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Manager Utilization Management Jobs in High Point, NC

GQR

RN - Case Manager

Burlington, NC · On-site

$1.9K - $2.0K/wk

  • Medical

  • Dental

  • Vision

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Burlington, North Carolina Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Short Term ...

ScionHealth

Case Manager II- FT Days

Greensboro, NC · On-site

Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and ...

Elevance Health

Sr Test Analyst PBM

Winston Salem, NC · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing. * Identify, triage, and collaborate with business and adjudication teams to resolve defects efficiently ...

Elevance Health

Sr Test Analyst PBM

Winston Salem, NC · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing. * Identify, triage, and collaborate with business and adjudication teams to resolve defects efficiently ...

UnitiMed

RN Case Manager

Burlington, NC · On-site

  • Medical

  • Dental

  • Vision

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

100 LCMC Health

Hospitalist - Swing Shift

Ardmore, NC · On-site

$200 - $250/hr

Participate in the hospital's utilization management, risk management, and performance improvement programs. Experience Qualifications * 2 years of practice as a Hospitalist preferred. Education ...

thrivespc

Care Experience Manager

Greensboro, NC · On-site

Completes daily and weekly pre-bill audits to ensure proper payor utilization and appropriate staffing per payor authorizations, and processes payroll. * Responsible for performance management of ...

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Showing results 21-40

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in High Point, NC

Manager Utilization Management information

See High Point, NC salary details

$34.8K

$81.2K

$149.4K

How much do manager utilization management jobs pay per year?

As of Aug 15, 2026, the average yearly pay for manager utilization management in High Point, NC is $81,199.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,100.00 and $97,700.00 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 High Point, NC?

For Manager Utilization Management jobs in High Point, NC, the most frequently searched job titles are:

What job categories do people searching Manager Utilization Management jobs in High Point, NC look for?

The top searched job categories for Manager Utilization Management jobs in High Point, NC are:

What cities near High Point, NC are hiring for Manager Utilization Management jobs?

Cities near High Point, NC with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in High Point, NC as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $81,199 per year, or $39 per hour.

RN - Case Manager

GQR

Burlington, NC • On-site

$1.9K - $2.0K/wk

Other

Medical, Dental, Vision

Posted 12 days ago

Job description

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Burlington, North Carolina
Start Date: August 31, 2026
Profession: Registered Nurse (RN)
Facility: Short Term Acute Care
Estimated Pay: $1942.36 - $2037.36
Duration:13 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: null Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:
  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company:
Finding the right role is about more than just matching skills to a job-it's about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.

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