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 ...
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 ...
RN Utilization Review Nurse
Troy, MI · On-site
$33 - $37/hr
Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
RN Utilization Review Nurse
Troy, MI · On-site
$33 - $37/hr
Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported. * Collaborates with the ...
Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported. * Collaborates with the ...
Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported. * Collaborates with the ...
Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported. * Collaborates with the ...
Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported. * Collaborates with the ...
Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate data are tracked, evaluated, and reported. * Collaborates with the ...
Utilization Management Clinical Analyst HYBRID (PCN 1534)
Troy, MI · On-site
$60 - $80/hr
Full Time Professional Troy, Troy, MI, US Salary Range: $56,165.00 To $70,206.00 Annually Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization ...
Utilization Management Clinical Analyst HYBRID (PCN 1534)
Troy, MI · On-site
$60 - $80/hr
Full Time Professional Troy, Troy, MI, US Salary Range: $56,165.00 To $70,206.00 Annually Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization ...
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$60 - $80/hr
Apply evidence-based utilization management criteria and clinical protocols to establish continued stay review intervals and determine authorization status. * Document clinical reviews, authorization ...
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$60 - $80/hr
Apply evidence-based utilization management criteria and clinical protocols to establish continued stay review intervals and determine authorization status. * Document clinical reviews, authorization ...
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 ...
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 ...
Clinical Pharmacist, Utilization Management
Dewitt, MI · On-site
$99K - $118K/yr
Managed care experience is strongly preferred, especially experience in utilization management. In lieu of managed care experience, proven record of successful experience in a high-volume retail or ...
Clinical Pharmacist, Utilization Management
Dewitt, MI · On-site
$99K - $118K/yr
Managed care experience is strongly preferred, especially experience in utilization management. In lieu of managed care experience, proven record of successful experience in a high-volume retail or ...
Clinical Pharmacist, Utilization Management
Dewitt, MI · On-site
$99K - $118K/yr
Managed care experience is strongly preferred, especially experience in utilization management. In lieu of managed care experience, proven record of successful experience in a high-volume retail or ...
Clinical Pharmacist, Utilization Management
Dewitt, MI · On-site
$99K - $118K/yr
Managed care experience is strongly preferred, especially experience in utilization management. In lieu of managed care experience, proven record of successful experience in a high-volume retail or ...
Utilization Review Specialist Registered Nurse - Behavioral Health
Bay City, MI · On-site
$60 - $80/hr
Works collaboratively with case management to expedite patient discharge. * Maintains current knowledge of hospital utilization review processes and participates in the resolution of retrospective ...
Utilization Review Specialist Registered Nurse - Behavioral Health
Bay City, MI · On-site
$60 - $80/hr
Works collaboratively with case management to expedite patient discharge. * Maintains current knowledge of hospital utilization review processes and participates in the resolution of retrospective ...
Clinical Pharmacist, Utilization Management
Dewitt, MI · On-site
$99K - $118K/yr
Managed care experience is strongly preferred, especially experience in utilization management. In lieu of managed care experience, proven record of successful experience in a high-volume retail or ...
Clinical Pharmacist, Utilization Management
Dewitt, MI · On-site
$99K - $118K/yr
Managed care experience is strongly preferred, especially experience in utilization management. In lieu of managed care experience, proven record of successful experience in a high-volume retail or ...
Assists with utilization management reporting, data collection, and performance improvement initiatives as requested. 12. Demonstrates service excellence by providing complete clinical information to ...
Assists with utilization management reporting, data collection, and performance improvement initiatives as requested. 12. Demonstrates service excellence by providing complete clinical information to ...
Assists with utilization management reporting, data collection, and performance improvement initiatives as requested. 12. Demonstrates service excellence by providing complete clinical information to ...
Assists with utilization management reporting, data collection, and performance improvement initiatives as requested. 12. Demonstrates service excellence by providing complete clinical information to ...
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
The position also participates in management meetings, workgroups, and strategic initiatives while ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
Quick apply
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
The position also participates in management meetings, workgroups, and strategic initiatives while ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$56K - $70K/yr
Apply evidence-based utilization management criteria and clinical protocols to establish continued stay review intervals and determine authorization status. * Document clinical reviews, authorization ...
Quick apply
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI · On-site
$56K - $70K/yr
Apply evidence-based utilization management criteria and clinical protocols to establish continued stay review intervals and determine authorization status. * Document clinical reviews, authorization ...
