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Manager Utilization Management Jobs in Minnesota

Integrated Resources INC

Care Manager

Eagan, MN · On-site

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

Jobtailor

Care Manager, RN

Virginia, MN · On-site

$85 - $100/hr

Audit patient charts of delegated case management programs to meet accreditation standards. * Connect members with in-network providers and resources. * Assist in utilization management reviews and ...

Mercy

RN Care Manager - Part Time, Days

Anoka, MN · On-site

Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...

Mercy

RN Care Manager I-IPCM

Anoka, MN · On-site

Care Management or Utilization Management experience, preferred Licensure: Current License in the state of employment, required Certifications: BLS (CPR) at hire date, required, or within 90 days of ...

Pharmacy Careers

Formulary Management Pharmacist

Saint Paul, MN · On-site

$58.75 - $70.50/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

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Showing results 21-40

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Minnesota

Manager Utilization Management information

See Minnesota salary details

$38.2K

$89.1K

$164.1K

How much do manager utilization management jobs pay per year?

As of Aug 23, 2026, the average yearly pay for manager utilization management in Minnesota is $89,138.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,300.00 and $107,200.00 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 Minnesota?

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

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

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

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

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

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

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

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Minnesota as of August 2026, with employment types broken down into 84% Full Time, and 16% Contract. Highlights an 100% In-person job distribution, with an average salary of $89,138 per year, or $42.9 per hour.

Care Manager

Integrated Resources INC

Eagan, MN • On-site

Contractor

Re-posted 8 days ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

!!!!!THIS IS A HIGH PRIORITY TO FILL POSITION!!!!!

Location: Eagan MN 55121

This is a TEMP-TO-PERM Care Manager position.

This is an inbound telephonic position and the selected candidate will manager about 25 calls/day. 

The majority of the calls are from providers and the other calls are from members and their family members. 

The selected candidate will have 1-2 years of Managed Care/Clinical Review experience and 3-5 clinical experience. 

There are 55 people on this team and it is divided into 3 clusters. 

The training will be web based and it will be about 2-3 weeks long. 

The hours will be from 8am - 5pm. The selected candidate MUST be comfortable with navigating through multiple systems and comfortable with Outlook, Instant Messenger and Email. 

Qualifications

These positions require a Masters Degree and a LCSW or LCPC license.

Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers. 

Knowledge and experience in inpatient setting. Knowledge of DSM V or most current diagnostic edition. Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

Additional Information

Kind Regards,

Kavita Kumari

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - 732-844-8726

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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