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Utilization Management Jobs in Louisiana (NOW HIRING)

Baptistjax

Baptist Jacksonville is currently hiring for a PRN Utilization Management Nurse to join our Baptist Downtown Location here in the Jacksonville, FL area. This is a PRN role with flexible scheduling ...

Memorial Hermann

Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for coordinating the use systems and processes for care/utilization management at the ...

US Tech Solutions

Registered Nurse

Baton Rouge, LA · On-site

As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...

Memorial Hermann

$17 - $22/hr

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Memorial Hermann

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Memorial Hermann

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

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All JobsUtilization Management JobsUtilization Management Jobs in Louisiana

Utilization Management information

See Louisiana salary details

$33.4K

$76.5K

$139.4K

How much do utilization management jobs pay per year?

As of Aug 17, 2026, the average yearly pay for utilization management in Louisiana is $76,519.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,200.00 and $89,400.00 per year, depending on experience, location, and employer.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What are the most commonly searched types of Utilization Management jobs in Louisiana?

The most popular types of Utilization Management jobs in Louisiana are:

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

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

What job categories do people searching Utilization Management jobs in Louisiana look for?

The top searched job categories for Utilization Management jobs in Louisiana are:

What cities in Louisiana are hiring for Utilization Management jobs?

Cities in Louisiana with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Louisiana as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $76,519 per year, or $36.8 per hour.

Utilization Management Nurse, PRN, Downtown

Baptistjax

Per diem

Posted 12 days ago

Job description

About Baptist Health
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.

Baptist Jacksonville is currently hiring for a PRN Utilization Management Nurse to join our Baptist Downtown Location here in the Jacksonville, FL area. This is a PRN role with flexible scheduling opportunities

As a Utilization Management Nurse, you will be responsible for:

  • Concurrent monitoring of patient record documentation to verify the need for hospitalization, the appropriate utilization of resources and assist with documentation improvement

  • Responsible for ensuring that the UR Plan is carried out in accordance with all QIO/PRO mandates and government regulations

  • Provides utilization information to commercial carriers per contractual arrangement

  • Assists with discharge planning and case management activities

Experience Requirements:

  • 3-5 Years - Case Management - Required

Education & Credential Requirements:

  • Associates Degree - Required

Primary Location:

Downtown - Howard Building

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