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Utilization Care Manager Jobs in Alaska (NOW HIRING)

Travel Case Manager RN

Anchorage, AK ยท On-site

$2.1K - $2.2K/wk

... Care Case Management * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Contract - W2 Case Management/Utilization ...

Travel Case Manager RN

Anchorage, AK ยท On-site

$2.1K - $2.2K/wk

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Anchorage ... Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:

Travel Case Manager RN

Anchorage, AK ยท On-site

$2.1K - $2.2K/wk

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Anchorage ... Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:

The Utilization Review Case Manager will manage patient progression of care, promote evidence-based protocols, ensure the appropriateness of interventions, and expedite care delivery for admitted ...

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Care Mgt Associate

Homer, AK ยท On-site

$18.50 - $35.29/hr

... effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services. The Care Management Associate position duties include (not all encompassing ...

Showing results 41-60

Utilization Care Manager information

What is a utilization care manager?

Utilization Care Managers are healthcare professionals responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They work to ensure that patients receive the right care at the right time, while also helping healthcare organizations manage costs and comply with regulations. Utilization Care Managers often review patient cases, coordinate with medical staff, and interact with insurance companies to authorize or deny services. Their goal is to optimize healthcare delivery, reduce unnecessary procedures, and improve patient outcomes.

How does a utilization care manager collaborate with medical and administrative teams to ensure effective patient care?

Utilization Care Managers work closely with physicians, nursing staff, and administrative teams to review patient cases, determine medical necessity, and coordinate appropriate care plans. They frequently participate in interdisciplinary meetings, communicate with insurance providers regarding authorizations, and ensure compliance with regulatory guidelines. This collaborative approach helps to optimize resource utilization, improve patient outcomes, and support smooth transitions of care. Being proactive in communication and documentation is key to success in this role.

What are the key skills and qualifications needed to thrive as a utilization care manager, and why are they important?

To thrive as a Utilization Care Manager, you need a background in healthcare, typically as a registered nurse or social worker, with expertise in care coordination and utilization review. Familiarity with utilization management software, medical necessity guidelines (such as Milliman or InterQual), and knowledge of insurance regulations are important. Strong analytical thinking, attention to detail, and effective communication skills help you advocate for patients while working with healthcare teams and payers. These skills ensure appropriate resource use, quality patient outcomes, and compliance with regulatory standards.

What is the difference between Utilization Care Manager vs Utilization Review Nurse?

AspectUtilization Care ManagerUtilization Review Nurse
CredentialsRN, case management certificationRN, certification in utilization review
Work EnvironmentHealthcare facilities, insurance companiesHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing resourcesReviewing medical necessity, approving treatments

Utilization Care Managers focus on coordinating patient care and managing resources, while Utilization Review Nurses primarily evaluate medical necessity for treatments. Both roles require nursing credentials and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.

What does a utilization care manager do in healthcare?

A utilization care manager in healthcare reviews patient cases to ensure appropriate use of medical services and resources, coordinating care plans to optimize patient outcomes and reduce unnecessary costs. They often work with healthcare providers, insurance companies, and patients, using data and clinical guidelines to make informed decisions about treatment and service utilization.

What are popular job titles related to Utilization Care Manager jobs in Alaska?

For Utilization Care Manager jobs in Alaska, the most frequently searched job titles are:

What cities in Alaska are hiring for Utilization Care Manager jobs?

Cities in Alaska with the most Utilization Care Manager job openings:

Manager Behavioral Health - Providence Crisis Stabilization Center

Holland America-Princess (Holland America Dawson City Inn)

Anchorage, AK โ€ข On-site

$125 - $150/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Key responsibilities

  • Coordinate the delivery of patient care in behavioral health units and ensure safety and daily management of operations.

  • Develop the clinical program and oversee clinical and operational issues with 24-hour accountability.

  • Assist with business planning, fiscal accountability, and resource utilization related to behavioral health services.


Job description

Description

We are hiring for a Manager Behavioral Health at Providence Crisis Stabilization Center in Anchorage, AK!

Position is full time, 1.0 FTE, Day Shift, Monday-Friday, core business hours, 40 hours per week.

Coordinates team in delivery of patient care in a compassionate and ethical manner according to recognized standards and care model. Develops the clinical program and ensures the safety and daily management of assigned behavioral health units and/or operations. Exercises independent judgment with 24-hr accountability for clinical and operational issues for assigned units/operations. May be assigned to special projects consistent with strategic, fiscal, and operational goals/targets. Assists with business plans, fiscal accountability, and clinical and resource utilization. Fosters change and teamwork.

Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Crisis Recovery Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.

Required qualifications:
  • Master's Degree in Behavioral health, social work or counseling, or related field.
  • Upon hire: Alaska Clinical Social Worker License. Or
  • Upon hire: Alaska Professional Counselor License. Or
  • Upon hire: Alaska Marriage and Family Therapist License. Or
  • Upon hire: Alaska Psychologist License
  • 5 years Behavioral health or social services experience.
  • 3 years Management/supervisory experience.
Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

The Providence family of organizations has a vision of health for a better world. As such, we are called to care wisely for our communities, resources, and earth. Our organizations strive to become carbon negative by 2030.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, weโ€™ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence has a long history of serving Alaska, beginning when the Sisters of Providence first brought health care to Nome in 1902 during the Gold Rush. This pioneering spirit set the standard for modern health care in Alaska and formed the foundation for Providence's growth as the state's largest private employer and leading health care provider.

Our award-winning and comprehensive medical centers are located in Anchorage, Eagle River, Kodiak Island, Mat-Su, Seward, and Valdez. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Pay Range: $52.19 - $82.39

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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