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Manager Utilization Management Jobs in Powder Springs, GA

Kaiser Permanente

Lead RN Utilization Management

Atlanta, GA · On-site

$32.75 - $44.25/hr

Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities: * Coordinates day-to-day patient care activities within the ...

Kaiser Permanente

Lead RN Utilization Management

Atlanta, GA · On-site

$32.75 - $44.25/hr

Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities: * Coordinates day-to-day patient care activities within the ...

Kaiser Permanente

Lead RN Utilization Management

Decatur, GA · On-site

$33.25 - $45/hr

Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities: * Coordinates day-to-day patient care activities within the ...

Kaiser Permanente

Lead RN Utilization Management

Smyrna, GA · On-site

$33.25 - $45/hr

Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities: * Coordinates day-to-day patient care activities within the ...

AIG

Underwriting Quality Manager

Atlanta, GA

$104K - $114K/yr

Review underwriting quality, pricing compliance, portfolio management utilization, management controls and provide senior management with commentary on the overall underwriting, go-forward critical ...

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Powder Springs, GA

Manager Utilization Management information

See Powder Springs, GA salary details

$36.9K

$86.2K

$158.6K

How much do manager utilization management jobs pay per year?

As of Aug 12, 2026, the average yearly pay for manager utilization management in Powder Springs, GA is $86,181.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,300.00 and $103,700.00 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 job categories do people searching Manager Utilization Management jobs in Powder Springs, GA look for? The top searched job categories for Manager Utilization Management jobs in Powder Springs, GA are:
What cities near Powder Springs, GA are hiring for Manager Utilization Management jobs? Cities near Powder Springs, GA with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Powder Springs, GA as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $86,181 per year, or $41.4 per hour.

Lead RN Utilization Management

Kaiser Permanente

Union City, GA • On-site

$32.75 - $44.50/hr

Full-time

Posted 4 days ago

Job description

Job Summary:

Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center.  The Lead RN coordinates activities of the interdisciplinary team and monitors departmental throughput to ensure the delivery of high quality, safe, effective, and efficient care. Serves as a subject matter expert and resource for clinical teams on departmental processes and workflows.  Demonstrates sound decision-making and the ability to be self-directed. Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed.

Essential Responsibilities:

  • Coordinates day-to-day patient care activities within the department and acts as a resource for the healthcare team, providers, and ancillary departments.
  • Acts independently to manage multiple scheduling tasks and assignments.  
  • Evaluates emergency situations and leads the nursing response to clinical emergencies.
  • Phishes the schedule daily (2-3 days in advance) for proactive planning.
  • Conducts daily equipment checks and ensures that quality controls are completed.
  • Continuous rounding within the department to ensure patient throughput and flow, assisting as needed.
  • Ensures clear communication with the healthcare team, providers, and management team using multiple avenues, including email, teams chat, and huddles.
  • Responds to inquiries from patients, providers, healthcare team, and internal/external customers and supports resolution.
  • Participates in departmental Quality Assurance activities and supports compliance with regulatory procedures and standards.
  • Serves as a preceptor, resource, and mentor for new members of the healthcare team and nursing students.
  • Participates in departmental orientation, training, and competency validation of new staff (after completion of validator training).
  • Provide at least one (1) training in-service each year.
  • May perform other duties as assigned.

Basic Qualifications:
Experience

  • Minimum two (2) years of current RN clinical experience.
  • Minimum two (2) years of clinical experience in area of specialty.
Education

  • Associates degree in nursing.
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • Registered Professional Nurse License (Georgia) required at hire
  • Basic Life Support required at hire
Additional Requirements:

  • N/A
Preferred Qualifications:

  • Specialty Certification at time of hire or within 1 (one) year.
  • Bachelors (BSN) degree.

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