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Utilization Care Manager Jobs in Utah (NOW HIRING)

Imh

Manager Utilization and Care Management

Murray, UT · On-site +1

$44.99 - $69.44/hr

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of ...

Imh

Ambulatory Nurse Care Manager

Moroni, UT

Conducts root cause analysis of extended post-acute stays, inappropriate utilization, readmissions ... Care Management Certification * Demonstrated experience in case management, utilization review, or ...

Intermountain Healthcare

RN Care Manager

Salt Lake City, UT · On-site

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. * Basic computer skills, including proficiency in word processing and spreadsheet software.

Intermountain Healthcare

RN Care Manager

Riverton, UT · On-site

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. * Basic computer skills, including proficiency in word processing and spreadsheet software.

Imh

RN Ambulatory Care Manager

Orem, UT

Conducts root cause analysis of extended post-acute stays, inappropriate utilization, readmissions ... Care Management Certification * Demonstrated experience in case management, utilization review, or ...

New

Imh

RN Care Manager

Riverton, UT · Hybrid

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. * Basic computer skills, including proficiency in word processing and spreadsheet software.

Intermountain Health

RN Care Manager

Salt Lake City, UT · On-site

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge planning. * Basic computer skills, including proficiency in word processing and spreadsheet software.

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Utilization Care Manager information

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 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.

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 are popular job titles related to Utilization Care Manager jobs in Utah? For Utilization Care Manager jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Utilization Care Manager jobs in Utah look for? The top searched job categories for Utilization Care Manager jobs in Utah are:
What cities in Utah are hiring for Utilization Care Manager jobs? Cities in Utah with the most Utilization Care Manager job openings:
Utilization Care Manager jobs near you
Infographic showing various Utilization Care Manager job openings in Utah as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 90% In-person, and 10% Remote job distribution.

Manager Utilization and Care Management

Intermountain Healthcare

Salt Lake City, UT • On-site

$44.99 - $69.44/hr

Other

Posted 3 days ago

New

Intermountain Health rating

7.2

Company rating: 7.2 out of 10

Based on 842 frontline employees who took The Breakroom Quiz

347th of 887 rated healthcare providers

Job description

Clinical Manager

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of high-quality, cost-effective care management services, compliance with regulatory requirements, and achievement of organizational financial and clinical objectives. The Clinical Manager collaborates with nursing leaders, physicians, and other stakeholders to optimize member outcomes, drive program innovation, and foster professional development within the team.

Essential Functions
  • Lead, supervise, and mentor a team of RN or Behavioral Health Care Managers and RN or Behavioral Health Utilization Review clinicians, and related support positions ensuring clinical excellence and regulatory compliance.
  • Oversee daily operations, including staffing, resource allocation, and workflow optimization.
  • Manage departmental budgets and performance evaluations, ensuring financial stewardship and achievement of organizational goals.
  • Develop, implement, and monitor program structure, processes, and outcome standards for Utilization Review and Care Management.
  • Facilitate interdisciplinary collaboration and communication among members, families, providers, and payers.
  • Ensure compliance with regulatory bodies (NCQA, CMS, Joint Commission) and patient safety initiatives.
  • Champion continuous improvement, address gaps, and monitor internal processes and metrics.
  • Coordinate safe transitions of care, including discharge planning and repatriation to participating providers.
  • Create and present reports on program performance, including outcome measures and return on investment.
  • Support staff development, mentorship, and participation in community outreach activities.
Skills
  • Leadership
  • Communication
  • Utilization review Experience
  • Care management Experience
  • Team Performance management
  • Financial acumen
  • Clinical knowledge
  • Problem-solving
Minimum Qualifications
  • Bachelor's degree in Nursing (BSN) from an accredited institution or Masters Degree in Clinical Social Work (LCSW)
  • Current licensure with compact privileges; must transfer licenses within 60 days.
  • Leadership or supervisory experience in clinical or managed care settings.
  • Two years of clinical experience and one year in care management or utilization review.
  • Strong written and verbal communication skills.
  • Intermediate computer skills and ability to troubleshoot independently.
  • Completion of required leadership training within one year of accepting the position.
Preferred Qualifications
  • Master's degree in a clinical, education, or business specialty.
  • Specialty certification in care management or utilization review.
  • Experience in program development and oversight.
  • Project management and organizational skills.
Physical Requirements
  • Ability to read and assess information, documents, and monitors.
  • Frequent verbal communication and hearing for interactions with colleagues and providers.
  • Manual dexterity for computer use and equipment handling.
  • May be required to sit or stand for extended periods.
  • For roles requiring driving: ability to drive and read signs, signals, and other vehicles.

Location: SelectHealth - Murray

Work City: Murray

Work State: Utah

Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$44.99 - $69.44

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.

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