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Manager Utilization Management Jobs in Tennessee

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Manager Utilization Management information

See Tennessee salary details

$35.4K

$82.6K

$152K

How much do manager utilization management jobs pay per year?

As of Aug 7, 2026, the average yearly pay for manager utilization management in Tennessee is $82,603.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $99,400.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a manager utilization management?

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 Tennessee? The most popular types of Utilization Management jobs in Tennessee are:
What are popular job titles related to Manager Utilization Management jobs in Tennessee? For Manager Utilization Management jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Tennessee look for? The top searched job categories for Manager Utilization Management jobs in Tennessee are:
What cities in Tennessee are hiring for Manager Utilization Management jobs? Cities in Tennessee with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Tennessee as of August 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $82,603 per year, or $39.7 per hour.

Assistant-Case Management

Baptist Memorial Health Care Corporation

Memphis, TN

Full-time

Re-posted 25 days ago

Baptist Memorial Health Care rating

7.2

Company rating: 7.2 out of 10

Based on 112 frontline employees who took The Breakroom Quiz

347th of 887 rated healthcare providers

Job description

Job Summary

Provides assistance to the case management and social work staff on an ongoing basis. Communicates, coordinates, disseminates information with team members for care coordination. Performs other duties as assigned.

Responsibilities

  • Communicates with Case Managers and Social Workers to optimize the utilization/case management processes.
  • Prioritizes daily activities to facilitate the utilization/case management processes.
  • Participates in discharge planning activities in collaboration with Case Managers/Social Workers.
  • Other duties as assigned.
  • Completes assigned goals.

Specifications

Experience

Minimum Required

Preferred/Desired

  • Two (2) to five (5) years experience in utilization management; medical office or other hospital department.

Education

  • High School Diploma Skill in communicating clearly and effectively using standard English language (verbal and written) to achieve high productivity, efficiency, and accuracy to complete job requirements.

Minimum Required

  • High School Diploma Skill in communicating clearly and effectively using standard English language (verbal and written) to achieve high productivity, efficiency, and accuracy to complete job requirements.

Preferred/Desired

  • Based on hospital complexity a LPN or BSW could serve in role. Skill in communicating clearly and effectively using standard English language (verbal and written) to achieve high productivity, efficiency, and accuracy to complete job requirements.

Training

Minimum Required

Preferred/Desired

Special Skills

  • Ability to be organized and prioritize workload. Efficiencies in Microsoft Office Software. Ability to work well with teams.

Minimum Required

  • Ability to be organized and prioritize workload. Efficiencies in Microsoft Office Software. Ability to work well with teams.

Preferred/Desired

  • Ability to be organized and prioritize workload. Efficiencies in Microsoft Office Software. Ability to work well with teams.

Licensure

Minimum Required

Preferred/Desired

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Baptist Memorial logo

About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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