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Utilization Management Jobs in Butler, PA (NOW HIRING)

Trilon Group

Civil Group Manager

Cranberry Township, PA · On-site

$150K - $185K/yr

Resource & Financial Management * Manage group workload, staffing, and utilization to support current and future project demands. * Balance resources across projects and team members to maximize ...

Trilon

Civil Group Manager

Cranberry Township, PA · On-site

Resource & Financial Management * Manage group workload, staffing, and utilization to support current and future project demands. * Balance resources across projects and team members to maximize ...

sgsco

Master Scheduler

Butler, PA · On-site

Capacity Management * Maintain visibility to plant capacity, labor availability, and machine utilization. * Identify and escalate operational bottlenecks, including unplanned machined downtime, to ...

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Showing results 21-40

All JobsUtilization Management JobsUtilization Management Jobs in Butler, PA

Utilization Management information

See Butler, PA salary details

$35.2K

$80.7K

$146.9K

How much do utilization management jobs pay per year?

As of Aug 24, 2026, the average yearly pay for utilization management in Butler, PA is $80,670.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,100.00 and $94,200.00 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 job categories do people searching Utilization Management jobs in Butler, PA look for?

The top searched job categories for Utilization Management jobs in Butler, PA are:

What cities near Butler, PA are hiring for Utilization Management jobs?

Cities near Butler, PA with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Butler, PA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 83% Physical, 4% Hybrid, and 13% Remote job distribution, with an average salary of $80,670 per year, or $38.8 per hour.

Home Health RN (Crafton)

UPMC Senior Communities

Seven Fields, PA • On-site

$37 - $48.21/hr

Full-time

Re-posted 22 days ago

Job description

UPMC Home Health is hiring a full-time RN for Crafton, Carnegie, Greentree and the surrounding areas. Monday - Friday daylight shifts with rotations for on-call and weekends. Flexible shifts available!
At UPMC Home Healthcare, we are passionate about continuing to support your growth throughout your nursing journey. We offer a robust career ladder for nursing that starts with a Professional Staff Nurse and leads to Expert Nurse and beyond. Applicants with all levels of experience will be considered for this position.
The final job title and rate of pay will be based on individual qualifications. Any required certifications and contributions will be determined by job title and will be provided a timeframe for completion. Our competitive career ladder, as well as our Total Rewards package, will be discussed at the time of offer to ensure you can make the choices that are right for you.
Is it your dream to work in a setting where you can have input into your schedule and work one-on-one with a patient in their own home? We have unique positions available in various teams throughout Western Pennsylvania. We will work to find the best team for YOU!
Responsibilities:
  • Your role as the nurse will establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and patients' needs.
  • RN will coordinate case management activities across a multi-disciplinary health care team to ensure appropriate, quality patient care.
  • Initiate, deliver, and evaluate patient- and family-centered health teaching.
  • Strive to help patients achieve optimal health outcomes, delivering compassionate care with an emphasis on the patient's experience.
  • Complete all required documentation including visit assessments, OASIS, 485 and verbal orders accurately and promptly on a laptop or in written documentation while in the patient's home and according to all applicable regulatory standards.
  • Attend compliance training and adhere to the organization's standards of conduct, policies, and procedures in addition to all local, state, and federal regulatory guidelines.

Qualifications:
  • Zero (0) to two (2) years of experience preferred.
  • Six (6) months of nursing experience in an Acute Care or Skilled Care Facility or Home Health or Hospice Care preferred.
  • BSN preferred.
    Licensure, Certifications, and Clearances:
  • Automotive Insurance
  • Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
  • Driver's License
  • Registered Nurse (RN) OR Temporary Practice Permit (TPP)
  • Act 33
  • Act 34
  • OAPSA

*Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.

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