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Um Manager Jobs (NOW HIRING)

Vytwo

Epic Tapestry UM Analyst

Prosper, TX · Remote

$50/hr

We are seeking an experienced Epic Tapestry Utilization Management Analyst to design, build, optimize, and support UM processes focused on authorizations and referrals. The ideal candidate is Epic ...

We Care Staffing

RN UM

Camden, NJ · On-site

$89/hr

Registered Nurse - Unit Manager (RN UM) Location: Windward Gardens Contract Duration: 04/06/26 - 06/13/26 (10 weeks) Shift: 7:00 AM - 3:30 PM, 1 shift per day Meal Break: 30 minutes Rate: $89/hour ...

We Care Staffing

RN UM

Camden, NJ · On-site

$89/hr

Registered Nurse - Unit Manager (RN UM) Location: Windward Gardens Contract Duration: 04/06/26 - 06/13/26 (10 weeks) Shift: 7:00 AM - 3:30 PM, 1 shift per day Meal Break: 30 minutes Rate: $89/hour ...

Meadow Wind

Unit Manager (UM) RN

Massillon, OH

$63K - $63K/yr

Unit Manager (UM) (RN) Location: Meadow Wind Health Care Center, Massillon, OH Employment Type: Full-Time About Us Meadow Wind Health Care Center is proud to be recognized as a Great Place to Work ®

Astrana Health

UM Coordinator - Denials

Monterey Park, CA · Hybrid

$21 - $26/hr

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator - Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in ...

Astrana Health

UM Coordinator - Hybrid

Monterey Park, CA · Hybrid

$20 - $24/hr

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization requests while ensuring ...

Astrana Health

UM Coordinator - Hybrid

Monterey Park, CA · Hybrid

$21 - $24/hr

UM Coordinator - Hybrid Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization ...

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How much do um manager jobs pay per year?

As of Jun 5, 2026, the average yearly pay for um manager in the United States is $59,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $68,500.00 per year, depending on experience, location, and employer.

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

To thrive as a UM Manager, you need a strong background in healthcare management, clinical guidelines, and insurance processes, typically supported by a degree in nursing or healthcare administration and relevant licensure. Familiarity with utilization review software, case management systems, and knowledge of regulatory compliance such as Medicare and Medicaid are essential. Strong leadership, analytical thinking, and communication skills help UM Managers lead teams and coordinate effectively across departments. These skills are vital for ensuring cost-effective, high-quality patient care while maintaining compliance and operational efficiency.

How does a UM Manager typically collaborate with other departments to ensure effective utilization management?

A UM (Utilization Management) Manager plays a key role in coordinating with departments such as case management, quality assurance, and medical staff to ensure that healthcare services are delivered efficiently and meet regulatory standards. They often facilitate interdisciplinary meetings, communicate policy updates, and address utilization trends or issues with both clinical and administrative teams. Building strong relationships across departments is crucial for timely decision-making and maintaining compliance with payer requirements. This collaborative environment helps ensure that patient care remains both cost-effective and high-quality.

What is an Um Manager?

An Um Manager is typically responsible for overseeing and managing business operations, projects, or teams within an organization. The specific duties can vary depending on the industry, but generally include planning, coordinating, and ensuring that goals and objectives are met efficiently. Um Managers often serve as a bridge between upper management and staff, facilitating communication and problem-solving. They may also be involved in budgeting, reporting, and performance evaluation to help drive organizational success.
What cities are hiring for Um Manager jobs? Cities with the most Um Manager job openings:
What are the most commonly searched types of Um jobs? The most popular types of Um jobs are:
What states have the most Um Manager jobs? States with the most job openings for Um Manager jobs include:
Um Manager jobs near you

Manager, UM Preservice Review (Tampa)

Avalon Administrative Services LLC

Tampa, FL • On-site, Remote

Part-time

Posted yesterday

Job description

About Avalon Healthcare Solutions:

Avalon Healthcare Solutions is the nation’s leader in diagnostic intelligence, uniquely focused on transforming the role of diagnostic testing across the healthcare ecosystem. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments.

Supporting over 30 health plans and 100 million members nationwide, Avalon partners with payers and providers to ensure diagnostic testing is performed appropriately, efficiently, and at the right time. Our flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support—driving measurable value, reduced waste, and improved clinical outcomes.

With unmatched scientific rigor, deep clinical expertise, and a performance-based model, Avalon is redefining how diagnostics power personalized care and healthcare value.
 Learn more at www.avalonhcs.com.

You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.

For more information about Avalon, please visit www.avalonhcs.com.

Avalon Healthcare Solutions is an Equal Opportunity Employer - Vet/Disability. 

This position description is subject to change at any time. As determined by the company based upon business needs, an employee in this position may be required to perform duties and take responsibility for work other than as described in this document.

About the Manager, UM Preservice Review Position:

The Manager, UM Preservice Review oversees the daily operations of preservice utilization management activities, leading a team of nurse clinicians. This role is responsible for workload management, staff development, and maintaining standard operating procedures (SOPs). In partnership with Team Lead, the manager ensures effective inventory oversight, prioritization, and adherence to service level agreements (SLAs). The role collaborates with executive leadership, vendors, and Medical Directors to ensure consistent application of clinical criteria and accurate medical necessity determinations. This position is accountable for clinical quality, accuracy, turnaround times (TAT), and compliance with contractual SLAs.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Manager, UM Preservice Review – Essential Functions and Responsibilities:

  • Ensure accurate and timely review of all preservice requests for medical necessity using current health plan policies and criteria 
  • Manage day-to-day operations of preservice UM functions, including workload distribution, staff development, and SOP maintenance 
  • Serve as escalation point for complex or high-priority issues requiring additional research or handling 
  • Oversee timekeeping and payroll reporting for direct reports (via ADP) 
  • Conduct regular 1:1 meetings focused on productivity, quality, and professional development 
  • Lead performance management processes, including mid-year and annual evaluations, goal setting, and corrective action plans as needed 
  • Manage onboarding and training for new hires; ensure training materials and SOPs remain current 
  • Collaborate with Medical Directors and external reviewers to ensure appropriate application of clinical criteria 
  • Support delegation audits and inter-rater reliability (IRR) activities
  • Represent Avalon in client facing clinical or process engagements as required or requested by leadership
  • Perform additional duties as assigned

    • Manager, UM Preservice Review – Minimum Qualifications:

  • 5 years experience performing preservice review
  • 1-2 years direct or indirect people leadership
  • Bachelor’s degree or 10 years equivalent experience
  • Active Unrestricted Multi-State Nursing License – LPN Required/RN Preferred
  • Demonstrated ability to interpret documents
  • Excellent communication skills both verbal and written 
  • Ability to navigate and master proprietary software programs and proficient in MS Office; specifically, Outlook, PowerPoint, Word, and Excel
  • Healthcare / payor knowledge and experience, including CMS regulatory understanding

    • Manager, UM Preservice Review – Preferred Qualifications:

  • MBA preferred


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