Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when ...
Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when ...
Utilization Management Rep I
Norfolk, VA · On-site
Utilization Management RepresentativeI Virtual: This role enables associates to work virtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Utilization Management Rep I
Norfolk, VA · On-site
Utilization Management RepresentativeI Virtual: This role enables associates to work virtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Utilization Management Rep I
Roanoke, VA · On-site
Utilization Management RepresentativeI Virtual: This role enables associates to work virtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Utilization Management Rep I
Roanoke, VA · On-site
Utilization Management RepresentativeI Virtual: This role enables associates to work virtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a ...
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Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a ...
Utilization Management Representative I
Roanoke, VA · On-site
$15.75 - $21.25/hr
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I
Roanoke, VA · On-site
$15.75 - $21.25/hr
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
... Utilization Manager experience preferred Previous Managed Care experience preferred EDUCATION The minimum level of education for candidates in this position is a Bachelor's degree or equivalent ...
... Utilization Manager experience preferred Previous Managed Care experience preferred EDUCATION The minimum level of education for candidates in this position is a Bachelor's degree or equivalent ...
... Utilization Manager experience preferred Previous Managed Care experience preferred EDUCATION The minimum level of education for candidates in this position is a Bachelor's degree or equivalent ...
... Utilization Manager experience preferred Previous Managed Care experience preferred EDUCATION The minimum level of education for candidates in this position is a Bachelor's degree or equivalent ...
Utilization Management Representative I
Richmond, VA · On-site
$15.75 - $21.50/hr
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I
Richmond, VA · On-site
$15.75 - $21.50/hr
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I
Norfolk, VA · On-site
$15.50 - $21/hr
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I
Norfolk, VA · On-site
$15.50 - $21/hr
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Performs a variety of utilization and resource management activities to promote quality, clinical ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Performs a variety of utilization and resource management activities to promote quality, clinical ... manager. ESSENTIAL FUNCTIONS Performs chart review of identified patients to identify quality ...
Utilization Specialist
Williamsburg, VA · On-site
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Utilization Specialist
Williamsburg, VA · On-site
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Utilization Assistant
Williamsburg, VA · On-site
The Utilization Assistant provides support to all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of ...
Utilization Assistant
Williamsburg, VA · On-site
The Utilization Assistant provides support to all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of ...
In this position, you will ensure all utilization management and training processes are completed as needed to ensure quality services are provided. While working for NRVCS, you are subject to our ...
In this position, you will ensure all utilization management and training processes are completed as needed to ensure quality services are provided. While working for NRVCS, you are subject to our ...
In this position, you will ensure all utilization management and training processes are completed as needed to ensure quality services are provided. While working for NRVCS, you are subject to our ...
In this position, you will ensure all utilization management and training processes are completed as needed to ensure quality services are provided. While working for NRVCS, you are subject to our ...
... utilization management activities; and assists with risk management functions.
... utilization management activities; and assists with risk management functions.
Knowledge of formulary management, utilization management, and drug pricing strategies Strong financial acumen with experience in contract modeling and reimbursement analysis Knowledge of healthcare ...
Knowledge of formulary management, utilization management, and drug pricing strategies Strong financial acumen with experience in contract modeling and reimbursement analysis Knowledge of healthcare ...
First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs ...
First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs ...
First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs ...
First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs ...
Supervisor, MSW, Inpatient Case Management
Norfolk, VA · On-site
$10K/mo
First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs ...
Supervisor, MSW, Inpatient Case Management
Norfolk, VA · On-site
$10K/mo
First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs ...
Epic Tapestry Consultant
Rosslyn, VA · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...
Epic Tapestry Consultant
Rosslyn, VA · On-site +1
Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work Experience/Direct Knowledge of ...
Manager Utilization Management information
See Virginia salary details
$38.7K - $50.2K
9% of jobs
$58.8K is the 25th percentile. Wages below this are outliers.
$50.2K - $61.8K
22% of jobs
$61.8K - $73.4K
11% of jobs
The median wage is $80.5K / yr.
$73.4K - $85K
14% of jobs
$85K - $96.6K
12% of jobs
$103.8K is the 75th percentile. Wages above this are outliers.
$96.6K - $108.2K
13% of jobs
$108.2K - $119.7K
13% of jobs
$119.7K - $131.3K
5% of jobs
$131.3K - $142.9K
2% of jobs
$142.9K - $154.5K
0% of jobs
$154.5K - $166.1K
0% of jobs
$38.7K
$90.2K
$166.1K
How much do manager utilization management jobs pay per year?
What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?
What is the difference between Manager Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
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?
What does a Manager of Utilization Management do?
- Temporary Utilization Review Nurse
- Overnight Utilization Review Nurse
- Disability Review Physician Ssa
- Rn Clinical Liaison
- Work From Home Nurse Case Management
- Weekend Physician Advisor Utilization Review
- Part Time Remote Utilization Review Nurse
- Registered Nurse No Weekends No Holidays
- Flexible Utilization Review Nurse
- Hedis Registered Nurse
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 28 days ago
Universal Health Services rating
6.7
Based on 248 frontline employees who took The Breakroom Quiz
525th of 872 rated healthcare providers
Job description
The Hughes Center is a highly-structured psychiatric residential treatment facility for youth ages 10 to 22 with neurodevelopmental disorders. The Hughes Center also provides private, community-based educational services. We provide both individualized and holistic care for adolescents and young adults with intellectual and developmental disabilities in a nurturing, family-friendly environment. We utilize a multidisciplinary team approach to provide comprehensive evaluations and evidence-based treatment (and educational) interventions with the intent to increase each youth's level of functional independence. Our team also works diligently to address or manage medical conditions and challenging behaviors that are often associated with individuals who are diagnosed with neurodevelopmental disorders. We challenge our residents to adapt to and apply learned skills within new environments and situations, and to maintain functional use of these skills when they return to their homes or other community-based settings.
Visit us online: www.thehughescenter.com
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that documentation reflects and meets admission, continued stay, and discharge criteria. This position interacts and communicates with clinical staff, the Business Office, Admissions, Medical Records, third party reviewers and hospital administration to help patients receive the proper hospital care that they need.
Benefit Highlights:
- Challenging and rewarding work environment
- Competitive Compensation
- Tuition Reimbursement Program
- Excellent Medical, Dental, Vision and Prescription Drug Plan
- 401(K) with company match and discounted stock plan
- Generous Paid Time Off
- Career development opportunities within UHS and its 300+ Subsidiaries
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Qualifications
Bachelor's degree in human services; Master's degree in human services preferred. Three to five years of experience in utilization review and case management. RN, LCSW, LPC, LMFT, or LCP in Virginia required.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
What Universal Health Services employees say
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Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US