Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be ...
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be ...
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be ...
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be ...
RN - Utilization Management
Honolulu, HI · On-site
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be ...
RN - Utilization Management
Honolulu, HI · On-site
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be ...
... Manager. * Solicit and document system and/or business requirements for a system solution to ... Develop and/or assist in the creation of various tools to support Utilization Management activities ...
... Manager. * Solicit and document system and/or business requirements for a system solution to ... Develop and/or assist in the creation of various tools to support Utilization Management activities ...
... Manager. * Solicit and document system and/or business requirements for a system solution to ... Develop and/or assist in the creation of various tools to support Utilization Management activities ...
... Manager. * Solicit and document system and/or business requirements for a system solution to ... Develop and/or assist in the creation of various tools to support Utilization Management activities ...
Crisis Management Preferred Qualifications: * Completion of a PGY1 residency. * Three (3) years of experience in clinical utilization processes. Primary Location: Hawaii,Honolulu,Mapunapuna Medical ...
Crisis Management Preferred Qualifications: * Completion of a PGY1 residency. * Three (3) years of experience in clinical utilization processes. Primary Location: Hawaii,Honolulu,Mapunapuna Medical ...
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Manager, Clinical Review
Honolulu, HI · Hybrid
Knowledge of Healthcare Utilization Management programs * Some knowledge of CPT-4, HCPCS, ICD-10 and other claims coding systems, and UB-04 and HCFA 1500 forms. * Basic working knowledge of Microsoft ...
Manager, Clinical Review
Honolulu, HI · Hybrid
Knowledge of Healthcare Utilization Management programs * Some knowledge of CPT-4, HCPCS, ICD-10 and other claims coding systems, and UB-04 and HCFA 1500 forms. * Basic working knowledge of Microsoft ...
Manager, Clinical Review
Honolulu, HI · On-site
Knowledge of Healthcare Utilization Management programs * Some knowledge of CPT-4, HCPCS, ICD-10 and other claims coding systems, and UB-04 and HCFA 1500 forms. * Basic working knowledge of Microsoft ...
Manager, Clinical Review
Honolulu, HI · On-site
Knowledge of Healthcare Utilization Management programs * Some knowledge of CPT-4, HCPCS, ICD-10 and other claims coding systems, and UB-04 and HCFA 1500 forms. * Basic working knowledge of Microsoft ...
Manager, Clinical Review
Honolulu, HI · Hybrid
Knowledge of Healthcare Utilization Management programs * Some knowledge of CPT-4, HCPCS, ICD-10 and other claims coding systems, and UB-04 and HCFA 1500 forms. * Basic working knowledge of Microsoft ...
Manager, Clinical Review
Honolulu, HI · Hybrid
Knowledge of Healthcare Utilization Management programs * Some knowledge of CPT-4, HCPCS, ICD-10 and other claims coding systems, and UB-04 and HCFA 1500 forms. * Basic working knowledge of Microsoft ...
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... under-utilization of services, potential up-coding, over billing, etc. Communicates timely ...
Responsibilities include using effective relationship management, coordination of services ... under-utilization of services, potential up-coding, over billing, etc. Communicates timely ...
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Responsibilities include using effective relationship management, coordination of services ... under-utilization of services, potential up-coding, over billing, etc. Communicates timely ...
Responsibilities include using effective relationship management, coordination of services ... under-utilization of services, potential up-coding, over billing, etc. Communicates timely ...
Utilization Manager information
See Hawaii salary details
$40.5K - $52.7K
9% of jobs
$61.6K is the 25th percentile. Wages below this are outliers.
$52.7K - $64.8K
22% of jobs
$64.8K - $76.9K
11% of jobs
The median wage is $84.4K / yr.
$76.9K - $89.1K
14% of jobs
$89.1K - $101.2K
12% of jobs
$108.8K is the 75th percentile. Wages above this are outliers.
$101.2K - $113.3K
13% of jobs
$113.3K - $125.5K
13% of jobs
$125.5K - $137.6K
5% of jobs
$137.6K - $149.8K
2% of jobs
$149.8K - $161.9K
0% of jobs
$161.9K - $174K
0% of jobs
$40.5K
$94.6K
$174K
How much do utilization manager jobs pay per year?
As of Aug 26, 2026, the average yearly pay for utilization manager in Hawaii is $94,557.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,800.00 and $113,800.00 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
What are the most commonly searched types of Utilization jobs in Hawaii?
The most popular types of Utilization jobs in Hawaii are:
What are popular job titles related to Utilization Manager jobs in Hawaii?
For Utilization Manager jobs in Hawaii, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Hawaii look for?
The top searched job categories for Utilization Manager jobs in Hawaii are:
What cities in Hawaii are hiring for Utilization Manager jobs?
Cities in Hawaii with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in HI?
For Utilization Manager jobs in HI, the most frequently searched job titles are:
RN - Utilization Management
Honolulu, HI • Remote
Spectrum Healthcare Resources •
Health Care and Social Assistance • 1 - 5K employees1,001 - 5,000 employees
Full-time
Posted 22 days ago
Job description
Job Description
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our Nation's Active Duty and eligible retirees.
The Nurse will be working remotely Monday through Friday, 8 hours per day.
Requirements
- Bachelors Nursing Degree
- At least one active state nurse license, preferably compact state licensure
- At least 2 years' experience working as a UMRN, preferably in a remote or hybrid environment.
- Possess current certification in either
- Completion of an accredited Certified Professional Utilization Review (CPUR) program
- Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.
--OR--
- Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years. Notwithstanding the aforementioned experience requirements, the HCWs must have pertinent clinical experience within the past two (2) years sufficient to demonstrate current clinical competency for the setting and procedures required by this contract.
- Highly organized, self-directed worker able to function in a high-volume environment without distractions.
- Strong verbal and written communication skills.
- Proficient level of experience with Microsoft Office applications and strong technical aptitude.
- Must have access to secure, high speed internet.
Company Overview:
Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans
Location : LocationUS-HI-HonoluluRecruiter : Full Name: First LastJoseph DayDirect phone number314-744-4138Recruiter : Emailjoseph_day@spectrumhealth.comEmployment Type: OTHER
About Spectrum Healthcare Resources
Sourced by ZipRecruiter
Spectrum is a leading organization that provides program management and physician and clinical staffing services to United States Military Treatment Facilities, VA Clinics and Federal Agencies. We are dedicated to the markets we serve, leading our organization’s experience for almost three decades.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Saint Louis, MO, US
Year founded
1988