Holyoke, MA · On-site
$33.22 - $44.85/hr
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... UR contacts external case managers/managed care organizations for certification of insurance ...
Holyoke, MA · On-site
$33.22 - $44.85/hr
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ... UR contacts external case managers/managed care organizations for certification of insurance ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting ...
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR LEVEL OF CARE AND QUALITY ASSURANCE; TO ASSESS PATIENTS FOR ADMISSION AND/OR UPON ADMISSION TO THE ...
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR LEVEL OF CARE AND QUALITY ASSURANCE; TO ASSESS PATIENTS FOR ADMISSION AND/OR UPON ADMISSION TO THE ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting ...
As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding, supporting proper payment to nursing facilities, and promoting ...
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR LEVEL OF CARE AND QUALITY ASSURANCE; TO ASSESS PATIENTS FOR ADMISSION AND/OR UPON ADMISSION TO THE ...
TO CONDUCT UTILIZATION REVIEW FOR ALL INPATIENTS BASED ON COLLABORATIVELY DEVELOPED STANDARDS FOR LEVEL OF CARE AND QUALITY ASSURANCE; TO ASSESS PATIENTS FOR ADMISSION AND/OR UPON ADMISSION TO THE ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · Remote
$248K - $373K/yr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · Remote
$248K - $373K/yr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · Remote
$248K - $373K/yr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · Remote
$248K - $373K/yr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Boston, MA · On-site
$249 - $373/hr
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination ...
Oversee utilization management processes, levelofcare determinations, concurrent reviews, denials management, and appeals * Collaborate with Physician Advisors, Finance, Revenue Integrity, Patient ...
Oversee utilization management processes, levelofcare determinations, concurrent reviews, denials management, and appeals * Collaborate with Physician Advisors, Finance, Revenue Integrity, Patient ...
Oversee utilization management processes, levelofcare determinations, concurrent reviews, denials management, and appeals * Collaborate with Physician Advisors, Finance, Revenue Integrity, Patient ...
Oversee utilization management processes, levelofcare determinations, concurrent reviews, denials management, and appeals * Collaborate with Physician Advisors, Finance, Revenue Integrity, Patient ...
Oversee utilization management processes, level-of-care determinations, concurrent reviews, denials management, and appeals * Collaborate with Physician Advisors, Finance, Revenue Integrity, Patient ...
Oversee utilization management processes, level-of-care determinations, concurrent reviews, denials management, and appeals * Collaborate with Physician Advisors, Finance, Revenue Integrity, Patient ...
Case Manager - Registered Nurse Cambridge, MA/Local candidates not accepted*** 3-6 Months ... Primary Responsibilities : 1. Performs utilization review and discharge planning to inpatient ...
Case Manager - Registered Nurse Cambridge, MA/Local candidates not accepted*** 3-6 Months ... Primary Responsibilities : 1. Performs utilization review and discharge planning to inpatient ...
Cambridge, MA · On-site
Primary Responsibilities: 1. Performs utilization review and discharge planning to inpatient ... Abides by MACIPA Case Management standards as per the MACIPA CM guidelines. Required Qualifications ...
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Cambridge, MA · On-site
Primary Responsibilities: 1. Performs utilization review and discharge planning to inpatient ... Abides by MACIPA Case Management standards as per the MACIPA CM guidelines. Required Qualifications ...
$42.6K - $55.4K
9% of jobs
$64.8K is the 25th percentile. Wages below this are outliers.
$55.4K - $68.1K
22% of jobs
$68.1K - $80.9K
11% of jobs
The median wage is $88.7K / yr.
$80.9K - $93.6K
14% of jobs
$93.6K - $106.4K
12% of jobs
$114.4K is the 75th percentile. Wages above this are outliers.
$106.4K - $119.1K
13% of jobs
$119.1K - $131.9K
13% of jobs
$131.9K - $144.7K
5% of jobs
$144.7K - $157.4K
2% of jobs
$157.4K - $170.2K
0% of jobs
$170.2K - $182.9K
0% of jobs
$42.6K
$99.4K
$182.9K
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.
| 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.
For Utilization Manager jobs in Massachusetts, the most frequently searched job titles are:
The top searched job categories for Utilization Manager jobs in Massachusetts are:
Cities in Massachusetts with the most Utilization Manager job openings:
For Utilization Manager jobs in MA, the most frequently searched job titles are:
$33.22 - $44.85/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 21 days ago
5.9
Based on 272 frontline employees who took The Breakroom Quiz
766th of 898 rated healthcare providers
Get the full story on Breakroom
Sourced by ZipRecruiter
Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.
Health care and social assistance
10,000+ Employees
Brentwood, TN, US
1999
