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Utilization Management Jobs in Anderson, SC (NOW HIRING)

Prisma Health

PRN Nurse Practitioner - Wound Care

Easley, SC · On-site

$104K - $143K/yr

Establishment of quality assurance programs Establishment of Utilization Management programs Selection of management information systems Development of patient education surveys Development of ...

Prismahealth

NP/PA - Ortho Spine - Greenville

Greenville, SC · On-site

$102K - $132K/yr

Establishment of quality assurance programs Establishment of utilization management programs Selection of management information systems Development of patient education services Development of ...

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Utilization Management information

See Anderson, SC salary details

$35.7K

$81.9K

$149.2K

How much do utilization management jobs pay per year?

As of Jul 16, 2026, the average yearly pay for utilization management in Anderson, SC is $81,911.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $95,700.00 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 popular job titles related to Utilization Management jobs in Anderson, SC? For Utilization Management jobs in Anderson, SC, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Anderson, SC look for? The top searched job categories for Utilization Management jobs in Anderson, SC are:
What cities near Anderson, SC are hiring for Utilization Management jobs? Cities near Anderson, SC with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Anderson, SC as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $81,911 per year, or $39.4 per hour.
Nurse Practitioner - Aesthetics Injector - Greenville

Nurse Practitioner - Aesthetics Injector - Greenville

Prisma Health

Greenville, SC • On-site

$102K - $132K/yr

Part-time

Posted 21 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 345 frontline employees who took The Breakroom Quiz

377th of 886 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides assistant surgical services in the operating room as well as other selected medical services under the direction of the surgeon.
Accountabilities
  • Provides general surgical assistant services in operating room.10%
  • Assists surgeon with prepping and until completion of procedure.15%
  • Removes drains, tubes and catheters.10%
  • Closes incisions.15%
  • Assists with patient office visits and assumes call when assigned.10%
  • Performs all charting, summaries, correspondence, and required paperwork for purposes of documenting care and billing.10%
  • Participates in physician educational programs provided by employer relative to capitated medicine and implications relative to physician practice patterns.5%
  • Participates in:
    Establishment of quality assurance programs
    Establishment of Utilization Management programs
    Selection of management information systems
    Development of patient education surveys
    Development of patient satisfaction surveys. 5%
  • Assists in the development of operational and capital budgets.5%
  • Participates in operational assessments in search of revenue enhancement, expense reductions, consolidation efficiencies and billing opportunities.5%
  • Assists in post-operative care of patients including daily rounds and wound assessments.10%

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Master's Degree - Nursing; Nurse Practitioner Degree Emphasis or Program Certificate equivalent
  • 1 year - Clinical experience

Required Certifications/Registrations/Licenses
  • SC Nurse Practitioner
  • CPR Certification - Required

In Lieu Of The Minimum Requirements Listed Above
  • Completion of Nurse Practitioner Surgical Residency Program

Other Required Sills and Experience
  • Patient Equip (Vitals, Suction, Defib)
  • Surgical assistant skills

Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
2001 Carolina Aesthetics
Department
20011000 Carolina Aesthetics-Practice Operations
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