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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 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.

Physician - Physician Advisor Utilization Management - Corporate

Spectrum Health

Southfield, MI • On-site

Part-time

Medical, Retirement

Re-posted 6 hours ago

Job description

Corewell Health is expanding its Utilization Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region.

Position Overview

The Physician Advisor collaborates with the Utilization and Care Management Departments, Organization Leadership as well as with staff physicians to ensure compliance with the organizational Utilization Management Plan.

Essential Functions

Develop and cultivate positive and productive working relationships with other CorewellHealth personnel, and promote a culture of safety, teamwork, compassion, collaboration, clarity, curiosity, and courage.

Demonstrate a commitment to service and distinctive, personalizedcare withboth internal customers (coworkers, fellow employees, hospital staff, etc.) and external customers (patients, family members, referring physicians/specialists, etc.), while striving to exceed customer expectations.

Assistin meeting operational, financial, and patient satisfaction goals.

Timely completion of all specific competencies and annual organizational mandatories.

The Physician Advisor will collaborate with the Utilization and Care Management Departments as well as physicians to provide the following functions:

  • Improved accuracy ofdeterminingpatient status upon hospital entry.

  • Improved management of observation patientsincluding reviews for consideration of early discharge or change to inpatient status.

  • Improved timeliness of case reviews not meetingutilizationmanagement screening for inpatient criteria.

  • Improved management of concurrentutilizationmanagement denials.

In addition, the Physician Advisor will collaborate to provide theseadditionalfunctions:

  • Acting as consultant and resource to the medical staff regarding federal and state utilization and quality regulations relative to appropriateness of hospitalization, continued stay, and use of resources

  • Providing feedback to attending and consulting physiciansregardinglevel of care, length of stay, and quality issues.

  • Seekingadditionalclinical information from the attending and consulting physicians.

  • Recommending and requesting morecompletemedical record documentation.

  • Participating in review oflong staypatients, in conjunction with the Care Management Leadership, Care Management Team and other members of the multidisciplinary team tofacilitatethe use of the mostappropriate levelof care.

  • Acting as a liaison with payers tofacilitateapprovals and prevent denials or carved out days whenappropriate.

  • Providing education to physicians and other clinicians related to regulatory requirements,appropriate utilization, and alternative levels of care.

Participate in on-call and weekend coverage, as required by the Department.

Document in the patient's medical record in a manner consistent with hospital, payor, and regulatory standards.

Activelyparticipatesin safety initiatives and risk mitigating measures whereappropriateand completes all position and unit safety related competencies and requirements ona timelybasis.

Qualifications

  • Doctorate. Required

  • License -Physician (MD) - State of Michigan Upon Hire required Or

  • License -Osteopathic Physician (DO) - State of Michigan Upon Hire required

  • CRT-DEA Registration - State of Michigan. Preferred

  • CRT Physician Advisor Certification- American College of Physician Advisors within one-year Preferred OR

  • CRT Physician Advisor Sub-Specialty certification (CHCQM-PHYADV)- American Board of Quality Assurance and Utilization Review Physicians within one-year Preferred OR

  • CRT ACMA Physician Advisor Certification- American Case Management Association/Association for Physician Leadership in Care Management (APLCM) within one-year Preferred

    About Corewell Health

    Our new name signals our bold commitment to health and wellness. At our core, we are here to help people be well so they can live their healthiest life possible. Through health care and health coverage, we create more value. Through compassion, collaboration, clarity,curiosity,and courage, we make anything and everything possible. Through our people, we care for the whole person with respect,dignity,and love. Everyone deserves opportunities and resources for better health. Everyone deserves our relentless pursuit to innovate and always do better. Everyone deserves to have a community be a great place to live, work, learn and play. We believe health and well-being should be within reach for all. We believe the system to support the entire health and wellness journey starts with prevention. We believe that together we will make a difference. Together, we are here to make health better for everyone. Together, we are Corewell Health.


    How Corewell Health cares for you
    • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
    • On-demand pay program powered by Payactiv
    • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
    • Optional identity theft protection, home and auto insurance
    • Traditional and Roth retirement options with service contribution and match savings
    • Eligibility for benefits is determined by employment type and status

    Primary Location

    SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd

    Department Name

    Utilization Management - Diversified East WB Mkt

    Employment Type

    Part time

    Shift

    Variable (United States of America)

    Weekly Scheduled Hours

    20

    Hours of Work

    8 a.m. to 5 p.m. (20 hours)

    Days Worked

    Monday to Friday

    Weekend Frequency

    Variable weekends

    CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.

    Apply