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Utilization Management Jobs in Minnesota (NOW HIRING)

MISO

Manager Resource Utilization

Saint Paul, MN · On-site

$166K - $191K/yr

Manager Resource Utilization As MISO's Manager - Resource Utilization, you will lead a team at the center of critical transmission planning and interconnection activities that directly impact grid ...

MISO Energy

Manager Resource Utilization

Saint Paul, MN · On-site

$166K - $191K/yr

Description As MISO's Manager - Resource Utilization, you will lead a team at the center of critical transmission planning and interconnection activities that directly impact grid reliability, market ...

MISO

Manager Resource Utilization

Eagan, MN · On-site

$166K - $191K/yr

Description As MISO's Manager - Resource Utilization, you will lead a team at the center of critical transmission planning and interconnection activities that directly impact grid reliability, market ...

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All JobsUtilization Management JobsUtilization Management Jobs in Minnesota

Utilization Management information

See Minnesota salary details

$38.2K

$87.6K

$159.6K

How much do utilization management jobs pay per year?

As of Jun 27, 2026, the average yearly pay for utilization management in Minnesota is $87,640.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,200.00 and $102,300.00 per year, depending on experience, location, and employer.

What jobs pay 4000 a week without a degree?

Utilization Management roles typically require healthcare or insurance industry knowledge and often a relevant certification rather than a degree. High-paying jobs that can reach $4,000 a week without a degree include sales positions, real estate brokers, commercial pilots, or skilled trades like electricians and plumbers, especially with experience and certifications. These roles often involve commission, bonuses, or overtime to achieve such earnings.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as senior management, high-level consultants, certain medical specialists, and experienced legal professionals. These positions often require advanced skills, extensive experience, and sometimes certifications, and they may involve freelance or contract work with high hourly or project-based rates.

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 is the least stressful healthcare job?

Utilization management roles are often considered less stressful compared to direct patient care jobs because they involve reviewing medical necessity and insurance claims rather than providing hands-on treatment. These positions typically have regular hours, less physical demand, and focus on administrative tasks, making them a lower-stress option within healthcare. However, stress levels can vary based on workplace environment and individual preferences.

What does utilization management do?

Utilization management is a healthcare job that involves reviewing and approving or denying medical services to ensure they are necessary and appropriate. It helps control healthcare costs and maintains quality by evaluating treatment plans, often using guidelines and data analysis. Professionals in this role typically work with insurance companies, healthcare providers, and use tools like medical records and clinical criteria.

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 Minnesota? The most popular types of Utilization Management jobs in Minnesota are:
What are popular job titles related to Utilization Management jobs in Minnesota? For Utilization Management jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Minnesota look for? The top searched job categories for Utilization Management jobs in Minnesota are:
What cities in Minnesota are hiring for Utilization Management jobs? Cities in Minnesota with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Minnesota as of June 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,640 per year, or $42.1 per hour.
RN Manager of Utilization Management

RN Manager of Utilization Management

North Memorial Health

Robbinsdale, MN • On-site, Remote

$52.46 - $81.30/hr

Full-time

Medical, Retirement, PTO

Posted 2 days ago

North Memorial Health rating

7.5

Company rating: 7.5 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

228th of 877 rated healthcare providers

Job description

RN Manager of Utilization Management
Robbinsdale, MN
Posting Date: Jun 25 2026
Requisition Number: 513885
Why North Memorial Health?
At North Memorial Health, you're part of an inclusive health team that is rooted in our values: Advocate Courageously, Rally Together, Respect Uniqueness and Create Impact. Empathy and care are at the heart of North's culture which is designed to actively support each team member's wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower patients to achieve their best health.
Our health system encompasses two hospital locations in Robbinsdale and Maple Grove as well as a network of 23 clinics which includes 13 primary clinics, 6 specialty clinics, 4 urgent care/urgency centers and emergency care offerings covering five counties. Our Robbinsdale Hospital, established in 1954, is a 385-bed facility recognized as the top Level 1 Trauma center for 25 years, as well as serving as a Level II pediatric trauma center. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered). Both have been named to the 2022 Fortune/Merative 100 Top Hospitals® list, 2023 Women's Choice Award Best Hospitals list.
Benefits the North Way!
As North Memorial Health is a non-profit organization you are eligible for the Public Student Loan Forgiveness program. Most part-time and all full-time positions are eligible for benefits.
  • Health & Welfare Benefit Packages
  • 401k Retirement Match or Pension Plan, based on workgroup eligibility
  • Generous Paid Time Off (PTO) Plans
  • Adoption Reimbursement up to $3000 per child
  • Child Care Discount Program with New Horizon 10% off weekly childcare tuition
  • Education/Tuition Reimbursement
  • 24/7 Fitness Center Access for all benefit eligible team members

