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Utilization Care Manager Jobs (NOW HIRING)

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage the care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...

Crouse Hospital

Care Manager

Syracuse, NY

$80K - $86K/yr

Participates in the utilization management process using standards of care to determine the most ... appropriate level of care, managing care across the continuum to ensure a safe discharge in a ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Job Summary Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership abilities by ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership abilities by ...

Willis Knighton Health

Care Manager

Shreveport, LA

Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership abilities by ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership abilities by ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage the care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...

Willis Knighton Health

Care Manager

Shreveport, LA

Job Summary Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...

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Utilization Care Manager information

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$39K

$91K

$167.5K

How much do utilization care manager jobs pay per year?

As of Jun 21, 2026, the average yearly pay for utilization care manager 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.

How does a Utilization Care Manager typically 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 Utilization Care Managers?

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 jobs pay 2000 a day?

Jobs that can pay $2,000 a day typically include specialized roles such as senior management, high-level consultants, certain medical professionals like surgeons, and experienced freelance contractors in fields like software development or engineering. These positions often require advanced skills, extensive experience, or professional certifications, and may involve project-based or contract work with high hourly or daily rates.

What does a utilization manager do in healthcare?

A utilization care manager in healthcare evaluates the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that care plans align with insurance policies and clinical guidelines to optimize resource use and control costs.

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 highest paying job with a BSW?

The highest paying jobs with a Bachelor of Social Work (BSW) degree typically include roles such as clinical social worker, healthcare administrator, or mental health director, with salaries often exceeding $70,000 annually. Advancement to supervisory or administrative positions, along with additional certifications or experience, can lead to higher compensation in social services and healthcare settings.

What job makes $10,000 a month without a degree?

A Utilization Care Manager typically does not earn $10,000 a month without a degree, as this role usually requires healthcare or administrative certifications and experience. High-paying jobs that can reach this level without a degree often include specialized sales, real estate brokers, or skilled trades like certain construction or technical roles, but these usually require relevant skills, licenses, or extensive experience.

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.

More about Utilization Care Manager jobs
What cities are hiring for Utilization Care Manager jobs? Cities with the most Utilization Care Manager job openings:
What states have the most Utilization Care Manager jobs? States with the most job openings for Utilization Care Manager jobs include:
What job categories do people searching Utilization Care Manager jobs look for? The top searched job categories for Utilization Care Manager jobs are:
Utilization Care Manager jobs near you
Utilization Review Nurse RN - NE

Utilization Review Nurse RN - NE

LifeBridge Health

Randallstown, MD

Part-time

Posted 5 days ago

LifeBridge Health rating

6.3

Company rating: 6.3 out of 10

Based on 76 frontline employees who took The Breakroom Quiz

665th of 874 rated healthcare providers

Job description

This is an EVERY Saturday and Sunday role

Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Interfaces with 3rd party payers by providing pertinent, relevant clinical information.

Responsibilities Include:

Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Enters clinical reviews into the software program. Maintains close communication with external reviewers/internal financial counselors/patient access personnel and performs certification activities as required by payor.

Monitors and identifies patterns or trends in utilization management. Monitors potential and actual denials and coordinates with nurse Care Manager and/or Social Worker for any follow up necessary. Documents in software program the actions taken to coordinate care and avoid denials. Assists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel.

Coordinates with the Care Manager to achieve optimal and efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. Utilizes Physician Advisor and administrative personnel for unresolved issues. Identifies opportunities for expedited appeals and collaborates with the Care Manager and Physician Advisor to resolve payer issues. Other tasks as assigned.

Sends appropriate referrals/escalations to the physician advisors to review cases not met with criteria

REQUIREMENTS:

  • Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license
  • Associate's Degree in Nursing required; BSN or higher preferred
  • Minimum of 3 years of related experience

What LifeBridge Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About LifeBridge Health

Sourced by ZipRecruiter

LifeBridge Health is a $2B, 13,000 team member healthcare system that Cares Bravely for over 1 million patients annually throughout Maryland. We are comprised of 5 main healthcare centers: Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital, and Grace Medical Center as well as several specialty and primary care locations throughout Baltimore.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Baltimore, MD, US

Year founded

1988

Social media

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