ZipRecruiter

Log In

1

Utilization Management Jobs in Akron, OH (NOW HIRING)

Summa Health System

RN Utilization Management

Akron, OH · On-site

$37.40 - $56.11/hr

RN Utilization Management Full-Time Days Akron Campus Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99.

next page

Showing results 1-20

All JobsUtilization Management JobsUtilization Management Jobs in Akron, OH

Utilization Management information

See Akron, OH salary details

$37.3K

$85.6K

$155.9K

How much do utilization management jobs pay per year?

As of Sep 7, 2026, the average yearly pay for utilization management in Akron, OH is $85,608.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,700.00 and $100,000.00 per year, depending on experience, location, and employer.

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?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

What are the most commonly searched types of Utilization Management jobs in Akron, OH?

The most popular types of Utilization Management jobs in Akron, OH are:

What are popular job titles related to Utilization Management jobs in Akron, OH?

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

What job categories do people searching Utilization Management jobs in Akron, OH look for?

The top searched job categories for Utilization Management jobs in Akron, OH are:

What cities near Akron, OH are hiring for Utilization Management jobs?

Cities near Akron, OH with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Akron, OH as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 95% In-person, and 5% Hybrid job distribution, with an average salary of $85,608 per year, or $41.2 per hour.

Utilization Management Specialist

Coleman Health Services

Kent, OH

$60K/yr

Full-time

Medical, Dental, Vision, PTO

Posted 7 days ago

Key responsibilities

  • Evaluate the medical necessity, clinical appropriateness, and efficiency of mental health and substance use disorder treatments.

  • Develop and implement processes for obtaining prior authorizations and utilization management strategies in accordance with industry best practices and regulatory requirements.

  • Collaborate with treatment providers, insurance companies, and other healthcare professionals to evaluate treatment plans, secure authorization, and ensure timely reimbursement.

Coleman Health Services rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Would you like to be part of an award-winning team where you can make a real difference? Coleman Health Services is dedicated to serving our communities and positively impacting the lives of our employees and the people they work to serve. If you are someone who believes in the value of achieving excellence, we want you on our team! As the Utilization Management Specialist, you will evaluate the medical necessity, clinical appropriateness and efficiency of mental health and substance use disorder treatments. Operating as a critical link between treatment providers and insurance payors, this position secures authorization to maximize reimbursement while ensuring clients receive optimal and appropriate care. This position can be based in any Coleman location, with preference of Kent, OH.

What can Coleman offer you as the Utilization Management Specialist?

  • Pay starting at $60,000, commensurate with experience
  • A positive environment that values teamwork, individuality, innovation, inclusivity, and where we embrace diversity
  • Flexibility and empowerment
  • You will be encouraged to participate in ongoing learning & developmental opportunities
  • Health, dental, vision insurance
  • Accrue three weeks of paid time off during first year
  • Wellness Reimbursement & more!

What are we looking for from you?

  • Develop and implement process for obtaining prior authorizations for client care.
  • Develop and implement utilization management strategies and protocols, in accordance with industry best practices and regulatory requirements.
  • Collaborate with medical staff, Case Managers, and other healthcare professionals to evaluate the medical necessity and appropriateness of treatment plans.
  • Collaborate with insurance companies, government agencies, and other third-party payers to ensure timely reimbursement and resolve any utilization-related issues.
  • Collaborate with Revenue Cycle Management Director regarding claims payments, denials, and payor-based audits.
  • Analyze utilization data and trends to identify opportunities for improving care and reducing non-payment of claims.
  • Provide coverage for Compliance Officer during periods of absence

What qualifications will you need to be successful in this role?

  • Bachelor's degree in Social Work, Counseling, Psychology or Nursing.
  • Current relevant State of Ohio professional licensing
  • 5 years experience in behavioral health or related field
  • Demonstrated knowledge of current and best practices within behavioral health services
  • Demonstrated knowledge of State of Ohio Medicaid Behavioral Health Provider Manual
  • Demonstrated proficiency and experience working on an Electronic Health Record System
  • Demonstrated ability with Windows and Microsoft Office products
  • Exceptional organizational skills and attention to detail

Preference given to the following candidates:

  • Master's degree in Social Work, Counseling, Psychology or Nursing.
  • 5 years experience in Utilization Management or Quality Assurance
  • Current certification in Utilization Management, Compliance or Quality Assurance
  • Demonstrated ability with development of Power BI dashboards and/or SQL

Why join Coleman Health Services?

We are a nationally recognizednot-for-profit provider of behavioral health and an organization that has demonstrated over 40 years of stability and transparency.

Our Company Culture and Benefits Set Us Apart! Regardless of your role at Coleman Health Services, your work makes a lasting impact on those we serve. When you join our team, you become part of a collaborative community of dedicated professionals whose primary mission is to improve the lives of our clients. In return, you can also expect opportunities for career advancement and continued professional training.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. E.O.E. Persons with a disability can request an accommodation to complete the application process by emailing careers@colemanservices.org with the subject line "Accommodation Request." Coleman Health Services complies with the Federal Drug-Free Workplace Act.

What Coleman Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply