ZipRecruiter

Log In

1

Utilization Management Jobs in Anderson, SC (NOW HIRING)

Prisma Health

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 ...

Prisma Health

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 ...

previous page

Showing results 41-60

All JobsUtilization Management JobsUtilization Management Jobs in Anderson, SC

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 Aug 9, 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 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 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 August 2026, with employment types broken down into 78% Full Time, 18% Part Time, 1% Temporary, and 3% 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.

Oncology Nurse Practitioner/Physician Assistant: Inpatient (Greenville)

Prisma Health

Greenville, SC • On-site

$102K - $132K/yr

Full-time

Re-posted 7 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

378th of 887 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards, procedures, and practices.
Accountabilities
  • Engages in the diagnosis and treatment of disease, defects or injuries and recommend or prescribe treatments for the relief or cure of physical, mental or functional ailments or defects.
  • Performs all charting, summaries, correspondence and assorted paperwork that is required for purposes of documenting care and billing.
  • Participates in physician educational programs provided by Employer relative to capitated medicine and its implications on physician practice patterns.
  • Participates in responding to requests for proposals for managed care contracts.
  • Participates in:
    Establishment of quality assurance programs
    Establishment of utilization management programs
    Selection of management information systems
    Development of patient education services
    Development of patient satisfaction surveys
  • Assists in the development of operational and capital budgets.
  • Participates in operational assessments in search of revenue enhancement, expense reductions, consolidation efficiencies and billing opportunities.
  • General Job Expectations:
    Maintain courteous and cooperative working relationships with all levels of management and employees, physicians, patients, guarantors and the general public.
  • Participates in activities that would further the public's image of the Employer.

Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Master's Degree in Nursing; Nurse Practitioner Degree Emphasis or Program Certificate equivalent.
Required Certifications/Registrations/Licenses
  • Official Recognition as a Nurse Practitioner in the state the team member is working
  • Prescriptive Authority for the state in which the team member is working
  • Controlled Substance license for the state in which the team member is working. Federal DEA license

Work Shift
Day (United States of America)
Location
Cancer Centers - Faris Road
Facility
2197 Cancer Institute-Faris
Department
21971000 Cancer Institute-Faris-Practice Operations
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

What Prisma Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply