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Utilization Manager Jobs in Connecticut (NOW HIRING)

The MH Group LLC

Medical Director

Hartford, CT · On-site

$263K - $305K/yr

Lead medical oversight for utilization management, case management, and clinical review processes. * Evaluate complex medical cases for medical necessity and cost-effectiveness. * Guide the ...

Waterbury Hospital

Case Manager

Waterbury, CT · On-site

$20.50 - $26.25/hr

Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care ...

Waterbury Hospital

Case Manager

Waterbury, CT · On-site

$20.50 - $26.25/hr

Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care ...

Waterbury Hospital

Clinical Case Manager

Waterbury, CT · On-site

Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Ensures the appropriate status and level of care is determined and ...

Waterbury Hospital

Clinical Case Manager

Waterbury, CT · On-site

Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Ensures the appropriate status and level of care is determined and ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Connecticut

Utilization Manager information

See Connecticut salary details

$37.1K

$86.6K

$159.3K

How much do utilization manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization manager in Connecticut is $86,578.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,600.00 and $104,200.00 per year, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a utilization manager?

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 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.

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Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Connecticut as of August 2026, with employment types broken down into 84% Full Time, 11% Part Time, 2% Temporary, and 3% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $86,578 per year, or $41.6 per hour.

Registered Nurse Emergency Department Case Manager RN

Trinityhealth

Hartford, CT

Full-time

Re-posted 11 days ago

Key responsibilities

  • Collaborate with ED providers and care teams to assess patient needs and support care decisions.

  • Coordinate care across inpatient, observation, and postacute settings, including facilitating admissions, transfers, or discharges.

  • Conduct clinical, psychosocial, and discharge planning assessments, and educate patients and families on care plans and next steps.

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers

Job description

Employment Type:Full timeShift:12 Hour Day ShiftDescription:

Position Purpose

At Saint Francis Hospital, the Emergency Department Registered Nurse Case Manager plays a critical role in coordinating patient care in a fastpaced emergency setting. This role focuses on early identification of patient needs, care coordination, utilization management, and safe transitions of care to ensure highquality, costeffective outcomes while supporting patient flow and throughput from the Emergency Department.

What You Will Do

As an Emergency Department RN Case Manager, you will serve as a key partner to ED physicians, nurses, and interdisciplinary teams to support timely, appropriate care decisions. Responsibilities include:

  • Collaborating with ED providers and care teams to assess patient needs upon presentation

  • Identifying appropriate levels of care and facilitating admissions, transfers, or safe discharges

  • Coordinating care across inpatient, observation, and postacute settings

  • Supporting patient flow, throughput, and lengthofstay initiatives

  • Conducting clinical, psychosocial, and discharge planning assessments

  • Applying nationally recognized medical necessity and utilization criteria

  • Ensuring compliance with regulatory, accreditation, and payer requirements

  • Educating patients and families on care plans, resources, and next steps

  • Advocating for patients while balancing quality, safety, and resource utilization

Minimum Qualifications

Required:

  • Graduation from an accredited nursing school

  • Valid RN License in Connecticut

Preferred:

  • Bachelor's degree in Nursing

  • Minimum of three (3) years of acute care RN experience required

  • Emergency Department experience strongly preferred

  • Demonstrated knowledge of utilization management, levelofcare determination, and care coordination

  • Working understanding of CMS/HCFA, OBRA, State of Connecticut regulations, and Joint Commission (JCAHO) standards

Certification:

  • BLS certification required

  • Case Management certification (CCM or ACM) preferred or obtained within a designated timeframe

Position Highlights & Benefits

  • Schedule: Full Time-36 hours/Day Shift

  • Practice Setting: Emergency Department / Acute Care

  • Focus: Patient flow, care coordination, utilization management, and transitions of care

Ministry / Facility Information

Saint Francis Hospital has been an anchor institution in Connecticut since 1897. A member of Trinity Health Of New England and Trinity Health, one of the nation's largest multiinstitutional Catholic healthcare delivery systems, Saint Francis Hospital is a 617bed Level I Trauma Center and major teaching hospital. Additional Saint Francis entities include the Comprehensive Women's Health Center, the Connecticut Joint Replacement Institute, and the Smilow Cancer Hospital.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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Benefits

Hours and flexibility

Workplace

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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