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Utilization Manager Jobs in Georgia (NOW HIRING)

Clarvida

Utilization Manager

Savannah, GA

Description Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate Utilization Management functions for the agency. * Trains staff on proper documentation ...

Clarvida - Georgia

Utilization Manager

Savannah, GA · On-site

Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate Utilization Management functions for the agency. * Trains staff on proper documentation, including ...

Clarvida - Georgia

Utilization Manager

Savannah, GA · On-site

Description Position at Clarvida - Georgia Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate Utilization Management functions for the agency. * Trains staff on ...

LCMC Health

The Director oversees day-to-day utilization review operations, establishes standardized processes ... Provide direct oversight to UM manager and clinical review staff. * Establish productivity ...

HealthONE

Utilization Management Nurse

Dalton, GA · On-site

Job Title Utilization Management Nurse The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms.

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Georgia

Utilization Manager information

See Georgia salary details

$32.9K

$76.8K

$141.4K

How much do utilization manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for utilization manager in Georgia is $76,848.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,200.00 and $92,500.00 per year, depending on experience, location, and employer.

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 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 are the most commonly searched types of Utilization jobs in Georgia? The most popular types of Utilization jobs in Georgia are:
What are popular job titles related to Utilization Manager jobs in Georgia? For Utilization Manager jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Georgia look for? The top searched job categories for Utilization Manager jobs in Georgia are:
What cities in Georgia are hiring for Utilization Manager jobs? Cities in Georgia with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in GA? For Utilization Manager jobs in GA, the most frequently searched job titles are:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $76,848 per year, or $36.9 per hour.

Utilization Manager

Clarvida

Savannah, GA

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Clarvida rating

6.8

Company rating: 6.8 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

55th of 239 rated social care providers

Job description

Description

Utilization Manager

LCSW, LPC, LMSW, LAPC

As our Utilization Manager, you will coordinate Utilization Management functions for the agency. 

  • Trains staff on proper documentation, including assessments, treatment planning, progress notes, transition/discharge plans
  • Provides feedback to staff regarding changes needed in order to meet service guidelines, fidelity review, and licensure requirements
  • Trains staff on proper submission of Registration, Authorization and Discharge requests
  • Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of pended authorizations
  • Tracks utilization of services and compliance with contractual requirements
  • Assists in the coordination of external audits
  • Develops and implements any corrective action plans needed
  • Completes regular testing of the electronic medical record functionality

Perks of this role:

  • 8:30am-5:00pm weekday office schedule
  • Stability and growth opportunities working with a national agency

 

Do the Following Apply to You?

  • Licensed as LCSW, LPC, LMSW, or LAPC
  • Ability to communicate effectively, both orally and in writing.
  • Ability to train others

 

What we offer:

  • Full Time Employees:
    • Paid vacation days that increase with tenure
    • Separate sick leave that rolls over each year
    • Up to 10 Paid holidays*
    • Medical, Dental, Vision benefit plan options
    • Employee Assistance Program
    • Health, Dependent and Transportation Flexible Spending Accounts
    • Employee, Spouse and Dependent Basic and Optional Life Insurance
  • All Employees:
    • 401 K Plan
    • Mileage & Cell Phone Reimbursement (or company phone)
    • Pet Insurance
    • DailyPay- daily access to your earnings without waiting for payday!
    • SoFi at Work student loan refinancing
    • Next Steps Financial Wellness program webinars and tools
    • Company laptop and great IT support
    • Verizon discount
    • Dell discount
    • Perks at Pathways national discounts on travel, shopping, and entertainment
    • Training, Development and Continuing Education Credits for licensure requirements
    • Opportunities for advancement!  As we grow, you grow with us!

To Learn More About Us:

Pathways @ http://www.pathways.com/mission-vision-and-values/ 

Current openings @ https://www.pathways.com/working-at-pathways
Pathways is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.
*- benefit availability may vary by State/County 

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