Responsibilities The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements ...
Responsibilities The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements ...
We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com As a Full Time Utilization Management ...
We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com As a Full Time Utilization Management ...
Manager, Case Management
Bloomington, IN · On-site
$94 - $141/hr
Analyze utilization and population health data to identify opportunities for improved outpatient management and reduced inpatient and emergency department utilization.Develop, implement, and monitor ...
Manager, Case Management
Bloomington, IN · On-site
$94 - $141/hr
Analyze utilization and population health data to identify opportunities for improved outpatient management and reduced inpatient and emergency department utilization.Develop, implement, and monitor ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... management/utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being ...
... Full Time Utilization/Quality Compliance RN - HYBRI D , you'll provide care to our clients ... Manages policy and document system to include creating, updating, and maintaining all forms (in ...
... Full Time Utilization/Quality Compliance RN - HYBRI D , you'll provide care to our clients ... Manages policy and document system to include creating, updating, and maintaining all forms (in ...
Ensures proper inventory management practices, including cycle counts, stock rotation (FIFO ... utilization. * Monitors warehouse KPIs related to inventory accuracy, shipping performance, and ...
Ensures proper inventory management practices, including cycle counts, stock rotation (FIFO ... utilization. * Monitors warehouse KPIs related to inventory accuracy, shipping performance, and ...
Ensures proper inventory management practices, including cycle counts, stock rotation (FIFO ... utilization. * Monitors warehouse KPIs related to inventory accuracy, shipping performance, and ...
Ensures proper inventory management practices, including cycle counts, stock rotation (FIFO ... utilization. * Monitors warehouse KPIs related to inventory accuracy, shipping performance, and ...
Facility Management * Develop and implement preventive maintenance programs for equipment and ... Space Planning and Utilization * Assess and optimize facility space usage based on organizational ...
Facility Management * Develop and implement preventive maintenance programs for equipment and ... Space Planning and Utilization * Assess and optimize facility space usage based on organizational ...
Facility Management * Develop and implement preventive maintenance programs for equipment and ... Space Planning and Utilization * Assess and optimize facility space usage based on organizational ...
Facility Management * Develop and implement preventive maintenance programs for equipment and ... Space Planning and Utilization * Assess and optimize facility space usage based on organizational ...
Management and Program Analyst
Bloomington, IN · On-site
$125K/yr
Experience analyzing program operations, resource utilization, financial information ... Experience presenting recommendations, advising senior management, coordinating with internal and ...
Management and Program Analyst
Bloomington, IN · On-site
$125K/yr
Experience analyzing program operations, resource utilization, financial information ... Experience presenting recommendations, advising senior management, coordinating with internal and ...
Restaurant Manager
Mooresville, IN · On-site
... management approach to maximize restaurant-operating results, to fulfill the Mission & Promise ... Executes plans to improve customer satisfaction through regular utilization & communication of ...
Restaurant Manager
Mooresville, IN · On-site
... management approach to maximize restaurant-operating results, to fulfill the Mission & Promise ... Executes plans to improve customer satisfaction through regular utilization & communication of ...
... management approach to maximize restaurant-operating results, to fulfill the Mission & Promise ... Executes plans to improve customer satisfaction through regular utilization & communication of ...
Quick apply
... management approach to maximize restaurant-operating results, to fulfill the Mission & Promise ... Executes plans to improve customer satisfaction through regular utilization & communication of ...
Unit Manager (RN)
Bloomington, IN · On-site
$34.75 - $45.75/hr
We rely on and trust our Unit Manager (RN) to provide independent supervision of the delivery of ... utilization of the nursing process. Identify needs and provide input for discharge planning and ...
Unit Manager (RN)
Bloomington, IN · On-site
$34.75 - $45.75/hr
We rely on and trust our Unit Manager (RN) to provide independent supervision of the delivery of ... utilization of the nursing process. Identify needs and provide input for discharge planning and ...
Warehouse Management Systems - GM
Trafalgar, IN · On-site
$116K - $174K/yr
... utilization and preparing reviewing andor analyzing business reports Monitor and ensure ... Operations Manager including supervising, evaluating, mentoring, and developing associates ...
Warehouse Management Systems - GM
Trafalgar, IN · On-site
$116K - $174K/yr
... utilization and preparing reviewing andor analyzing business reports Monitor and ensure ... Operations Manager including supervising, evaluating, mentoring, and developing associates ...
Warehouse Management Systems - GM
Mooresville, IN · On-site
$116K - $174K/yr
... utilization and preparing reviewing andor analyzing business reports Monitor and ensure ... Operations Manager including supervising, evaluating, mentoring, and developing associates ...
Warehouse Management Systems - GM
Mooresville, IN · On-site
$116K - $174K/yr
... utilization and preparing reviewing andor analyzing business reports Monitor and ensure ... Operations Manager including supervising, evaluating, mentoring, and developing associates ...
Warehouse Management Systems - GM
Trafalgar, IN · On-site
$116K - $174K/yr
... utilization and preparing reviewing andor analyzing business reports Monitor and ensure ... Operations Manager including supervising, evaluating, mentoring, and developing associates ...
Warehouse Management Systems - GM
Trafalgar, IN · On-site
$116K - $174K/yr
... utilization and preparing reviewing andor analyzing business reports Monitor and ensure ... Operations Manager including supervising, evaluating, mentoring, and developing associates ...
Manager Utilization Management information
See Bloomington, IN salary details
$36.1K - $46.9K
9% of jobs
$54.9K is the 25th percentile. Wages below this are outliers.
$46.9K - $57.7K
22% of jobs
$57.7K - $68.5K
11% of jobs
The median wage is $75.1K / yr.
$68.5K - $79.3K
14% of jobs
$79.3K - $90.1K
12% of jobs
$96.9K is the 75th percentile. Wages above this are outliers.
$90.1K - $100.9K
13% of jobs
$100.9K - $111.7K
13% of jobs
$111.7K - $122.5K
5% of jobs
$122.5K - $133.3K
2% of jobs
$133.3K - $144.1K
0% of jobs
$144.1K - $154.9K
0% of jobs
$36.1K
$84.2K
$154.9K
How much do manager utilization management jobs pay per year?
As of Aug 25, 2026, the average yearly pay for manager utilization management in Bloomington, IN is $84,186.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,000.00 and $101,300.00 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?
| 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 popular job titles related to Manager Utilization Management jobs in Bloomington, IN?
For Manager Utilization Management jobs in Bloomington, IN, the most frequently searched job titles are:
What cities near Bloomington, IN are hiring for Manager Utilization Management jobs?
Cities near Bloomington, IN with the most Manager Utilization Management job openings:
MGR - UTILIZATION REVIEW / MGMT
Bloomington, IN • On-site
UHS •
Health Care and Social Assistance • 10K+ employees10,000+ employees
6.9
Based on 254 frontline employees who took The Breakroom Quiz
453rd of 893 rated healthcare providers
People enjoy working here
Recommended by students
Respectful managers
Full-time
Posted 25 days ago
Job description
Responsibilities
The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement.
Qualifications
QUALIFICATIONS
Education :Must have Registered Nurse license or Master's Degree.
Experience: 5-7 yrs acute inpatient psychiatric setting as a treatment team member experience or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders experience.
Work Location: In person
The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement.
Qualifications
QUALIFICATIONS
Education :Must have Registered Nurse license or Master's Degree.
Experience: 5-7 yrs acute inpatient psychiatric setting as a treatment team member experience or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders experience.
Work Location: In person
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
Website
What Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom