Interacts with community agencies to assist children with returning home or achieving permanency ... a Utilization Management function; or an equivalent combination of education and experience.
Interacts with community agencies to assist children with returning home or achieving permanency ... a Utilization Management function; or an equivalent combination of education and experience.
Director of Utilization Management
Gainesville, FL ยท On-site
$68K - $71K/yr
Interacts with community agencies to assist children with returning home or achieving permanency ... a Utilization Management function; or an equivalent combination of education and experience.
Director of Utilization Management
Gainesville, FL ยท On-site
$68K - $71K/yr
Interacts with community agencies to assist children with returning home or achieving permanency ... a Utilization Management function; or an equivalent combination of education and experience.
The Utilization Management Specialist is responsible for establishing a professional and supportive ... These tools assist our recruitment team but do not replace human judgment. Final hiring decisions ...
The Utilization Management Specialist is responsible for establishing a professional and supportive ... These tools assist our recruitment team but do not replace human judgment. Final hiring decisions ...
Provide guidance to internal teams on utilization management principles, policies, and procedures. * Assist in the development and implementation of utilization management strategies to enhance ...
Provide guidance to internal teams on utilization management principles, policies, and procedures. * Assist in the development and implementation of utilization management strategies to enhance ...
Utilization Management Coordinator
Troy, MI ยท Remote
$19/hr
... to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES ... Generate correspondence and assist with faxing/mailing member and provider notifications * Complete ...
Utilization Management Coordinator
Troy, MI ยท Remote
$19/hr
... to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES ... Generate correspondence and assist with faxing/mailing member and provider notifications * Complete ...
The Utilization Management Specialist is responsible for establishing a professional and supportive ... These tools assist our recruitment team but do not replace human judgment. Final hiring decisions ...
Quick apply
The Utilization Management Specialist is responsible for establishing a professional and supportive ... These tools assist our recruitment team but do not replace human judgment. Final hiring decisions ...
In addition, the Medical Director, Utilization Management will assist in clinical oversight of coordination of care, case management, Health risk assessment and Individualized Care plans (ICPs). The ...
In addition, the Medical Director, Utilization Management will assist in clinical oversight of coordination of care, case management, Health risk assessment and Individualized Care plans (ICPs). The ...
Utilization Management Physician Reviewer
Chicago, IL ยท On-site
$174K - $374K/yr
Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote ... as a tool to assist in decision making. * Work collaboratively with the Oak Street Health ...
Utilization Management Physician Reviewer
Chicago, IL ยท On-site
$174K - $374K/yr
Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote ... as a tool to assist in decision making. * Work collaboratively with the Oak Street Health ...
Utilization Management Physician (UMP) - Remote Full-Time | 40 Hours Weekly A leading healthcare ... Conduct peer-to-peer discussions with treating providers (phone or electronic) * Assist with ...
Utilization Management Physician (UMP) - Remote Full-Time | 40 Hours Weekly A leading healthcare ... Conduct peer-to-peer discussions with treating providers (phone or electronic) * Assist with ...
The Utilization Management Medical Assistant (UM MA) is accountable for the review and audit of authorization requests to ensure services are authorized and meet standard medical guidelines. Ensuring ...
The Utilization Management Medical Assistant (UM MA) is accountable for the review and audit of authorization requests to ensure services are authorized and meet standard medical guidelines. Ensuring ...
RN Utilization Mgmt Full-Time Day
Los Angeles, CA ยท On-site
$52.25 - $80.99/hr
RN Utilization Management Full-Time Day 5/21/2026 RNUM MLK Community Hospital & Foundation 1680 E ... e-TAR. * Assist with tracking submitted e-TARS to ensure deferrals and denials are followed-up ...
RN Utilization Mgmt Full-Time Day
Los Angeles, CA ยท On-site
$52.25 - $80.99/hr
RN Utilization Management Full-Time Day 5/21/2026 RNUM MLK Community Hospital & Foundation 1680 E ... e-TAR. * Assist with tracking submitted e-TARS to ensure deferrals and denials are followed-up ...
This position will work with payers to reconcile denials and reconsiderations, assist with appeals ... Management, Utilization Management, or Coding. Communication Skills: - Above Average Verbal ...
This position will work with payers to reconcile denials and reconsiderations, assist with appeals ... Management, Utilization Management, or Coding. Communication Skills: - Above Average Verbal ...
Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
Care Coordinator, Utilization Management
Hackensack, NJ ยท On-site
$113K/yr
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
Care Coordinator, Utilization Management
Hackensack, NJ ยท On-site
$113K/yr
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
Supervises the daily operations of the utilization management (UM) department functions to ensure ... Evaluate compliance policies and procedures and analyze/recommend enhancements. * Assist with ...
Supervises the daily operations of the utilization management (UM) department functions to ensure ... Evaluate compliance policies and procedures and analyze/recommend enhancements. * Assist with ...
