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Supervisor Utilization Management Jobs (NOW HIRING)

Centene

Supervisor, Utilization Management (RN)

$75K - $135K/yr

Supervises day-to-day activities of utilization management team. * Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards * Collaborates ...

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How much do supervisor utilization management jobs pay per year?

As of Aug 26, 2026, the average yearly pay for supervisor utilization management in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What is a supervisor utilization management?

A Supervisor Utilization Management oversees the utilization review process to ensure healthcare services are used efficiently and appropriately. They manage a team of utilization review staff, monitor case reviews, and ensure compliance with policies and regulations. Their role includes coordinating with healthcare providers, optimizing resource use, and improving patient care outcomes.

What does a supervisor utilization management do?

A Supervisor Utilization Management typically oversees a team of utilization review nurses or specialists, monitors case workloads, and ensures that medical necessity and regulatory standards are met during patient care reviews. On a daily basis, you might review complex cases, coordinate with physicians and insurance companies regarding care determinations, and implement departmental process improvements. Supervisors also provide staff training, audit case files for quality assurance, and manage departmental reporting and metrics. Collaborating with interdisciplinary teams and adapting to changing regulations are essential aspects of the role, offering variety and opportunities to influence patient care delivery.

What are the key skills and qualifications needed to thrive in the supervisor utilization management position?

To thrive as a Supervisor Utilization Management, you need in-depth knowledge of healthcare utilization review, case management, and compliance regulations, typically supported by a clinical background and relevant licensure or certification. Familiarity with utilization management software, claims processing systems, and data analysis tools such as Microsoft Excel or SQL is often required. Strong leadership, effective communication, and problem-solving abilities are critical soft skills for leading teams and collaborating with physicians and payers. These capabilities ensure efficient workflow management, regulatory adherence, and improved patient outcomes within healthcare organizations.

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States with the most job openings for Supervisor Utilization Management jobs include:

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Supervisor Utilization Management jobs near you
Infographic showing various Supervisor Utilization Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.

Utilization Management Supervisor

Franciscan Health

Remote

Full-time

Re-posted yesterday

Franciscan Health rating

6.9

Company rating: 6.9 out of 10

Based on 270 frontline employees who took The Breakroom Quiz

453rd of 893 rated healthcare providers

Job description

Work From Home
Work From Home Work From Home, Indiana 46544
The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
  • Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
  • Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.
  • Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
  • Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
  • Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
  • Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

QUALIFICATIONS
  • Bachelor's Degree in Nursing required
  • Active Indiana Registered Nurse (RN) license required
  • 5 years of Nursing/Patient Care required
  • 2 years of Utilization or Case Management experience preferred

TRAVEL IS REQUIRED:
Up to 20%
JOB RANGE:
Supervisor Utilization Management: $67,683.20 - $105,768.00
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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