We invite you to become part of Connecticut's most comprehensive healthcare network as a Utilization Review Care Manager. Summary Coordinates the care of clients in collaboration with clinical ...
We invite you to become part of Connecticut's most comprehensive healthcare network as a Utilization Review Care Manager. Summary Coordinates the care of clients in collaboration with clinical ...
Candidate with previous experience with utilization management and managed care. Excellent written and verbal communication skills and patient assessment skills required. Preferred Qualifications
Candidate with previous experience with utilization management and managed care. Excellent written and verbal communication skills and patient assessment skills required. Preferred Qualifications
Must Have Skills Payer-provider integration workflows Authorization processes Provider data exchange Eligibility verification Utilization management Claims adjudication & provider workflows Health ...
Must Have Skills Payer-provider integration workflows Authorization processes Provider data exchange Eligibility verification Utilization management Claims adjudication & provider workflows Health ...
Assures compliance with utilization requirements relative to all payor types and contract ... Prior case management, utilization management or discharge planning experience preferred.
Assures compliance with utilization requirements relative to all payor types and contract ... Prior case management, utilization management or discharge planning experience preferred.
RN Case Manager, Fulltime
Stamford, CT · On-site
Assures compliance with utilization requirements relative to all payor types and contract ... Prior case management, utilization management or discharge planning experience preferred.
RN Case Manager, Fulltime
Stamford, CT · On-site
Assures compliance with utilization requirements relative to all payor types and contract ... Prior case management, utilization management or discharge planning experience preferred.
RN Case Manager, Fulltime
Stamford, CT · On-site
Assures compliance with utilization requirements relative to all payor types and contract ... Prior case management, utilization management or discharge planning experience preferred.
RN Case Manager, Fulltime
Stamford, CT · On-site
Assures compliance with utilization requirements relative to all payor types and contract ... Prior case management, utilization management or discharge planning experience preferred.
Fleet Manager
Enfield, CT · On-site
Manage fleet location, status, availability, condition, and utilization. * Oversee equipment check-in/check-out, staging, inspections, and rental readiness. * Coordinate equipment mobilization ...
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Fleet Manager
Enfield, CT · On-site
Manage fleet location, status, availability, condition, and utilization. * Oversee equipment check-in/check-out, staging, inspections, and rental readiness. * Coordinate equipment mobilization ...
Associate Medical Director, Hospice and Palliative Care
Branford, CT · On-site
$220 - $320/hr
The role includes oversight of care on the Inpatient Unit, Home Health, GUIDE, and Palliative Care programs; supervising medical staff; collaborating on utilization management strategies; leading ...
Associate Medical Director, Hospice and Palliative Care
Branford, CT · On-site
$220 - $320/hr
The role includes oversight of care on the Inpatient Unit, Home Health, GUIDE, and Palliative Care programs; supervising medical staff; collaborating on utilization management strategies; leading ...
... utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials Review patient ...
... utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution Educate offices using approved materials Review patient ...
Performs utilization management functions such as reviewing all admissions and continued stay of all patients to assure medical appropriateness of level of care and length of stay. Registered Nurse ...
Performs utilization management functions such as reviewing all admissions and continued stay of all patients to assure medical appropriateness of level of care and length of stay. Registered Nurse ...
Performs utilization management functions such as reviewing all admissions and continued stay of all patients to assure medical appropriateness of level of care and length of stay. Registered Nurse ...
Performs utilization management functions such as reviewing all admissions and continued stay of all patients to assure medical appropriateness of level of care and length of stay. Registered Nurse ...
Care Manager
New London, CT · On-site
$85 - $110/hr
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Care Manager
New London, CT · On-site
$85 - $110/hr
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$85 - $110/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$85 - $110/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$20 - $26/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$20 - $26/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Care Manager
New London, CT · On-site
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Care Manager
New London, CT · On-site
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$20 - $26/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$20 - $26/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Care Manager
New London, CT · On-site
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Care Manager
New London, CT · On-site
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$20 - $26/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Case Manager
New Haven, CT · On-site
$20 - $26/hr
Utilization management and case management experience preferred. Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Care Manager
New London, CT · On-site
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Care Manager
New London, CT · On-site
Utilization management and case management experience preferred. * Knowledge of computer software and hardware applications and a basic knowledge of statistics. PHYSICAL DEMAND 50% sedentary; sitting ...
Operations Supervisor
New Britain, CT · On-site
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
Operations Supervisor
New Britain, CT · On-site
Coordinate with maintenance and other terminals to optimize vehicle availability and utilization * Manage non-revenue movements and inter-terminal coordination to ensure maximum efficiency Cross ...
Utilization Manager information
See Connecticut salary details
$37.1K - $48.2K
9% of jobs
$56.4K is the 25th percentile. Wages below this are outliers.
$48.2K - $59.3K
22% of jobs
$59.3K - $70.4K
11% of jobs
The median wage is $77.3K / yr.
$70.4K - $81.6K
14% of jobs
$81.6K - $92.7K
12% of jobs
$99.6K is the 75th percentile. Wages above this are outliers.
$92.7K - $103.8K
13% of jobs
$103.8K - $114.9K
13% of jobs
$114.9K - $126K
5% of jobs
$126K - $137.1K
2% of jobs
$137.1K - $148.2K
0% of jobs
$148.2K - $159.3K
0% of jobs
$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?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found 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
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For Utilization Manager jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Connecticut look for?
The top searched job categories for Utilization Manager jobs in Connecticut are:
What cities in Connecticut are hiring for Utilization Manager jobs?
Cities in Connecticut with the most Utilization Manager job openings:
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For Utilization Manager jobs in CT, the most frequently searched job titles are:
Care Manager (LCSW, LPC, LMFT) - Utilization Review
Manchester, CT • On-site
Full-time
Posted 12 days ago
Job description
Work where every moment matters.
Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a Utilization Review Care Manager.
Summary
Coordinates the care of clients in collaboration with clinical program staff. Liaison with insurance companies and other referral sources. Obtains level-of-care authorizations from managed care companies when clinically necessary. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for patient's care requirements and effectively obtain authorizations.
• Ensures that authorizations are current and documented as required.
• Obtains level-of-care authorizations from managed care companies when clinically necessary. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for patient's care requirements and effectively obtain authorizations.
• Accurately inputs information into Medical Record System to ensure authorizations are complete. Error or omissions here may result in loss of payment.
• Collaborates with the payor source and the primary clinician/treatment team and refers clients to appropriate level of care, based on symptomatology and benefit structure.
• Ensures client admission, continued stay, and discharge meet the criteria of the program.
• Communicates with referral sources to determine benefits and pre-certify admissions.
• Maintains records and prepares statistical reports as assigned. Enters data into business software and other business systems as required.
• Assists with process of appeals as directed by the Manager - Utilization Review.
Qualifications:
Education
Bachelor's degree with 5 years' experience in behavioral health setting, Master's degree preferred with 3 years' experience in behavioral health setting
Experience
5 years' experience in behavioral health setting
Documented assessment skills of the biopsychosocial needs of behavioral health clients.
Licensure, Certification, Registration
LPC, LADC, LMFT, LCSW
We take great care of careers
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving colleagues-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment
Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network as a Utilization Review Care Manager.
Summary
Coordinates the care of clients in collaboration with clinical program staff. Liaison with insurance companies and other referral sources. Obtains level-of-care authorizations from managed care companies when clinically necessary. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for patient's care requirements and effectively obtain authorizations.
• Ensures that authorizations are current and documented as required.
• Obtains level-of-care authorizations from managed care companies when clinically necessary. Requires in-depth knowledge of behavioral health services in order to accurately articulate and advocate for patient's care requirements and effectively obtain authorizations.
• Accurately inputs information into Medical Record System to ensure authorizations are complete. Error or omissions here may result in loss of payment.
• Collaborates with the payor source and the primary clinician/treatment team and refers clients to appropriate level of care, based on symptomatology and benefit structure.
• Ensures client admission, continued stay, and discharge meet the criteria of the program.
• Communicates with referral sources to determine benefits and pre-certify admissions.
• Maintains records and prepares statistical reports as assigned. Enters data into business software and other business systems as required.
• Assists with process of appeals as directed by the Manager - Utilization Review.
Qualifications:
Education
Bachelor's degree with 5 years' experience in behavioral health setting, Master's degree preferred with 3 years' experience in behavioral health setting
Experience
5 years' experience in behavioral health setting
Documented assessment skills of the biopsychosocial needs of behavioral health clients.
Licensure, Certification, Registration
LPC, LADC, LMFT, LCSW
We take great care of careers
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving colleagues-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment
About Hartford HealthCare at Home
Sourced by ZipRecruiter
Hartford HealthCare at Home, based in Wethersfield, Connecticut, US, is a premier provider in the healthcare industry, specifically in home-based care services. Their official website can be accessed at hartfordhealthcareathome.org. They offer a wide range of services including nursing, physical therapy, occupational therapy, speech therapy, social work, and home health aid. The company was established with the mission to enhance the capability of people to achieve optimal health and wellbeing through its home care services. They maintain a patient-centric approach and belief in making a real difference in people's lives. As an integral part of Hartford HealthCare, they share the vision to be “most trusted for personalized coordinated care”.
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Wethersfield, CT, US