ZipRecruiter

Log In

1

Utilization Care Manager Jobs in Moab, UT (NOW HIRING)

Moab Regional Hospital

Receiving Clerk

Moab, UT · On-site

$20 - $28.48/hr

Help Keep Exceptional Patient Care Moving Every day, supplies and products arrive at Moab Regional ... Set minimum and maximum order quantities in an effort to control utilization. * Manage stock ...

Moab Regional Hospital

Receiving Clerk

Moab, UT

$20 - $28.48/hr

Help Keep Exceptional Patient Care Moving Every day, supplies and products arrive at Moab Regional ... Set minimum and maximum order quantities in an effort to control utilization. * Manage stock ...

All JobsUtilization Care JobsUtilization Care Manager JobsUtilization Care Manager Jobs in Moab, UT

Utilization Care Manager information

See Moab, UT salary details

$39.2K

$91.5K

$168.5K

How much do utilization care manager jobs pay per year?

As of Aug 28, 2026, the average yearly pay for utilization care manager in Moab, UT is $91,541.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,800.00 and $110,100.00 per year, depending on experience, location, and employer.

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 job categories do people searching Utilization Care Manager jobs in Moab, UT look for?

The top searched job categories for Utilization Care Manager jobs in Moab, UT are:

Utilization Care Manager jobs near you

Director of Care Coordination and Population Health

Moab Regional Hospital

Moab, UT

$100K - $143K/yr

Full-time

Retirement, PTO

Posted 2 days ago

New

Job description

Director of Care Coordination and Population Health
Join our Care Coordination team at Moab Regional Hospital!
This is a salaried, exempt, year-round, benefited position.
Anticipated Schedule: Monday – Friday, requires some on call responsibilities to include weekends, evenings, and holidays.
Starting salary range: $100,880.00 to $143,665.60 DOE
Our Director of Care Coordination and Population Health position:
At Moab Regional Hospital, we believe exceptional healthcare extends far beyond the walls of the hospital. We are seeking a visionary and collaborative Director of Care Coordination (DCC) to lead and transform the delivery of coordinated, patient-centered care across our rural health system and community.
As a strategic and operational leader, the Director provides oversight for all care coordination functions, including case management, social work, discharge planning, care transitions, patient transportation, chronic disease management, and population health initiatives. Working closely with physicians, nursing leadership, community organizations, and regional partners, the Director will advance innovative models of care that improve health outcomes, reduce avoidable utilization, and support patients in navigating a seamless continuum of care.
Being a key architect of the future of care coordination at Moab Regional Hospital, the Director will play a pivotal role in designing new programs, developing sustainable service lines, and building a high-performing department that reflects the unique needs of rural Utah residents. This leader will also spearhead grant identification, development, and implementation efforts related to care coordination, population health, transportation access, behavioral health integration, and other strategic initiatives that strengthen healthcare delivery throughout the region.
This is an exceptional opportunity for a forward-thinking healthcare leader who is passionate about rural health, community impact, and innovation. The successful candidate will join an organization committed to advancing health opportunities, expanding access to care, and creating transformative solutions that improve the lives of patients and families throughout southeastern Utah.
Key Responsibilities:
Leadership amp; Strategic Direction
  • Develop and implement a comprehensive care coordination strategy aligned with hospital and system goals.
  • Lead, mentor, and support care coordination teams (RN case managers, social workers, discharge planners, non-RN coordinators, and population health staff).
  • Collaborate with medical, nursing, and administrative leadership to ensure alignment of care management across inpatient, outpatient, and community settings.
  • Design and drive data-informed interventions to address gaps in care and reduce preventable utilization.
Care Coordination Operations
  • Oversee processes related to patient flow, discharge planning, post-acute transitions, and readmission prevention.
  • Integrate workflows of care management, social work, and patient transport into cohesive, efficient operations.
  • Develop and maintain standardized policies, workflows, and documentation aligned with regulatory requirements and best practices.
  • Partner with revenue cycle and utilization management teams to support appropriate length of stay and resource use.
  • Manage and collaborate on care coordination for the PATH 1.5 Rural Health Transformation grant for Moab Regional Hospital and the Moab Free Clinic as well as potential grant opportunities in the future.
Population Health amp; Community Engagement
  • Lead development and execution of population health programs targeting high-risk, high-cost, and vulnerable populations.
  • Use analytics and risk stratification tools to identify and engage target groups.
  • Foster partnerships with community agencies, payers, and regional health networks to improve social determinants of health.
  • Monitor outcomes and financial metrics related to value-based care and population health contracts.
Quality, Compliance, and Education
  • Ensure compliance with state and federal regulations regarding case management and discharge planning.
  • Track and report key metrics such as readmission rates, care transition success, and patient satisfaction.
  • Develop training and education programs for interdisciplinary care coordination and population health initiatives.
Qualifications:
  • Master's degree in nursing, Social Work, Public Health, Health Administration, or a related field preferred; bachelor’s degree required.
  • RN or LCSW licensure recommended but not required.
  • Certification in Case Management (ACM, CCM) or Population Health (CPH) recommended and preferred within 18 months of hire.
  • Minimum 5 years of progressive leadership experience in care coordination, case management, or population health, preferably in a hospital or health system setting.
  • Proven ability to lead multidisciplinary teams and drive operational and cultural change.
  • Demonstrated success using data to guide decisions and measure outcomes.
  • Excellent interpersonal and communication skills.
  • Strategic thinker with a strong understanding of healthcare delivery and reimbursement models.
  • Passion for patient-centered care and innovation in rural health systems.
  • Effective collaborator across departments and community partners.
What’s great about working at Moab Regional Hospital?
We have an amazing team here at Moab Regional Hospital, with a skilled group of healthcare providers and physicians from a wide range of specialties who are committed to the Moab community. Every healthcare professional that works here at MRH in both a clinical and non-clinical setting cares about our patients because these are our friends, neighbors, and our family.
Each MRH employee calls Moab their home for a variety of reasons: they were born and raised here in Moab or the greater SE Utah; they have moved here after falling in love with the town’s tight-knit community; most are drawn here by some of the most stunning red rock landscapes on Earth.
Moab Regional Hospital strives to balance care for the community with care for its employees and offers a supportive work environment, competitive total compensation packages, and the flexibility to enjoy what makes this desert region one of the most unique and special places to live.
We offer:
  • Wide range of benefits, including insurance, retirement, and paid time off
  • Collaborative and supportive workplace
  • Professional growth opportunities including continuing education, trainings, and more!
Spectacular Location: Welcome to Moab, Utah, where Arches and Canyonlands National Parks are just a part of the breathtaking red rock landscapes that surround this charming town. Nestled at the base of the LaSal Mountains and along the banks of the Colorado River, small-town friendliness coupled with unparalleled natural beauty make this a great place to call home. Thanks to its perfect climate, Moab offers year round recreation opportunities, and is renowned for mountain biking, rock climbing, jeeping, hiking and river activities. There are an array of restaurants, microbreweries, art galleries and special events that create a vibrant community to live in.
Moab Regional Hospital is a Drug Free Workplace, and requires successful completion of a pre-employment drug test amp; background check.
Moab Regional Hospital is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Moab Regional Hospital makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Apply