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Utilization Manager Jobs (NOW HIRING)

Samaritan Daytop Village

Utilization Manager

Rhinebeck, NY · On-site

$32.96 - $37.48/hr

Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! Monday - Friday 9a-5p $32.96 - $37.48 per hour A nationally recognized comprehensive Health and Human ...

Samaritan Daytop Village

Utilization Manager

Queens, NY · On-site

$34.61 - $38.46/hr

Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 ...

Samaritan Daytop Village

Utilization Manager

Queens, NY

$34.61 - $38.46/hr

Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs ...

Samaritan Daytop Village

Utilization Manager

Queens, NY · On-site

$34.61 - $38.46/hr

Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 ...

Samaritan Daytop Village

Utilization Manager

Rhinebeck, NY · On-site

$35.71 - $43.31/hr

Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $35.71-$43.31 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 ...

Arkansas Children's

Utilization Manager

Little Rock, AR · On-site

The Utilization Manager improves overall quality of clinical documentation to ensure that information in the medical record accurately reflects client's care and progress, and thus utilization of ...

Acacia Network

Utilization Manager

Bronx, NY · On-site

POSITION OVERVIEW The Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed care ...

Acacia Network

Utilization Manager

Bronx, NY · On-site

POSITION OVERVIEW The Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed care ...

Acacia Network

Utilization Manager

Bronx, NY · On-site

$60K/yr

POSITION OVERVIEW The Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed care ...

Acacia Network

Utilization Manager

Bronx, NY · On-site

POSITION OVERVIEW The Utilization Manager is responsible for the day-to-day functions of collaborative communication with external case managers at referring provider facilities and/or managed care ...

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$39K

$91K

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How much do utilization manager jobs pay per year?

As of Jun 6, 2026, the average yearly pay for utilization manager in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What does a Utilization Manager do?

A Utilization Manager is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary goal is to ensure that patients receive the right care at the right time while also controlling costs for hospitals, insurance companies, or healthcare organizations. Utilization Managers review patient records, coordinate with healthcare providers, and use clinical guidelines to make informed decisions about treatment approvals or denials. They play a key role in maintaining quality care and regulatory compliance.

What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by Utilization Managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What Is a Utilization Manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs
What cities are hiring for Utilization Manager jobs? Cities with the most Utilization Manager job openings:
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What states have the most Utilization Manager jobs? States with the most job openings for Utilization Manager jobs include:
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Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in the United States as of May 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
Utilization Manager

Utilization Manager

Samaritan Daytop Village

Ellenville, NY

$35.71 - $40.43/hr

Full-time

Posted yesterday

Samaritan Daytop Village rating

6.4

Company rating: 6.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Overview

Utilization Manager

Healthcare staff can work anywhere....The BEST work with US!

Monday-Friday 9am-5pm

$35.71 - $40.43 per hour

A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.

Samaritan Daytop Village, serves over 33,000 New Yorkers annually within your neighborhoods and communities so our success depends on those we employ.

The Role

In concert with the agency's mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements.

Responsibilities

What You Will Do

  • Conducts timely scheduled/required utilization reviews for Residential Services sites.
  • Conducts timely and complete quality and appropriateness reviews on a representative sample of treatment records for residential service sites.
  • Attends monthly/other require UR Committee meetings. Prepares accurate and timely UR Committee minutes and reports. Participates in the agency's Quality Improvement / Utilization Management Committee.
  • Provides Supervisory support to CASAC Counselors and Peer Workers as needed with supervisory guidance from Management/Leadership Team.
  • Monitors and evaluates ongoing audit for chart.
  • Provides direct care services to clients as needed.
  • Assists with the maintenance of the agency's OASAS accreditation for the program, i.e., standards review and conformance auditing.
  • Performs other duties as assigned.
Qualifications

Who You Will Be

  • High School Diploma or GED required, higher education in the human services field, preferred
  • Current CASAC or the ability to complete requirements to obtain a CASAC (T) within 6 months of hire
  • At least one year of clinical or quality assurance experience in behavioral healthcare/human services organization or one year demonstrated clinical experience in substance use or mental health treatment
  • In depth knowledge on HIPAA, OASAS, and 42 CFR regulations
  • Working knowledge of quality assurance and utilization review systems
  • Proficient in Microsoft Office Suite and EHR systems.
  • Experience working with people from diverse racial, ethnic, and socioeconomic backgrounds.
  • Strong written, verbal, and interpersonal communication skills.
  • Ability to accurately document records according to program standards.
  • Ability to work independently.
  • Spanish bilingual skills are a plus.
Employment Type: FULL_TIME

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