ZipRecruiter

Log In

1

Utilization Manager Jobs in Georgia (NOW HIRING)

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA · On-site

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA · On-site

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Augusta, GA

Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...

next page

Showing results 1-20

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 Jul 20, 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 does a utilization manager do?

A utilization manager oversees the allocation and efficient use of resources, such as staff and equipment, to meet organizational goals. They analyze data, monitor utilization rates, and ensure compliance with policies, often using tools like spreadsheets or specialized software. This role requires strong organizational and communication skills to optimize productivity and control costs.

What jobs pay 4000 a week without a degree?

Utilization Managers typically require a relevant background in healthcare, logistics, or operations, and their salaries usually do not reach $4,000 weekly without specialized experience or certifications. High-paying roles that can reach this level without a degree often include sales, real estate, or skilled trades like certain construction or technical jobs, which rely more on experience and skills than formal education.

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 is the highest paying job in healthcare management?

The highest paying roles in healthcare management include Chief Executive Officers (CEOs) of hospitals and health systems, with salaries often exceeding $200,000 annually. Other high-paying positions include Chief Financial Officers (CFOs) and Chief Operating Officers (COOs), who oversee organizational strategy and operations, typically earning six-figure salaries. These roles require extensive experience, advanced degrees, and strong leadership skills.

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.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative skills and knowledge of medical terminology. It provides experience in patient interaction, scheduling, and office management, which can serve as a stepping stone to more advanced healthcare roles. However, career advancement may require additional certifications or education.
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
Utilization Mgmt Coord - Behavioral Health

Utilization Mgmt Coord - Behavioral Health

Piedmont Healthcare Inc.

Snellville, GA

Full-time

Re-posted 15 days ago

Piedmont Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 459 frontline employees who took The Breakroom Quiz

374th of 886 rated healthcare providers

Job description

OverviewThe purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services.ResponsibilitiesThe purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services.QualificationsEducation
  • Bachelor's Degree from an accredited nursing school, B.A/ B.S or Required or
  • Bachelor's Degree in Social Work Required or
  • Master's degree Preferred
Work Experience
  • 2 years of experience in an acute, post-acute, managed care, psychiatric, or revenue cycle Required
  • Previous experience with InterQual and/or MCG guidelines Required
  • Previous experience in Utilization Management and/or Appeals Required
  • Previous Epic experience or Meditech/MIDAS experience Required
  • Previous experience in prior authorization process Required
  • Utilization Review or Care Management experience Preferred
Licenses and Certifications
  • Current unrestricted registered nurse (RN) license or LMSW/LCSW, in the state of Georgia. Required or
  • LPC/LMFT also acceptable Required
Additional Licenses and Certifications
  • Case Management Certification (CCM) or American Case Management Association (ACMA) certification Preferred
Business Unit : Company NamePiedmont Healthcare CorporateEmployment Type: FULL_TIME

What Piedmont Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply