West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides ...
West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides ...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical ... and lead others, including the ability to translate detailed analytic analysis * Strong ...
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical ... and lead others, including the ability to translate detailed analytic analysis * Strong ...
Lead Utilization Review Nurse
$34 - $46/hr
The Lead Utilization Review Nurse functions as a working lead, performing utilization review ... Coordinates with care management team members to support progression of care and timely status ...
Lead Utilization Review Nurse
$34 - $46/hr
The Lead Utilization Review Nurse functions as a working lead, performing utilization review ... Coordinates with care management team members to support progression of care and timely status ...
West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides ...
West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides ...
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our ... The Supervisor, Care Management role integrates and coordinates utilization management, care ...
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our ... The Supervisor, Care Management role integrates and coordinates utilization management, care ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Utilization Review- RN
Troy, MI · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Utilization Review- RN
Troy, MI · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Utilization Management Clinician
Bend, OR · On-site
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Utilization Management Clinician
Bend, OR · On-site
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
As a Project Management Team Lead, you'll manage a team responsible for providing advanced management and consultancy services four Carolina's market accounts to achieve the company's strategic ...
As a Project Management Team Lead, you'll manage a team responsible for providing advanced management and consultancy services four Carolina's market accounts to achieve the company's strategic ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Utilization Management Nurse Consultant
$29.10 - $62.32/hr
Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) We're building a ... Join our team and use your clinical expertise to ensure members receive the right care at the right ...
Utilization Management Nurse Consultant
$29.10 - $62.32/hr
Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) We're building a ... Join our team and use your clinical expertise to ensure members receive the right care at the right ...
Overview NaphCare is hiring a Utilization Management Physician to join our team at our Corporate Office in Birmingham, AL. The Utilization Management Physician will provide a streamlined, efficient ...
Overview NaphCare is hiring a Utilization Management Physician to join our team at our Corporate Office in Birmingham, AL. The Utilization Management Physician will provide a streamlined, efficient ...
... funded by the Lead Agency ensuring that authorizations are generated quickly to facilitate ... Work together as a team with co-workers to streamline processes and maintain unit efficiency and ...
... funded by the Lead Agency ensuring that authorizations are generated quickly to facilitate ... Work together as a team with co-workers to streamline processes and maintain unit efficiency and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Utilization Management Clinician
Bend, OR · On-site
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Utilization Management Clinician
Bend, OR · On-site
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Work with multidisciplinary teams utilizing an integrated team-based approach to best support ...
Utilization Management Assistant
$39K - $45K/yr
We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a ...
Utilization Management Assistant
$39K - $45K/yr
We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a ...
... ll lead efforts to connect clinical excellence with financial strength. In this role, you'll ... Recruit, train, and manage a high-performing CDI and UM team, ensuring operational alignment with ...
Quick apply
... ll lead efforts to connect clinical excellence with financial strength. In this role, you'll ... Recruit, train, and manage a high-performing CDI and UM team, ensuring operational alignment with ...
Utilization Management RN
Dallas, TX · On-site
Acts as a resource for colleagues with less experience; may lead projects with manageable risks and ... Impacts a range of customer, operational, project or service activities within own team and other ...
Utilization Management RN
Dallas, TX · On-site
Acts as a resource for colleagues with less experience; may lead projects with manageable risks and ... Impacts a range of customer, operational, project or service activities within own team and other ...
To provide daily supervision of utilization management staff. Provide departmental leadership ... Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy ...
To provide daily supervision of utilization management staff. Provide departmental leadership ... Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy ...
Utilization Management Clerk
Lansing, MI · On-site
J oin the VitalCore Team in Michigan! We're people who are fueled by passion, not profit. VitalCore ... UTILIZATION MANAGEMENT CLERK BENEFITS PACKAGE: Holiday Pay : New Year's Day, Martin Luther King Jr. ...
Utilization Management Clerk
Lansing, MI · On-site
J oin the VitalCore Team in Michigan! We're people who are fueled by passion, not profit. VitalCore ... UTILIZATION MANAGEMENT CLERK BENEFITS PACKAGE: Holiday Pay : New Year's Day, Martin Luther King Jr. ...
Utilization Management Team Lead information
See salary details
$14.49 is the 25th percentile. Wages below this are outliers.
$10.58 - $16.24
36% of jobs
The median wage is $18.08 / hr.
$16.24 - $21.90
43% of jobs
$21.90 - $27.56
10% of jobs
$27.56 - $33.22
4% of jobs
$33.22 - $38.88
1% of jobs
$38.88 - $44.54
1% of jobs
$44.54 - $50.20
0% of jobs
$50.20 - $55.86
0% of jobs
$55.86 - $61.52
4% of jobs
$61.52 - $67.18
0% of jobs
$67.18 - $72.84
1% of jobs
$10
$25
$72
How much do utilization management team lead jobs pay per hour?
