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Utilization Manager Jobs in Louisiana (NOW HIRING)

Baptistjax

Baptist Jacksonville is currently hiring for a PRN Utilization Management Nurse to join our Baptist Downtown Location here in the Jacksonville, FL area. This is a PRN role with flexible scheduling ...

Oceans Healthcare

Director of Utilization Review

Shreveport, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position oversees all aspects and daily processes of the Utilization Management department. Conducts audits of all medical records to ensure criteria for admission and continued stay are met and ...

AbsoluteCARE Inc

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

We use population health management tools to employ a holistic approach to caring for the highest ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...

AbsoluteCARE

Utilization Review Nurse

New Orleans, LA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

We use population health management tools to employ a holistic approach to caring for the highest ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

We use population health management tools to employ a holistic approach to caring for the highest ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...

Memorial Hermann

Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for coordinating the use systems and processes for care/utilization management at the ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Louisiana

Utilization Manager information

See Louisiana salary details

$33.4K

$77.8K

$143.2K

How much do utilization manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for utilization manager in Louisiana is $77,826.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,900.00 and $93,600.00 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 Louisiana?

The most popular types of Utilization jobs in Louisiana are:

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

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

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

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

What cities in Louisiana are hiring for Utilization Manager jobs?

Cities in Louisiana with the most Utilization Manager job openings:

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

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Louisiana 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 $77,826 per year, or $37.4 per hour.

RN Utilization Manager (PRN)

St. Tammany Parish Hospital

Covington, LA

Part-time

Re-posted 18 hours ago

Job description

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.

We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

JOB DESCRIPTION AND POSITION REQUIREMENTS

Scheduled Weekly Hours: TBD

Summary of the Job:

The Utilization Manager is responsible to assist in the development, planning, coordination, and administration of the activities of Utilization Management. Job responsibilities include but are not limited to the following: daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness. Assumes responsibilities delegated by the Department Head.
Minimum Qualifications:

Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Five years of hospital nursing experience preferred. Experience in the field of Utilization Management activities highly preferred. Basic understanding of CPT-ICD-9 coding principles and DRG management preferred. Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Ability to demonstrate effective written and verbal communication skills and possess emotional and professional maturity. Highly organized and efficient in establishing priorities and performing tasks within specific timeframes. Self-motivator requiring minimal supervision. Views problems as a challenge and investigates alternatives which demand creativity, flexibility and the ability to work under stress. Responsible for maintaining strict confidentiality of all verbal & written information and documents. Knowledgeable in the Utilization Management review process.
Physical Demands:
Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 10 pounds is required.
Physical Effort required:

Constant (67%-100%) - seeing

Frequently (34%-66%) - handling/feeling, talking, hearing
Occasionally (1%-33%) - lifting, carrying, pushing/pulling, stooping, crouching, reaching

Contact Information:

Jennifer Saint, HR Talent Partner

Talent Acquisition - Human Resources

EMPLOYMENT

Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be foundby clicking here, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process.

EQUAL OPPORTUNITY EMPLOYER

St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.

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