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Manager Utilization Management Jobs in High Point, NC

HonorBridge

Director of Referral Management

Winston Salem, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... management continuum, including referral generation and intake, donor evaluation, hospital ... allocation and utilization, and build strong partnerships with hospitals and other healthcare ...

Pwc

Customer Managed Services - Senior Manager

Greensboro, NC · On-site

$124K - $280K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Industry/Sector Not Applicable Specialism Salesforce Management Level Senior Manager & Summary The ... utilization of business applications, enabling clients to achieve their strategic objectives.

Tekni-Plex

Plant Manager II

Winston Salem, NC · On-site

Lead initiatives that result in maximizing machine utilization and output at minimum cost ... Oversee management operating system and implementation by reports * Adhere to all Company Safety ...

Tekni-Plex

Plant Manager II

Winston Salem, NC

Lead initiatives that result in maximizing machine utilization and output at minimum cost ... Oversee management operating system and implementation by reports * Adhere to all Company Safety ...

Pwc

Oracle PMO - Senior Manager

Greensboro, NC · On-site

$124K - $280K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... and utilization of business applications. As a Senior Manager, you will leverage your skills and professional networks to deliver quality results, motivating and coaching teams to solve complex ...

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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 20, 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 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 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 85% Full Time, and 15% Contract. Highlights an 100% In-person job distribution, with an average salary of $81,199 per year, or $39 per hour.

Registered Nurse - Case Management

McLendon Leadershi

Greensboro, NC • On-site

$70 - $90/hr

Other

Posted 2 days ago

New

Job description

Overview

The Case Manager Nurse coordinates patient care across settings. They optimize utilization and transitions in acute or home health care. The ideal candidate will have expertise in care coordination and patient advocacy, with experience in hospital or community settings.

Key Responsibilities
  • Assess patient needs and develop care plans.
  • Coordinate care with physicians and resources.
  • Advocate for patient access to services.
  • Document care plans in EHR systems like Epic.
  • Monitor patient outcomes.
  • Educate patients on care plans.

This role is essential for seamless patient transitions. Nurses skilled in case management are invited to apply for this Case Manager Nurse position.

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