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Manager Utilization Management Jobs in Austin, TX

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Manager Utilization Management information

See Austin, TX salary details

$38.7K

$90.2K

$166K

How much do manager utilization management jobs pay per year?

As of Sep 12, 2026, the average yearly pay for manager utilization management in Austin, TX is $90,211.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $108,500.00 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 Austin, TX?

The most popular types of Utilization Management jobs in Austin, TX are:

What are popular job titles related to Manager Utilization Management jobs in Austin, TX?

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

What job categories do people searching Manager Utilization Management jobs in Austin, TX look for?

The top searched job categories for Manager Utilization Management jobs in Austin, TX are:

What cities near Austin, TX are hiring for Manager Utilization Management jobs?

Cities near Austin, TX with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Austin, TX as of August 2026, with employment types broken down into 85% Full Time, and 15% Contract. Highlights an 100% In-person job distribution, with an average salary of $90,211 per year, or $43.4 per hour.

Travel Utilization Management RN - $1,759 per week

Austin, TX • On-site

American Traveler
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about American Travelerexternal

$1.7K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 8 days ago

Job description

American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Austin, Texas.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/29/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 5x8hrs
  • Hours: 40 hrs/wk
  • Start Date: Sep 29, 2026
  • Length: 13 weeks
  • Openings: 1
Description

American Traveler is hiring a Utilization Management RN for a fully remote role requiring 2 years of acute care UM experience and a TX or compact RN license.

Details
  • Fully remote position within a centralized Utilization Management department
  • Centralized acute admission utilization review across 13 acute care and critical access hospitals
  • Shift hours are 08:30-17:00
  • Uses Cerner with Careport (Allscripts) EMR system
  • 13-week assignment length
Requirements
  • Active RN license (TX or Compact) required
  • BLS certification (AHA) required
  • Minimum 2 years acute care Utilization Management experience or equivalent required
  • Proficiency with InterQual/MCG and CMS regulations required
  • Experience with payor portals, managed Medicare/Medicaid insurers, and Google Workspace preferred
  • Remote work experience preferred
  • Nursys license verification required within 30 days prior to start
Additional Information
  • Review admissions and service requests for prospective, concurrent, and retrospective medical necessity and reimbursement policy compliance
  • Provide case management and consultation for complex cases
  • Assist staff with coding, medical records/documentation, precertification, reimbursement, and claim denials/appeals issues
  • Assess and coordinate discharge planning needs with healthcare team members
  • Prepare statistical analysis and utilization review reports as needed
  • Oversee and coordinate compliance with federally mandated and third-party payer UM rules and regulations
  • Requires critical thinking, decisive judgment, and ability to work independently in a fast-paced environment
  • Local candidates accepted at a reduced rate under facility radius rule
  • First-time travelers may be considered

American Traveler Job ID #P-749253. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Utilization Review

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.

American Traveler logo

About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999

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