Care Coordinator, Utilization Management
Edison, NJ ยท On-site
$107K/yr
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
Care Coordinator, Utilization Management
Edison, NJ ยท On-site
$107K/yr
The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
Responsible for providing administrative and coordination support within utilization management ... Research information and assist in resolving operational and service issues. * Support reporting ...
Quick apply
Responsible for providing administrative and coordination support within utilization management ... Research information and assist in resolving operational and service issues. * Support reporting ...
Care Coordinator, Utilization Management
Hackensack, NJ ยท On-site
$113K/yr
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
Care Coordinator, Utilization Management
Hackensack, NJ ยท On-site
$113K/yr
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and ... Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case ...
RN Utilization Mgmt Full-Time Day
Los Angeles, CA ยท On-site
$52.25 - $80.99/hr
POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a ... e-TAR. * Assist with tracking submitted e-TARS to ensure deferrals and denials are followed-up ...
Quick apply
RN Utilization Mgmt Full-Time Day
Los Angeles, CA ยท On-site
$52.25 - $80.99/hr
POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a ... e-TAR. * Assist with tracking submitted e-TARS to ensure deferrals and denials are followed-up ...
Utilization Management Assistant information
See salary details
$29K - $32.7K
1% of jobs
$32.7K - $36.4K
4% of jobs
$36.4K - $40K
7% of jobs
$42.5K is the 25th percentile. Wages below this are outliers.
$40K - $43.7K
18% of jobs
The median wage is $46.4K / yr.
$43.7K - $47.4K
27% of jobs
$49.7K is the 75th percentile. Wages above this are outliers.
$47.4K - $51.1K
28% of jobs
$51.1K - $54.8K
7% of jobs
$54.8K - $58.5K
3% of jobs
$58.5K - $62.1K
2% of jobs
$62.1K - $65.8K
1% of jobs
$65.8K - $69.5K
1% of jobs
$29K
$48.4K
$69.5K
How much do utilization management assistant jobs pay per year?
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What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?
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What is a Utilization Management Assistant?

Full-time
Posted yesterday
Job description
The Director of Utilization Management is responsible for overseeing service authorizations and the Certified Behavioral Health Assessment (CBHA) process, ensuring that services for children are producing desired outcomes and are achieving permanency and for managing a team of individuals who serve to make direct connections between the needs of the community's children and families and the providers that meet those needs. This position is also responsible for the continuous quality improvement and data analytics associated with the Utilization Management (UM) units and may serve in other such capacities outside of these units. This position reports directly to the Vice President of Information Technology and Utilization Management.
ESSENTIAL JOB FUNCTIONS
- Provides direct supervision of professional and administrative positions assigned to the Utilization Management Department.
- Analyzes and reports Utilization Management data for use in budget analyses, staffing and service allocation considerations, quality improvement, and performance measure analyses.
- Tracks, manages, and reports on department spending, based on the annually approved departmental budget, which includes collaborating with the Finance Department to review spending and allocations.
- Assists with developing specifications and system operation, efficiencies, and maintenance for data capturing systems used within the Utilization Management Department.
- Leads the Quality Improvement process within UM, providing input and observations to management staff and the Quality Operations units regarding behavioral health provider performance.
- Reviews utilization of behavioral health and supportive services provided in in-home and outpatient settings to ensure the maximization of resources.
- Provides oversight and support for staff processing and reviewing CBHA materials.
- Reviews and approves invoices for payment ensuring appropriate use of state, federal, and other funding sources, appropriate coding, and cost allocations are utilized to facilitate maximization of resources.
- Interacts with community agencies to assist children with returning home or achieving permanency.
- Oversees and directs training relevant to UM including provider and service array with case management, Department of Child & Families (DCF), and other stakeholders.
- Knows and understands the processes to be followed in relation to complaints by employees regarding harassment and/or retaliation. Fairly and consistently applies all human resource policies as it relates to subordinate staff.
- Provides documentation to the Vice President of IT in matters of hiring and discipline but lacks the ability to unilaterally hire and terminate.
- Displays understanding of, and sensitivity to, service population's cultural and socioeconomic characteristics.
- Performs other related job duties as assigned.
Education and Experience:
Bachelor's degree in related human services or human behavioral field or equivalent; Master's degree in the like preferred; and four (4) years of relevant experience in child welfare, behavioral health, or related field, to include two (2) years in a supervisory capacity; some experience in a Utilization Management function; or an equivalent combination of education and experience.
Special Qualifications:
Certified as a Child Protection Professional preferred.
Licensed Mental Health Professional preferred.
Possession of a valid, State of Florida driver's license to operate the motor vehicle operated. Requirement exists at the time of hire and as a condition of continued employment.
About Partnership for Strong Families
Sourced by ZipRecruiter
Industry
Non-profits
Company size
51 - 200 Employees
Headquarters location
Gainesville, FL, US
Year founded
2003