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Utilization Management Nurse Jobs in Utah (NOW HIRING)

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Utilization Management Nurse information

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$35.5K

$81.5K

$148.4K

How much do utilization management nurse jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization management nurse in Utah is $81,462.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,700.00 and $95,100.00 per year, depending on experience, location, and employer.

What is a utilization management nurse?

A Utilization Management Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records and treatment plans to ensure that care meets established guidelines and is cost-effective. Utilization Management Nurses work with healthcare providers, insurance companies, and patients to coordinate care and prevent unnecessary procedures or hospitalizations. Their goal is to support high-quality patient care while managing healthcare costs.

What does a utilization management nurse do?

A utilization management nurse ensures that healthcare services are administered appropriately. Their job responsibilities include working in a hospital, health practice, or other clinical setting reviewing patient clinical records, drafting clinical appeals, and overseeing staff members. The qualifications for a utilization management nurse include a nursing degree and a registered nursing license. Most people in this job also have career experience in case management and utilization review.

What are the key skills and qualifications needed to thrive as a utilization management nurse?

To thrive as a Utilization Management Nurse, you need a registered nursing license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical management software, InterQual or Milliman guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, communication, and negotiation skills help you coordinate with providers and advocate for patients. These competencies ensure appropriate resource use, compliance with regulations, and optimal patient outcomes.

What are some common challenges a utilization management nurse faces when coordinating care between providers and insurance companies?

A Utilization Management Nurse often navigates the challenge of balancing patient advocacy with insurance guidelines, ensuring that care recommendations meet both clinical standards and payer requirements. Communicating complex medical information to both providers and insurance representatives can be demanding, especially when there are disagreements about coverage or medical necessity. Additionally, staying updated on changing policies and maintaining thorough documentation under tight deadlines are frequent aspects of the role. Strong collaboration skills and attention to detail are essential for success in this position.

What is the difference between Utilization Management Nurse vs Case Manager?

AspectUtilization Management NurseCase Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, community health agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Utilization Management Nurses primarily focus on reviewing medical necessity and approving healthcare services, while Case Managers coordinate patient care and facilitate discharge planning. Both roles require RN licensure and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.

What cities in Utah are hiring for Utilization Management Nurse jobs?

Cities in Utah with the most Utilization Management Nurse job openings:

What are popular job titles related to Utilization Management Nurse jobs in UT?

For Utilization Management Nurse jobs in UT, the most frequently searched job titles are:

Infographic showing various Utilization Management Nurse job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $81,462 per year, or $39.2 per hour.

Staff Utilization Coordinator

University of Utah Health

Salt Lake City, UT • On-site

$18.75 - $23/hr

Full-time

PTO

Posted 24 days ago


University Of Utah rating

7.2

Company rating: 7.2 out of 10

Based on 159 frontline employees who took The Breakroom Quiz

390th of 628 rated colleges and universities


Job description

Overview
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
The Staff Utilization Coordinator is responsible for providing healthcare operational support services, including staff placement, scheduling, system orientation, and cross functional support for UKG scheduling support services and the HR Centralized Timekeeping team. Collaborating closely with Nursing Leadership, the Staff Utilization Coordinator reviews and develops schedules based on agreed-upon staffing guidelines, models, and staffing grids to efficiently utilize staff time and resources while meeting patient care needs. The role also involves proactive daily management to secure staff for open shifts to ensure adequate coverage for direct patient care.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
  • Participate in daily staff allocation meetings with Hospital Supervisors and department Charge Nurses in a 24/7 environments.
  • Coordinate staff allocation for both the Inpatient and Ambulatory Resource Department staff. Review patient census interface and staffing grids, adjusting daily staffing across all units and shifts based on actual and projected volumes.
  • Input daily schedule changes based on reported unscheduled absences, PTO/holidays, float allocations and shift changes for the department of Nursing
  • Participate in the development of staffing schedules for assigned areas.
  • Review schedules for accuracy, considering job codes, FTEs, and other criteria.
  • Forecast staffing needs based on established grids and adapt for fluctuating patient acuity.
  • Attend daily system capacity management meetings to discuss staffing levels and patient flow.
  • Coordinate and communicate real-time staffing changes in conjunction with the Hospital Supervisor.
  • Review open shift requests and secure coverage as needed.
  • Collaborate with the Hospital Supervisor to reassign staff based on census and workload, adhering to the Nurse Utilization Policy.
  • Assist Hospital Supervisor and Nursing Leadership in identifying daily cost-saving opportunities, minimizing overtime, 1:1 staffing, and ensuring efficient Hours per Patient Day(HPPD).
  • Assist Staffing Office Leadership in preparing time utilization analyses and identifying scheduling trends and cost-saving opportunities.
  • Utilize staffing and scheduling systems to produce regular and ad hoc reports for optimizing cost-effective and safe patient care.
  • Process unscheduled absence submissions.
  • Review and reconcile time entries, review overtime, and alert Staffing Office Leadership for payroll sign-off in conjunction with nursing managers prior to weekly submission deadline to Payroll.
  • Provides daily system staffing reports to support HR Centralized Timekeeping payroll processing and staff productivity coding within UKG.
  • Assist in preparing time utilization reports, monthly orientation hours, employee attendance reports, and other requested leadership and nursing reports.
Knowledge / Skills / Abilities
  • Ability to perform the essential functions of the job as outlined above.
  • Demonstrated human relations and effective communication skills.
  • Ability to perform daily work routines within the scope of the unit's standards of performance.
  • Ability to facilitate the resource staffing placement in collaboration with charge nurses by using staffing grids and patient care as a primary tool for placement.
  • Ability to prioritize the work load requirements of the day while maintaining the needs of the department/unit.
  • Ability to make placement decisions when unit/department staff needs exceeds resources available.

Qualifications
Required
  • Minimum of two years of post-secondary education or an equivalent combination of education and additional experience.

Qualifications (Preferred)
Preferred
  • Minimum of two years of experience with staffing and attendance management in a scheduling system; UKG experience preferred.
  • Two years of experience working in a healthcare environment.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements
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About University of Utah

Sourced by ZipRecruiter

The University of Utah is the state’s flagship institution of higher education, with 18 schools and colleges, more than 100 undergraduate majors and graduate programs, and an enrollment of more than 38,000 students. It is a member of the Association of American Universities—an invitation-only, prestigious group of 71 leading research institutions. The U is advancing a new national model for higher education that delivers societal impact through education, research, health care, and community service, while making social, economic, and cultural contributions that improve lives across Utah and around the world.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Salt Lake City, UT, US