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Manager Utilization Management Jobs in Rio Rancho, NM

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Manager Utilization Management information

See Rio Rancho, NM salary details

$36.7K

$85.6K

$157.6K

How much do manager utilization management jobs pay per year?

As of Jul 12, 2026, the average yearly pay for manager utilization management in Rio Rancho, NM is $85,606.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,000.00 and $103,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

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 in 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 of 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 Rio Rancho, NM? For Manager Utilization Management jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Rio Rancho, NM look for? The top searched job categories for Manager Utilization Management jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Manager Utilization Management jobs? Cities near Rio Rancho, NM with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Rio Rancho, NM as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $85,606 per year, or $41.2 per hour.

Registered Nurse (RN) - Utilization Management (UM)

TLC NURSING SERVICES

Albuquerque, NM • On-site

$2.1K/wk

Other

Posted 2 days ago

New

Job description

Details
Client Name
Sandia Ridge Center
Job Type
Travel
Offering
Nursing
Profession
Registered Nurse (RN)
Specialty
Utilization Management (UM)
Job ID
37442574
Job Title
Registered Nurse (RN) - Utilization Management (UM)
Weekly Pay
$2108.0
Shift Details
Shift
Days - 5 x 8
Scheduled Hours
40
Job Order Details
Start Date
07/06/2026
End Date
08/17/2026
Duration
6 Week(s)
Job Description
Title: Oncall Nurse
Schedule: Mon-Fri, 08:00:00 - 17:00:00, weekends as needed
Assignment Details:
- Guaranteed Hours: 40
- Contract Weeks: 6
Compliance / Notes: Oncall required.
Client Details
Address
2216 Lester Drive NE
City
Albuquerque
State
NM
Zip Code
87101
Job Board Disclaimer
TLC Nursing Associates, Inc. is an equal-opportunity employer and fully complies with all applicable federal, state, and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, veteran status, or any other status protected under the law.
Accuracy of Information: All job listings are subject to change, and while we strive to ensure that all job information, including job descriptions, pay packages, and shift details, is accurate and up-to-date, we cannot guarantee the availability or specifics of any position at the time of application. Pay packages and shift availability may vary based on facility needs and may be subject to changes before or after hire.

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