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Utilization Manager Jobs in Illinois (NOW HIRING)

CTSHealth

Program Manager

Chicago, IL · On-site

Coordinate with Lead Therapist and Supervise Lead Case Manager (individual and group -PSR/OPT) Oversee administrative office manager, compliance auditor and utilization manager. * Collaborate with ...

AltaStaff, LLC

UM RN Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care. * Assess and analyze ...

AltaStaff

UM Care Review Clinician

Chicago, IL · On-site

$40 - $42/hr

Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care. * Assess and analyze ...

Insight

ED UTILIZATION REVIEW/CASE MANAGER

Chicago, IL

$85K - $90K/yr

The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and ...

Insight

ED UTILIZATION REVIEW/CASE MANAGER

Chicago, IL · On-site

$85K - $90K/yr

The ED Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

$61K - $71K/yr

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

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Showing results 41-60

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Illinois

Utilization Manager information

See Illinois salary details

$37.8K

$88.2K

$162.3K

How much do utilization manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for utilization manager in Illinois is $88,192.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,700.00 and $106,100.00 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.

More about Utilization Manager jobs

What are the most commonly searched types of Utilization jobs in Illinois?

The most popular types of Utilization jobs in Illinois are:

What are popular job titles related to Utilization Manager jobs in Illinois?

For Utilization Manager jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Utilization Manager jobs in Illinois look for?

The top searched job categories for Utilization Manager jobs in Illinois are:

What cities in Illinois are hiring for Utilization Manager jobs?

Cities in Illinois with the most Utilization Manager job openings:

What are popular job titles related to Utilization Manager jobs in IL?

For Utilization Manager jobs in IL, the most frequently searched job titles are:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Illinois as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $88,192 per year, or $42.4 per hour.

Utilization Management and Population Health Nurse

Humboldt Park Health

Chicago, IL

Full-time

Re-posted 19 days ago

Humboldt Park Health rating

5.4

Company rating: 5.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

951st of 1,064 rated hospitals

Job description

  • Utilization case review and application of criteria to approve initial and continued inpatient services
  • Identify patients in need of outreach efforts based on patient risk stratification or other defined criteria as well as defined disease management guidelines
  • Work with CPHO team, patient’s Primary Care Physician and all other providers of the patients’ care to develop individualized care plans
  • Facilitate communication with patients and care team, coordinate referrals, and promote optimal allocation of available resources
  • Measure progress toward goals based on clinical judgment, review of patients’ self-monitoring tools and trends in clinical data
  • Assess and monitor adherence to outreach and then problem-solve intrinsic and extrinsic barriers to effective patient self-management of chronic conditions
  • Provide educational materials and resources to patient/family and their care providers
  • Refer patients/families to self-management support programs as needed and communicate with care providers to ensure safe and effective care management.  
  • Analyze clinical data to track patient outcomes to determine improvement
  • Triage patient phone calls for acute patient issues and counsel accordingly
  • Oversight and management of population health quality improvement studies to reach established targets
  • Interface with Commercial and Government entities on care coordination, HEDIS and other QI activities
  • Report to UM/QM Committee on progress toward goals and make recommendations for improvement
  • Other duties as assigned
  • Minimum qualifications must be health plan requirements, including but not limited to licensure/certification, as applicable

What Humboldt Park Health employees say

Pay

Hours and flexibility

Workplace

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