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Utilization Management Jobs in Santa Rosa, CA (NOW HIRING)

Novato Healthcare Center

Case Manager LVN - Novato

Novato, CA · On-site

$42 - $47/hr

... utilization for the provision of quality patient service. • Attends all Center or Company required inservices and meetings. • Ensures all documentation necessary for quality case management is ...

Nelson Connects

Be Seen First

Grant Manager

Santa Rosa, CA · On-site

$70K - $100K/yr

The ideal candidate brings a strong combination of grant management, financial analysis, accounting ... Prepare monthly grant performance reports, including fund utilization, remaining available funds ...

New

UBEO

MIT System Engineer

Santa Rosa, CA · On-site

Daily consistent and accurate utilization reporting and ConnectWise Manage calendar usage * Demonstrate core values on a daily basis including: * Excellent professionalism and a positive attitude

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All JobsUtilization Management JobsUtilization Management Jobs in Santa Rosa, CA

Utilization Management information

See Santa Rosa, CA salary details

$42.6K

$97.8K

$178.2K

How much do utilization management jobs pay per year?

As of Jul 15, 2026, the average yearly pay for utilization management in Santa Rosa, CA is $97,834.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,500.00 and $114,300.00 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 Santa Rosa, CA? For Utilization Management jobs in Santa Rosa, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Santa Rosa, CA look for? The top searched job categories for Utilization Management jobs in Santa Rosa, CA are:
What cities near Santa Rosa, CA are hiring for Utilization Management jobs? Cities near Santa Rosa, CA with the most Utilization Management job openings:
Utilization Management jobs near you
Physician / Psychiatry / California / Permanent / Psychiatrist Positions in California! Job

Physician / Psychiatry / California / Permanent / Psychiatrist Positions in California! Job

Physician Providers Mgmt. Corp.

Novato, CA

$1.5K/day

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 29 days ago

Job description

We are seeking a referral and would appreciate your assistance.Psychiatrist Positions in California!We are not accepting Visa candidates - Reference: S.J.18Los Angeles area: We are an unusual practice in psychiatry in that we do only treatment of depression. It is all outpatient treatment, on weekdays, in ourdedicated offices. We do not do medication management. Treatment occurs 5 days a week, but the doctor comes to the office one to two days a week to see all the patients as they come through. On another day they would go to a different office locationStaff psychiatrist. Experience not necessary. We will train in the procedure and management.We have 8 locations across the greater metropolitan LA area which includes Orange, San Bernardino, Riverside and Ventura Counties. We have current need in Pasadena, Rancho Cucamonga, Long Beach, and Thousand Oaks, and are looking now to open new locations in Riverside, Santa Clarita, and mid-city Los Angeles, as well as others in the future. Some driving could be involved it they were working full time.Weekdays only. Shifts are full day only. Very little on call activity.Adults, with a rare adolescent.We pay in the general range of $1500 a day for an independent contractor position (+/- depending). Salary is tbd at present but on the table for discussion. Full or part time as little as one day a week is available. Full time is benefited with Anthem Blue Cross PPO paid at 90% (employee pays 10%), including vision and dental. 12 days paid vacation plus 6 paid holidays a year. After one year, the employee can join the 401k with employer match of first 5% contributed.This is a very unique practice opportunity in the emerging world the treatment of depression The science in this area isexciting and growing quickly. We will provide all the training necessary as our client is the incoming President of the Society, and they will be learning from experts in the field.Central and Southern CA. area: We provide managed mental health and substance abuse treatment services through contracts with managed care organizations, HMOs, behavioral health carve-out companies, medical groups and public sector agencies. W are one of the largest privately owned behavioral health care provider groups and provides service throughout Central and Southern California.We have provided quality managed behavioral health care since 1988. We are developing new and innovative methods of medical care delivery to minimize risk and cost to managed health care groups and medical groups.Our services: Outpatient Psychiatric and Psychological Services In-Home Psychological Services Specialty Psychiatric Evaluations Skilled Nursing and Medical Surgical Psychiatric Consults Psychiatric Case Management Inpatient Psychiatric Utilization Review Outpatient Psychiatric and Psychological Utilization Review Psychiatric Stabilization ECT Services Behavioral Health Risk Assessments Crisis Assessment Stabilization Team (CAST) ServicesInterested & qualified candidates must forward a current CV (Microsoft Word format is preferred) to or fax to . To help expedite you being contacted, please click the link to complete the profile form on line, which is very short & user friendly. Thank you!

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