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Manager Utilization Management Jobs in Flint, MI

McLaren

Registered Nurse Care Manager PRN

Lapeer, MI · On-site

Experience in utilization management/case management, critical care, or patient outcomes/quality management * Certification in Case Management Certification (ACM or CCM) * Basic Life Support (BLS ...

McLaren

Strategic Operations Lead

Flint, MI · On-site

Five (5) years' progressive experience in managed care, health plan operations, utilization management, care management, quality, compliance, or strategic operations with three (3) years of ...

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Flint, MI

Manager Utilization Management information

See Flint, MI salary details

$37.9K

$88.5K

$162.9K

How much do manager utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for manager utilization management in Flint, MI is $88,531.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,900.00 and $106,500.00 per year, depending on experience, location, and employer.

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 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 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 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 popular job titles related to Manager Utilization Management jobs in Flint, MI?

For Manager Utilization Management jobs in Flint, MI, the most frequently searched job titles are:

What job categories do people searching Manager Utilization Management jobs in Flint, MI look for?

The top searched job categories for Manager Utilization Management jobs in Flint, MI are:

What cities near Flint, MI are hiring for Manager Utilization Management jobs?

Cities near Flint, MI with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Flint, MI as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $88,531 per year, or $42.6 per hour.

Registered Nurse Care Manager PRN

McLaren USA

Lapeer, MI • On-site

Other

Posted 10 days ago

Job description

Position Summary: Accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. Impacts key results such as achieving top decile performance in length of stay, cost efficient resource utilization, preventing readmissions and unnecessary emergency room visits. Works collaboratively with physicians, nursing, members of the multidisciplinary team (such as Home Care and PCP offices), as well as other resources internal and external to the organization.
Essential Functions and Responsibilities as Assigned:
1. Performs care coordination assessments for initial assessment of patients with 24 hrs. of admission. assessments for readmission and transition planning.
2. Works collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient's available resources.
3. Assesses patient/family needs to reduce barriers and formulate discharge plans (e.g., LOS barriers to D/C).
4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.
5. Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.
Qualifications:
Required
  • State licensure as a Registered Nurse (RN)
  • Bachelor's degree in nursing from accredited educational institution, or actively pursuing degree and to be obtained within five years of accepting position.
  • Three years of acute hospital care experience
• American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association Case Management Association, and maintenance of continuing education requirement
Preferred:
  • Experience in utilization management/case management, critical care, or patient outcomes/quality management
  • Certification in Case Management Certification (ACM or CCM)
  • Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

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