Commitment to Diversity, Equity & Inclusion
At North Memorial Health we recognize that the strength of our team lies in our diversity and make every effort to embrace the unique contributions and experiences of each person on our team. We strive to ensure that everyone feels like they are a valuable part of our community, with initiatives that reinforce our belief in diversity, equity, and inclusivity, to promote a workforce that enables authenticity, as we want to be our best when providing effective services to our patients. We acknowledge and celebrate the unique traditions, backgrounds, languages, beliefs, and customs of our community, and want everyone to feel welcome. Through our DE&I initiatives we hope to dispel myths, assumptions, and acts of implicit bias.
About this position
The Utilization Management Manager helps develop and advance the strategic and tactical utilization review goals of NMH. The Manager manages the NMH System Utilization Management program and staff, including services provided at North Memorial Health Hospital and Maple Grove Hospital. The Utilization Management program includes processes for determining insurance authorization, medical necessity, patient status management and payor denials/appeals for medical necessity.
Requirements
Education
• Four-year nursing degree required.
Experience
• Registered Nurse with a minimum of 4 years clinical experience in an acute hospital setting required.
• Minimum of 5 years of utilization management experience required.
• Familiar with State and Federal standards/requirements.
• Knowledgeable about third party payer source criteria for medical necessity.
• Organized and able to meet deadlines consistently.
• Experienced in team and collaborative approaches to management. Ability to work with various individuals across the organization to facilitate change and build interdepartmental cooperation.
• Excellent written and verbal communication skills.
Licensure/Certification
The North Memorial Health System is dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role, but your past experience doesn't perfectly align with every qualification listed, we encourage you to apply anyway. You may still be the right candidate for this or other roles.
Work Group: Non Contract
Hours per two week pay period: 80
Shift: Days 8 hours
Weekend Requirement: None
Call Requirement: None
Remote or On-site: Hybrid Remote- Must live in MN or WI
FLSA Status: Exempt
Benefit Eligibility: Health insurance benefits are available for this position. North Memorial Health offers multiple health plans based on work group eligibility.
Salary Range: L12 ($52.46 - $81.30), based on experience
Shift Differential: Compensation may include shift differential pay depending on the position and shift worked.
STI Bonus Eligible: True 15%
Employment Sponsorship: Applicants must be currently authorized to work in the United States on a full-time basis. Work visa sponsorship is not available for this position
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EEO/AA STATEMENT
North Memorial Health is an equal employment and affirmative action employer. North Memorial Health does not discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, age, disability, genetic information, marital status, veteran status, sexual orientation, gender identity, creed, status with respect to public assistance, or other protected class status. North Memorial Health provides reasonable accommodation to disabled applicants and employees and takes affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to protected class status. If you believe that you have been treated in a way that does not conform to these statements, please contact our HR Service Center: JobApplicationAssistance@NorthMemorial.com. If you need a reasonable accommodation, due to a disability, or to assist with the application process, please contact our HR Service Center: JobApplicationAssistance@NorthMemorial.com.
INSPECTION OF AAP
North Memorial Health is a Federal government contractor or subcontractor.
As a part of our obligations under law, we must develop a written Affirmative Action Program for Individuals with Disabilities and Protected Veterans, as specified by law (AAP).
This AAP is available for inspection by applicants and employees in the Human Resources Office during normal business hours.
Link to Policy
North Memorial Health
Be challenged. Be empowered. Be accountable. Join an empowering, supportive, and responsive environment that delivers unmatched customer service - not only for the community we serve but our own team members, too.

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