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Utilization Management Jobs in Michigan (NOW HIRING)

UHS

Utilization Review Manager

Grand Rapids, MI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Manager is responsible for directing and overseeing the Utilization Program for ... This includes the implementation of case management scenarios, consulting with all services to ...

UHS

Utilization Review Manager

Grand Rapids, MI

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Manager is responsible for directing and overseeing the Utilization Program for ... This includes the implementation of case management scenarios, consulting with all services to ...

UHS

Utilization Review Manager

Grand Rapids, MI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Utilization Manager is responsible for directing and overseeing the Utilization Program for ... This includes the implementation of case management scenarios, consulting with all services to ...

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Showing results 21-40

All JobsUtilization Management JobsUtilization Management Jobs in Michigan

Utilization Management information

See Michigan salary details

$34K

$78K

$142.1K

How much do utilization management jobs pay per year?

As of Aug 13, 2026, the average yearly pay for utilization management in Michigan is $77,993.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,200.00 and $91,100.00 per year, depending on experience, location, and employer.

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 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 most commonly searched types of Utilization Management jobs in Michigan?

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

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

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

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

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

What cities in Michigan are hiring for Utilization Management jobs?

Cities in Michigan with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Michigan as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 92% In-person, and 8% Hybrid job distribution, with an average salary of $77,993 per year, or $37.5 per hour.

UTILIZATION MANAGEMENT CLINICIAN

Muskegon County

Muskegon, MI

$34.40 - $43.34/hr

Full-time

Posted 3 days ago

New

Job description

Description of Work An employee in this class, under general direction, performs Utilization Management/Utilization Review tasks to ensure delivery of medically necessary services related to mental health, substance use disorder, and/or intellectual/developmentally disabled consumers. These services will be at the correct frequency and duration to meet consumer goals and alleviate symptoms. Required Minimum Entrance Qualifications 1.

Must hold a master's degree from an accredited college or university with a major in Social Work, Clinical Psychology, Counseling, Marriage and Family Therapy or closely related field AND be fully licensed by the State of Michigan in their relevant field within 90 days of hire. 2. Have one (1) year of previous experience working with persons with developmental disabilities, mental illness and/or serious emotional disturbance; please note, internships count as work experience if they are documented in the Work Experience section of the employment application.

3. Must have reliable transportation that may have to be used to carry out job duties of this classification. Preferred but not Required 1.

Be certified as a CADC, CAADC, or be on a Development Plan with MCBAP. 2. Bilingual candidates highly desired.

3. Lived experiences with mental illness/developmental disabilities/substance use disorders valued. 4.

Individuals in Recovery and individuals with experience in Armed Services valued. Physical Conditions / Work Location PHYSICAL ACTIVITIES An employee in this class generally performs sedentary work requiring the occasional lifting of objects weighing thirty-five (35) pounds or less. ENVIRONMENTAL CONDITIONS A Utilization Management Clinician generally works at the various HealthWest program locations; however, travel to locations within the County may be required.

Additional Information Click Below for Job Description: https://www.governmentjobs.com/careers/muskegon/classspecs?keywords=XF917 EVALUATION CONTENT Applicants for County employment may be subject to a post-offer criminal background check, depending on the nature and assignment of the position. When such check is conducted, an offer of employment is contingent upon the results of the criminal background check. Appointees must satisfactorily complete a probationary period before the appointment will be considered permanent

APPLICANT REVIEW PROCEDURE Any applicant is entitled to a review of any determination or action taken by the County regarding the applicant's employment application. Inquiries should be directed to the County Human Resources Department. PURPOSE The purpose of this recruitment is to establish an eligible list from which to fill present and future vacancies in this classification in the County system.

For each opening, the Department Head has her/his choice of the candidates who meet the required minimum entrance qualifications. This list remains in effect for three months unless exhausted or extended. MUSKEGON COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER MUSKEGON COUNTY HAS ADOPTED A VETERANS PREFERENCE POLICY THAT RECOGNIZES QUALIFYING MILITARY SERVICE.

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