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Utilization Management Jobs in Michigan (NOW HIRING)

Lthc

Utilization Management Services Rep I

Dewitt, MI

$13.50 - $18.25/hr

This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers ...

Lthc

Utilization Management Services Rep I

Dewitt, MI

$13.50 - $18.25/hr

This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers ...

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Utilization Management information

See Michigan salary details

$34K

$78K

$142.1K

How much do utilization management jobs pay per year?

As of Jul 6, 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 the Utilization Management position, 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 a Utilization Management job?

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 June 2026, with employment types broken down into 100% Full Time. Highlights an 70% In-person, 15% Hybrid, and 15% Remote job distribution, with an average salary of $77,993 per year, or $37.5 per hour.
Utilization Management and Behavioral Analyst

Utilization Management and Behavioral Analyst

West Michigan Community Mental Health System

Ludington, MI • On-site

Other

Posted 3 days ago

Job description

The UMBA, under general direction, provides a variety of specialized services, including both direct clinical work and indirect clinical support. The primary focuses of the position include: 1. Utilization Management Review Services: Using BCBA training and behavioral expertise, reviews authorization requests from providers, conducts special case reviews, and consults on clinical cases in the areas of Autism Services, Specialized Residential Placements, Self Directed arrangements, and other identified services or cases that require a higher level of specialized UM review.

2. Behavior Treatment Planning and other BCBA Treatment Planning Consultation: Conducts related work and other specialized case reviews where behavioral interventions may be helpful including participation in Behavior Treatment Committee (BTC) meetings, obtaining special consents for behavior treatment, creating and reviewing BTC plans, required in person monitoring as designed through behavior treatment planning, and training others to those plans, as needed and in person whenever possible. This may also include reviewing other cases not in the BTC process, as defined, where specialized behavioral interventions may be of value.

This may include high risk cases, highly complex behavioral cases, and/or high service utilization cases. May include assisting with implementing work plans around BTC annual survey data. 3.

Family Support and Training: This is a direct service provided to open cases of all consumer populations where training of parents/care givers/guardians is beneficial for improved clinical outcomes. 4. Other identified duties where the expertise of an BCBA is needed to assist in clinical services.

The UMBA works as part of an interdisciplinary team and is expected to consult with other disciplines and provide BCBA expertise regarding all populations served by CMH, including children and adults with Intellectual/developmental disabilities, children with severe emotional disturbance, and adults with severe mental illness. The UMBA provides ongoing data review and analysis of behavioral support plans and relevant mental health factors and teaches persons responsible for implementing those plans on how to do so and provides information relevant to person's diagnosis and other factors that need to be considered in providing adequate support and performs other work-related duties as required. This position is part of a staff pool that serves to fulfill the agency's Crisis Stabilization Service.

This may require on-call hours including nights, weekends, and holidays.

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