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Manager Utilization Management Jobs in Spring Grove, IL

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Manager Utilization Management information

See Spring Grove, IL salary details

$39.2K

$91.4K

$168.2K

How much do manager utilization management jobs pay per year?

As of Aug 4, 2026, the average yearly pay for manager utilization management in Spring Grove, IL is $91,389.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,700.00 and $110,000.00 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 cities near Spring Grove, IL are hiring for Manager Utilization Management jobs? Cities near Spring Grove, IL with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Spring Grove, IL as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $91,389 per year, or $43.9 per hour.

Administrative Assistant for Utilization Review

V COVINGTON LLC

Waukegan, IL • On-site

$19 - $26/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

JOIN OUR TEAM AS A Administrative Assistant - Utilization Review - Part Time
Your Work MattersHow will you make a difference?
The Administrative Assistant is responsible for providing administrative support for the Utilization Management department, including performing clerical duties, attending departmental meetings, coordinating staff activities, staff educational files and providing support for the Director of Clinical Programming.
Schedule: Monday - Friday flexiable hours ( 8am-1pm) or Monday - Thursday (8am- 2pm)
Your Experience Matters What we're looking for:
  • Education: Associate Degree in Business Administration or related field preferred; or an equivalent combination of education and experience.
  • Experience: At least one (1) year experience as an Administrative Assistant in a health care setting preferred in a health care setting; or combination of education, training and experience.
  • Additional Requirements: Must be able to type at least 65 w.p.m.; knowledge of Word and Excel software programs; and experience as a mental health technician desired. Ability to work overtime and flexible hours, as requested.

PRIMARY RESPONSIBILITIES
Primary duties may include, but are not limited:
  • Completes frontline and clerical support to the Utilization Review team in processing daily, weekly, and monthly reports
  • Managing incoming calls or incoming emails from insurance companies and route them appropriately.
  • Follow-up on appeal submissions to determine status.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure clinical requests and questions are handled appropriately and in a timely manner.
  • Verify patient insurance eligibility as needed
  • Complete follow-up calls for Utilization Review Coordinators to maintain compliance on authorization timeframes.
  • Provide support for documentation uploads of authorizations.
  • Troubleshoot for missing documentation as requested.
  • Responds to tasks and written request from coordinators, providers and internal departments.

  • Open and distribute mail for the department.
  • Order supplies for the department, maintain a cost-effective and efficient office.
  • Consistently prioritize workloads to ensure daily work is completed.
  • Adhere to facility, department and Corporate Personnel Policies and Procedures.

Your Care MattersWhat we provide for our team:
  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long term disability insurance
  • Paid time off
  • Cafeteria on site + discounted meals
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What sets us apart:
  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

Disclaimer: Benefits are subject to change at the discretion of Lake Behavioral Hospital.
Compensation:
This is a Part-Time role and the expected compensation range for this role is $19.00 -$26.00 hourly. We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Administrative Assistant for Utilization Review.
Get to know us Outstanding Care, Compassionate People, Unparalleled Service
Discover a fulfilling career at Lake Behavioral Hospital (LBH)!
We are a 161-bed acute care facility located in Waukegan, IL and has been providing mental health treatment to the community and the state of Illinois since 2018. We are dedicated to offering services to meet the ever-changing emotion and behavioral healthcare needs of adolescents, adults, and their families. We offer specialized inpatient programs and outpatient services proven to decrease symptoms of mental illness and we are committed to help people live healthier lives. Our compassionate and experienced team of psychiatrists, licensed therapists, nurses and support staff are here to create an atmosphere of health, hope, and healing.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.
  • To learn more about LBH, visit us at: https://www.lakebehavioralhospital.com/

TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
At Lake Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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