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Utilization Management Non Clinical Jobs (NOW HIRING)

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN

Provides monitoring and oversight of non-clinical utilization staff activities. * Provides advice ... Prefer recent utilization management or case management experience. Licensure Requirement: Current ...

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Provides monitoring and oversight of non-clinical utilization staff activities. * Provides advice ... Prefer recent utilization management or case management experience. Licensure Requirement: Current ...

HealthONE

Utilization Management Nurse

Dalton, GA · On-site

Job Title Utilization Management Nurse The Utilization Management Nurse performs comprehensive ... Assists non-clinical staff in performance of administrative reviews. * Performing comprehensive ...

WVU Medicine

Clinical Utilization Management Pharmacist

$121K - $144K/yr

Clinical Utilization Management Pharmacist Reporting to the Manager of Clinical Pharmacy, the ... Exempt/Non-Exempt: United States of America (Exempt) Company: PHH Peak Health Holdings Cost Center ...

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Utilization Management Non Clinical information

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$39K

$89.5K

$163K

How much do utilization management non clinical jobs pay per year?

As of Aug 15, 2026, the average yearly pay for utilization management non clinical in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between Utilization Management Non Clinical vs Utilization Review Nurse?

AspectUtilization Management Non ClinicalUtilization Review Nurse
CredentialsCertifications like CCM, RN (optional), but primarily non-clinical certificationsRN license, certifications such as CCM or CUC
Work EnvironmentOffice-based, administrative setting, telecommuting optionsClinical settings, hospitals, or insurance companies, often with direct patient or provider interaction
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentUnderstanding non-clinical roles in utilization managementClinical review roles involving direct patient care assessment

Utilization Management Non Clinical roles focus on administrative, policy, and documentation tasks without direct patient care, while Utilization Review Nurses perform clinical assessments to determine care necessity. Both roles are essential in healthcare utilization but differ mainly in clinical involvement and required credentials.

Is utilization management a hard job?

Utilization Management Non Clinical roles involve reviewing healthcare services to ensure appropriate use of resources, which can be challenging due to the need for attention to detail, understanding of medical policies, and decision-making under time constraints. The job requires strong analytical skills, knowledge of healthcare guidelines, and often involves working with electronic health records and insurance policies.
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What cities are hiring for Utilization Management Non Clinical jobs?

Cities with the most Utilization Management Non Clinical job openings:

What states have the most Utilization Management Non Clinical jobs?

States with the most job openings for Utilization Management Non Clinical jobs include:

What job categories do people searching Utilization Management Non Clinical jobs look for?

The top searched job categories for Utilization Management Non Clinical jobs are:

Utilization Management Non Clinical jobs near you
Infographic showing various Utilization Management Non Clinical job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.

Utilization Management Supervisor, Non-Clinical

UCLA Health

Los Angeles, CA • On-site

$70K - $145K/yr

Full-time

Re-posted 6 hours ago

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

6th of 887 rated healthcare providers

Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 8:00am - 5:00pm PST
Posted Date
06/15/2026
Salary Range: $73000 - 149600 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
31067
Primary Duties and Responsibilities
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Under the direction of the Utilization Management Assistant Director, the Utilization Management Supervisor (Non-Clinical) oversees the daily operations of non-clinical patient navigation services supporting high-risk and high-utilizer patient populations within the Utilization Management Department. This role supervises a team of coordinators, patient navigators and concurrent nurses, ensuring efficient workflow management, timely access to care, effective care transitions, and high-quality service delivery.
Key Responsibilities
  • Supervise and provide leadership to Patient Navigators and Coordinators supporting UM, SNF, ED follow-up, and Home Health workflows.
  • Oversee patient navigation activities, including appointment scheduling, transportation coordination, DME coordination, and community resource referrals.
  • Monitor operational work queues, referrals, discharge tracking, and care transition activities to ensure timely follow-up and service delivery.
  • Support effective transitions of care through post-discharge outreach, appointment adherence, and coordination of services.
  • Collaborate with interdisciplinary teams to identify and address barriers to care and support patient engagement initiatives.
  • Manage staff performance, scheduling, attendance, payroll/timekeeping, training, and professional development.
  • Analyze operational and utilization data to support quality improvement, compliance, and strategic decision-making.
  • Lead process improvement initiatives and support the development and optimization of departmental workflows, policies, and procedures.
  • Support system-related functions and operational activities related to care coordination, authorizations, and utilization management workflows.

Salary Range: $70,900 - $145,200/Annually
Job Qualifications
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  • High school diploma, GED or equivalent experience.
  • Four or more years of experience in a Managed Care Case Management and care coordination environment - REQUIRED
  • Three or more years of experience in Inpatient and ambulatory Managed Care program/referrals - REQUIRED
  • Three or more years of leadership or Supervisory role - REQUIRED
  • Two or more years of
    • Experience supporting Intensive Case Management, Utilization Management, Skilled Nursing Facility, and Home Health programs
    • Familiarity with Medicare Advantage and value-based care models
    • Experience with electronic health records (e.g., Epic/CareConnect)
  • Four years or more experience in Managed care Organization, Medical Group operations, Health Plan administration and workflows.
  • Ability to multi-task, work with frequent interruptions, and meet deadlines. Must be detailed, oriented, attentive, organized, and able to follow directions.
  • Proficient computer skills including working knowledge of Microsoft Excel, Visio, Power P and Word.
  • Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment.
  • Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally.
  • Highly organized, reliable, consistently seeking learning opportunities and new challenges, High EQ, communication skills, problem solving ability, and teamwork, humble yet confident, peers feel comfortable requesting your assistance.
  • Experience in Medicare Advantage or value-based care models - Preferred

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

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UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955

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