ZipRecruiter

Log In

1

Manager Utilization Management Jobs in Manchester, NH

Wellspring Nurse Source

Travel RN UM

Derry, NH · On-site

Wellspring Nurse Source is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Derry, New Hampshire. & Requirements * Specialty: Utilization Review * Discipline ...

Catalytic Solutions

Travel RN UM

Derry, NH · On-site

Catalytic Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Derry, New Hampshire. & Requirements * Specialty: Utilization Review * Discipline: RN * ...

GLC On-The-Go

Travel RN UM

Derry, NH · On-site

$2.2K - $2.3K/wk

GLC On-The-Go is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Derry, New Hampshire. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

BAE Systems

Mgr III- Eng Sys

Merrimack, NH · On-site

$153K - $260K/yr

Partner with CEMA product Line Leadership to effectively staff programs, manager utilization, support bids proposals and support the realization of strategic goals. Because of the need for consistent ...

next page

Showing results 1-20

All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Manchester, NH

Manager Utilization Management information

See Manchester, NH salary details

$38.8K

$90.6K

$166.8K

How much do manager utilization management jobs pay per year?

As of Aug 6, 2026, the average yearly pay for manager utilization management in Manchester, NH is $90,618.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,200.00 and $109,000.00 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 Manchester, NH? For Manager Utilization Management jobs in Manchester, NH, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Manchester, NH look for? The top searched job categories for Manager Utilization Management jobs in Manchester, NH are:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Manchester, NH as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $90,618 per year, or $43.6 per hour.

RN - Utilization Management

Central Business Solutions

Milford, NH • On-site

Other

Re-posted 6 days ago

Job description

Utilization Management Registered Nurse (UM RN)

We are seeking an experienced and detail-oriented Utilization Management Registered Nurse (UM RN) to join our hospital team. The UM RN is responsible for reviewing patient cases to ensure appropriate utilization of healthcare services, medical necessity, compliance with payer requirements, and optimal patient outcomes. This role collaborates closely with physicians, case managers, and interdisciplinary teams to support quality patient care while managing healthcare resources efficiently.

Key Responsibilities
  • Perform utilization review activities for inpatient and outpatient services.
  • Assess medical necessity, level of care, and appropriateness of admissions using established criteria such as InterQual or MCG guidelines.
  • Collaborate with physicians, case management, and healthcare teams regarding patient care plans and discharge planning.
  • Communicate with insurance providers and third-party payers to obtain authorizations and resolve coverage issues.
  • Monitor patient length of stay and identify opportunities to improve care efficiency.
  • Ensure compliance with hospital policies, federal regulations, and payer requirements.
  • Document utilization review findings accurately and maintain confidentiality of patient information.
  • Participate in denial prevention and appeals processes when necessary.
  • Support quality improvement initiatives and patient care coordination activities.
Qualifications
  • Active Registered Nurse (RN) license in the applicable state.
  • Bachelor of Science in Nursing (BSN) preferred.
  • Minimum 2–3 years of acute care hospital nursing experience required.
  • Prior experience in Utilization Management, Case Management, or Care Coordination preferred.
  • Strong knowledge of InterQual and/or MCG criteria.
  • Experience working with electronic medical records (EMR) systems.
  • Excellent communication, critical thinking, and organizational skills.

Apply