... Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department ...
... Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department ...
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties: This position is reserved for a licensed Registered Nurse who will perform the Utilization Management ...
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Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties: This position is reserved for a licensed Registered Nurse who will perform the Utilization Management ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Reports to the Manager. Serves as a liaison between hospitals, physicians, third-party payors and ... Maintaining knowledge regarding current regulations (PRO, TJC, AHA, etc.) which impact utilization ...
Reports to the Manager. Serves as a liaison between hospitals, physicians, third-party payors and ... Maintaining knowledge regarding current regulations (PRO, TJC, AHA, etc.) which impact utilization ...
The Utilization Management Representative I is responsible for coordinating cases for ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
The Utilization Management Representative I is responsible for coordinating cases for ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
The Utilization Management Representative I is responsible for coordinating cases for ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
The Utilization Management Representative I is responsible for coordinating cases for ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Reports to the Manager. Serves as a liaison between hospitals, physicians, third-party payors and ... Maintaining knowledge regarding current regulations (PRO, TJC, AHA, etc.) which impact utilization ...
Reports to the Manager. Serves as a liaison between hospitals, physicians, third-party payors and ... Maintaining knowledge regarding current regulations (PRO, TJC, AHA, etc.) which impact utilization ...
Reports to the Manager. Serves as a liaison between hospitals, physicians, third-party payors and ... Maintaining knowledge regarding current regulations (PRO, TJC, AHA, etc.) which impact utilization ...
Reports to the Manager. Serves as a liaison between hospitals, physicians, third-party payors and ... Maintaining knowledge regarding current regulations (PRO, TJC, AHA, etc.) which impact utilization ...
Wound Care Utilization Management RN
Indianapolis, IN · On-site
$39.34 - $56.20/hr
Wound Care Utilization Management RN Wound Care Utilization Management RN Virtual : This role ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Wound Care Utilization Management RN
Indianapolis, IN · On-site
$39.34 - $56.20/hr
Wound Care Utilization Management RN Wound Care Utilization Management RN Virtual : This role ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Wound Care Utilization Management RN
Indianapolis, IN · On-site
$39.34 - $56.20/hr
Wound Care Utilization Management RN Wound Care Utilization Management RN Virtual : This role ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Wound Care Utilization Management RN
Indianapolis, IN · On-site
$39.34 - $56.20/hr
Wound Care Utilization Management RN Wound Care Utilization Management RN Virtual : This role ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Wound Care Utilization Management RN
$39.34 - $56.20/hr
Wound Care Utilization Management RN Virtual : This role enables associates to workvirtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Wound Care Utilization Management RN
$39.34 - $56.20/hr
Wound Care Utilization Management RN Virtual : This role enables associates to workvirtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial Hospital, physicians, third-party payers and auditors to ensure information needs are met. This ...
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial Hospital, physicians, third-party payers and auditors to ensure information needs are met. This ...
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial Hospital, physicians, third-party payers and auditors to ensure information needs are met. This ...
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial Hospital, physicians, third-party payers and auditors to ensure information needs are met. This ...
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial Hospital, physicians, third-party payers and auditors to ensure information needs are met. This ...
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial Hospital, physicians, third-party payers and auditors to ensure information needs are met. This ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Utilization Manager information
See Indiana 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 - $70.5K
11% of jobs
The median wage is $77.3K / yr.
$70.5K - $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 - $137.2K
2% of jobs
$137.2K - $148.3K
0% of jobs
$148.3K - $159.4K
0% of jobs
$37.1K
$86.6K
$159.4K
How much do utilization manager jobs pay per year?
What are the key skills and qualifications needed to thrive as a utilization manager?
What are some common challenges faced by utilization managers, and how can they be addressed?
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?
| 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.

Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
494th of 887 rated healthcare providers
Job description
The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement.
Qualifications
QUALIFICATIONS
Education :Must have Registered Nurse license or Master's Degree.
Experience: 5-7 yrs acute inpatient psychiatric setting as a treatment team member experience or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders experience.
Work Location: In person
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About Universal Health Services
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Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US