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Manager Utilization Management Jobs in Evans, GA

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in treatment team meetings

Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in treatment team meetings

Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in treatment team meetings

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

Case management or utilization management experience. * Familiarity with Enhanced Care Management (ECM) or Health Home programs. * Experience supporting audits or regulatory reviews. * Training in ...

RN Case Manager

Augusta, GA · On-site

$32 - $40/hr

Case management or utilization management experience. * Familiarity with Enhanced Care Management (ECM) or Health Home programs. * Experience supporting audits or regulatory reviews. * Training in ...

Under the direction of the UR Manager, the Utilization Review Clinician is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...

Case management or utilization management experience. * Familiarity with Enhanced Care Management (ECM) or Health Home programs. * Experience supporting audits or regulatory reviews. * Training in ...

Under the direction of the UR Manager, the Utilization Review Clinician is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...

RN Case Manager

Augusta, GA · On-site

$32 - $40/hr

Case management or utilization management experience. * Familiarity with Enhanced Care Management (ECM) or Health Home programs. * Experience supporting audits or regulatory reviews. * Training in ...

Under the direction of the UR Manager, the Utilization Review Clinician is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...

Under the direction of the UR Manager, the Utilization Review Clinician is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...

Under the direction of the UR Manager, the Utilization Review Clinician is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...

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Showing results 1-20

Manager Utilization Management information

See Evans, GA salary details

$33K

$77K

$141.8K

How much do manager utilization management jobs pay per year?

As of Aug 27, 2026, the average yearly pay for manager utilization management in Evans, GA is $77,028.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,400.00 and $92,700.00 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 popular job titles related to Manager Utilization Management jobs in Evans, GA?

For Manager Utilization Management jobs in Evans, GA, the most frequently searched job titles are:

What job categories do people searching Manager Utilization Management jobs in Evans, GA look for?

The top searched job categories for Manager Utilization Management jobs in Evans, GA are:

What cities near Evans, GA are hiring for Manager Utilization Management jobs?

Cities near Evans, GA with the most Manager Utilization Management job openings:

Infographic showing various Manager Utilization Management job openings in Evans, GA 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 $77,028 per year, or $37 per hour.

DIR - UTILIZATION REVIEW / MGMT

UHS

Augusta, GA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

458th of 894 rated healthcare providers


Job description

Responsibilities

Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Director of Utilization Review to add to our growing team.

Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years.  Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness.  Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff. 

Website: https://www.LighthouseCareCenters.com

The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements.  The Director of Utilization Review is responsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community. 

Job Duties/Responsibilities: 

  • Working manager who oversees the Utilization Review coordinators
  • Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
  • Authorizing entities to ensure initial precertification and continued authorization is achieved
  • Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)

Benefit Highlights: 

  • Referral Bonus Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: uhsguest.com

 About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues  during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com. 

From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. 


Qualifications

Education and Experience:

  • Masters Degree in nursing, social work, mental health counseling, or related field
  • Minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting
  • Including one year of managing a related function preferred
  • Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities

Certifications, License, Registration:

Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred

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. 

Avoid and Report Recruitment Scams 

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. 

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. 

Qualifications:

Education and Experience:

  • Masters Degree in nursing, social work, mental health counseling, or related field
  • Minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting
  • Including one year of managing a related function preferred
  • Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities

Certifications, License, Registration:

Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred

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. 

Avoid and Report Recruitment Scams 

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. 

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. 

Education:UNAVAILABLEEmployment Type: FULL_TIME

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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