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Manager Utilization Management Jobs in Baton Rouge, LA

US Tech Solutions

Registered Nurse

Baton Rouge, LA · On-site

As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...

US Tech Solutions

Registered Nurse

Baton Rouge, LA

As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...

Magellan Health Services

Care Manager, BH

Baton Rouge, LA · Remote

$64.29K - $102.86K/yr

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

CVS Health

Case Manager, Registered Nurse

Baton Rouge, LA · Remote

$54.10K - $155.54K/yr

Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...

xtracit

Clinical Nurse Liaison

Baton Rouge, LA

$62.90K - $84K/yr

Experience working in managed care, utilization management, case management, or quality improvement preferred. Additional Information All your information will be kept confidential according to EEO ...

xtracit

Clinical Nurse Liaison

Baton Rouge, LA · On-site

$62.90K - $84K/yr

Experience working in managed care, utilization management, case management, or quality improvement preferred. Qualifications Additional Information All your information will be kept confidential ...

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Manager Utilization Management information

See Baton Rouge, LA salary details

$37.4K

$87.4K

$160.8K

How much do manager utilization management jobs pay per year?

As of May 28, 2026, the average yearly pay for manager utilization management in Baton Rouge, LA is $87,392.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,100.00 and $105,100.00 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 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 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 Baton Rouge, LA? The most popular types of Utilization Management jobs in Baton Rouge, LA are:
What are popular job titles related to Manager Utilization Management jobs in Baton Rouge, LA? For Manager Utilization Management jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Baton Rouge, LA look for? The top searched job categories for Manager Utilization Management jobs in Baton Rouge, LA are:
What cities near Baton Rouge, LA are hiring for Manager Utilization Management jobs? Cities near Baton Rouge, LA with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Baton Rouge, LA as of May 2026, with employment types broken down into 82% Full Time, 15% Part Time, and 3% Contract. Highlights an 52% Physical, 6% Hybrid, and 42% Remote job distribution, with an average salary of $87,392 per year, or $42 per hour.

CASE MANAGER - RN

American Advanced Management, Inc

Baton Rouge, LA • On-site

Full-time

Posted 7 days ago

Job description

The Case Manager is responsible for coordinating and monitoring day to day operations of the Case Management and Utilization Management programs. He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable standards of patient care.

  1. Registered Nurse, graduate from an accredited school of nursing         
  2. Must hold a current state license and must maintain license renewal in accordance with the standards of the State Board of Nursing
  3. Bachelor’s degree in nursing or healthcare administration preferred
  4. Three years acute care clinical nursing experience
  5. Minimum of 1-year Case Management experience
  6. Additional education in the area of Quality Management and Joint Commission Standards
  7. Long term acute care and rehabilitation experience is preferred
  8. Demonstration of leadership, manageability, and the application of interpersonal and principles of supervision and administration
  9. Must be able to read, write, and speak English, as well as possess good verbal and written communications skills
  10. Good computer skills with minimal guidance
  11. Certification in Case Management (CCM) preferred
  12. BLS required

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