI • On-site

$103K - $155K/yr

Contractor

Posted 8 days ago

Job description

───────────────────────────
Director Case Management – Full-Time
───────────────────────────

┌─────────────────────────┐
Location: Detroit, Michigan
Setting: Acute Care Hospital
Employment Type: Full-Time
Experience Level: Director Level
└─────────────────────────┘

┌─────────────────────────┐
Guaranteed Hours
40 hours per week

Estimated Pay Rate
$103,000 – $155,000 annually
└─────────────────────────┘

┌─────────────────────────┐
Shift Information
Number of Shifts: 5 shifts per week
Shift Start Time: 08:00 AM
Shift End Time: 05:00 PM
└─────────────────────────┘

┌─────────────────────────┐
Job Overview
└─────────────────────────┘

We are seeking an experienced Director of Case Management to oversee hospital utilization management, transition management, care coordination, and operational leadership within a high-volume acute care hospital setting. This role is responsible for driving performance improvement, ensuring compliance with regulatory standards, and optimizing patient throughput and resource utilization.

The Director will lead multidisciplinary teams to ensure safe, efficient, and timely patient care delivery while supporting revenue cycle integrity, denial prevention, and hospital operational effectiveness.

┌─────────────────────────┐
Key Responsibilities
└─────────────────────────┘

• Oversee Case Management Department operations and staffing
• Lead utilization management and medical necessity review processes
• Ensure compliance with CMS regulations and Joint Commission standards
• Manage patient transition planning and discharge coordination
• Monitor patient throughput, avoidable days, and length of stay metrics
• Implement performance improvement and quality initiatives
• Provide physician and staff education on utilization and documentation
• Coordinate care across interdisciplinary hospital teams
• Support revenue cycle processes and denial prevention efforts
• Ensure regulatory compliance across all case management functions
• Develop departmental goals, policies, and operational procedures
• Participate in audits, compliance reviews, and reporting initiatives

┌─────────────────────────┐
Requirements
└─────────────────────────┘

• Bachelor’s degree in Nursing or health-related field (or equivalent experience) OR Master’s in Social Work (MSW)
• Active RN or LCSW/LMSW license in applicable state(s)
• 3–5 years of acute hospital case management leadership experience
• Hospital case management experience required