As of Jul 4, 2026, the average hourly pay for utilization management team lead in the United States is $25.73, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $24.04 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Utilization Management Team Lead, and why are they important?
To thrive as a Utilization Management Team Lead, you need a background in healthcare, strong knowledge of utilization review processes, and typically a degree in nursing or a related field with relevant licensure or certification. Familiarity with case management software, medical coding systems, and payer guidelines is essential for effective oversight. Strong leadership, critical thinking, and communication skills are vital for guiding teams and collaborating with various stakeholders. These skills ensure compliance, efficient care coordination, and optimal resource utilization within healthcare organizations.
What is the difference between Utilization Management Team Lead vs Utilization Review Nurse?
| Aspect | Utilization Management Team Lead | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, certifications in utilization management or case management | RN license, certifications in utilization review or case management |
| Work Environment | Supervisory role overseeing review teams, administrative tasks | Performing reviews, assessing patient records, direct communication with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Leadership, team management, utilization review processes | Review procedures, case assessments, clinical decision-making |
The Utilization Management Team Lead typically oversees review teams and manages utilization review processes, requiring leadership skills and certifications. In contrast, the Utilization Review Nurse focuses on conducting clinical reviews and assessments directly related to patient care. Both roles share similar credentials and work environments but differ mainly in scope and responsibilities.
What are some common challenges faced by a Utilization Management Team Lead, and how can they be addressed?
A Utilization Management Team Lead often faces challenges such as balancing workflow efficiencies with regulatory requirements, managing diverse team member skillsets, and ensuring timely case reviews. Addressing these challenges involves fostering clear communication, providing regular training, and implementing effective performance tracking systems. Additionally, collaborating closely with clinical staff and other departments helps ensure consistent application of best practices and supports continuous quality improvement.
What does a Utilization Management Team Lead do?
A Utilization Management Team Lead oversees a team responsible for reviewing and evaluating the necessity, appropriateness, and efficiency of healthcare services and treatments. They coordinate daily operations, provide guidance to utilization review staff, and ensure compliance with regulatory guidelines and organizational policies. The Team Lead also communicates with healthcare providers, resolves escalated cases, and monitors performance metrics to optimize resource use and patient outcomes.
More about Utilization Management Team Lead jobs
What states have the most Utilization Management Team Lead jobs? States with the most job openings for Utilization Management Team Lead jobs include:
What job categories do people searching Utilization Management Team Lead jobs look for? The top searched job categories for Utilization Management Team Lead jobs are:
- Medical Director Utilization Management
- Part Time Navihealth Utilization Review
- Alive Hospice
- Director Chiropractic Utilization Review
- Contractual Diabetes
- Commission Torrance Memorial Medical Center
- Assistant Providence Tarzana Hospital
- Executive Msn Leadership
- Director Clinical Health Network Transformation
- Seasonal American Repertory Theater
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 5 days ago
Universal Health Services rating
6.8
Based on 250 frontline employees who took The Breakroom Quiz
483rd of 877 rated healthcare providers
Job description
Responsibilities
Utilization Management Coordinator -Full-time Opportunity
West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency. We offer a broad range of behavioral health programs for children, adolescents and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient.
We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria.
Visit us online at: https://westoakshospital.com/
West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials, participates in the hospital's Performance Improvement Plan.
Job Duties/Responsibilities:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com .
From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Requirements:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Utilization Management Coordinator -Full-time Opportunity
West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency. We offer a broad range of behavioral health programs for children, adolescents and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient.
We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria.
Visit us online at: https://westoakshospital.com/
West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials, participates in the hospital's Performance Improvement Plan.
Job Duties/Responsibilities:
- Monitors cases for medical necessity, appropriate duration of service and over or under utilization of resources.
- Completes admission and continued stay reviews with managed care companies and obtains certification.
- Identifies documentation defects.
- Participates in efforts to recover denials.
- Collaborates with medical staff, administration and treatment team.
- Participates in efforts to recover denials.
- Student Loan Forgiveness Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Career development opportunities within UHS and its 300+ Subsidiaries
- Pet Insurance
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com .
From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Requirements:
- Education Required: Bachelor's Degree in Psychology, Social Work, Nursing or related field, or Associate Degree in Nursing. Preferred: Masters degree in human related field.
- Licensure and certification Required: CPR and hospital de-escalation certifications. Preferred: TX LVN, RN or LCDC license.
- Experience Required: Minimum of one year of case management experience and one year inpatient psychiatric experience. Preferred experience: 5 years of clinical or case management experience.
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
What Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US