Master's Level Clinician Utilization Management
Muskegon, MI · On-site
$34.40 - $43.34/hr
Master's Level Clinician Utilization Management Agency Name: HealthWest Position Type: Full Time Job Type: Permanent County: Muskegon Salary Range: $34.40 - $43.34 Hourly per Hour Description of Work ...
Master's Level Clinician Utilization Management
Muskegon, MI · On-site
$34.40 - $43.34/hr
Master's Level Clinician Utilization Management Agency Name: HealthWest Position Type: Full Time Job Type: Permanent County: Muskegon Salary Range: $34.40 - $43.34 Hourly per Hour Description of Work ...
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Grand Rapids, MI · On-site
Support case management staff with complex utilization reviews * Conduct peer-to-peer reviews with payers * Collaborate with care management teams to identify and address barriers to timely discharge
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Grand Rapids, MI · On-site
Support case management staff with complex utilization reviews * Conduct peer-to-peer reviews with payers * Collaborate with care management teams to identify and address barriers to timely discharge
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Grand Rapids, MI · On-site
Support case management staff with complex utilization reviews * Conduct peer-to-peer reviews with payers * Collaborate with care management teams to identify and address barriers to timely discharge
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Grand Rapids, MI · On-site
Support case management staff with complex utilization reviews * Conduct peer-to-peer reviews with payers * Collaborate with care management teams to identify and address barriers to timely discharge
Utilization Management information
See Michigan salary details
$34K - $43.8K
15% of jobs
$43.8K - $53.6K
8% of jobs
$55K is the 25th percentile. Wages below this are outliers.
$53.6K - $63.5K
15% of jobs
The median wage is $69.7K / yr.
$63.5K - $73.3K
20% of jobs
$73.3K - $83.1K
11% of jobs
$88K is the 75th percentile. Wages above this are outliers.
$83.1K - $92.9K
13% of jobs
$92.9K - $102.8K
5% of jobs
$102.8K - $112.6K
3% of jobs
$112.6K - $122.4K
4% of jobs
$122.4K - $132.2K
3% of jobs
$132.2K - $142.1K
3% of jobs
$34K
$78K
$142.1K
How much do utilization management jobs pay per year?
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 degree is needed for utilization management?
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:
- Disability Review Physician
- Oncology Survivorship Nurse Practitioner
- Remote Medical Utilization Review Physician
- Physician Clinical Reviewer
- Aetna Utilization Review Nurse
- Medical Director Utilization Review
- Hmg Reviews
- Disability Review Physician Remote
- Full Time Chiropractic Utilization Review
- Utilization Review Manager
What cities in Michigan are hiring for Utilization Management jobs?
Cities in Michigan with the most Utilization Management job openings:

Utilization Review Manager
Grand Rapids, MI
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 10 days ago
Key responsibilities
Oversee and direct the Utilization Program for Inpatient and Outpatient services.
Implement case management scenarios and ensure effective treatment plans for patients.
Manage responses to service requests and interface with managed care organizations, external reviewers, and payors.
Universal Health Services rating
6.8
Based on 255 frontline employees who took The Breakroom Quiz
496th of 898 rated healthcare providers
Job description
Benefit Highlights:
· Excellent Medical, Dental, Vision and Prescription Drug Plans
· Student Loan Repayment Program
· 401(k) and Roth 401(k) with Company Match
· Employee Stock Purchase Program
· Competitive Compensation & Paid Time Off
· Disability, Life, Pet Insurance and much more!
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring more than 45 years of experience to the evaluation, diagnosis and treatment of a wide range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager.
Position Description:
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Forest View also has a focus on furthering your Education and Career Development:
· Career ladder focus with opportunities to cross train, build skills and grow in leadership
· Tuition reimbursement assistance program
· Tuition savings through a partnership with Chamberlain University
· In-house Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs)
· Career development opportunities across UHS and our 300+ locations!
· HealthStream online learning catalogue with plenty of free CEU courses
Qualifications
Job Requirements:
Education: Bachelor's Degree required.
Experience: A minimum of three years’ experience in Utilization Management Required.
License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.
About Universal Health Services
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. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. 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 all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
EEO Statement
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.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
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.
Qualifications:Job Requirements:
Education: Bachelor's Degree required.
Experience: A minimum of three years’ experience in Utilization Management Required.
License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.
About Universal Health Services
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. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. 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 all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
EEO Statement
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.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
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.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
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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