Essential Functions The Access-UM Manager position is a program and administrative management position providing operational oversight and direction for behavioral health services utilization across ...
Essential Functions The Access-UM Manager position is a program and administrative management position providing operational oversight and direction for behavioral health services utilization across ...
Utilization Management Manager
Port Huron, MI · On-site
... Manager position is an administrative position with responsibility in providing direction for clinical service delivery of behavioral health services across the region respective to the Utilization ...
Utilization Management Manager
Port Huron, MI · On-site
... Manager position is an administrative position with responsibility in providing direction for clinical service delivery of behavioral health services across the region respective to the Utilization ...
Utilization Review Manager
Grand Rapids, MI · On-site
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios ...
Utilization Review Manager
Grand Rapids, MI · On-site
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios ...
Utilization Review Manager
Grand Rapids, MI · On-site
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios ...
Utilization Review Manager
Grand Rapids, MI · On-site
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios ...
Utilization Review Manager
Grand Rapids, MI · On-site
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios ...
Utilization Review Manager
Grand Rapids, MI · On-site
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios ...
Utilization Management Clinical Analyst HYBRID (PCN 1534)
Troy, MI · On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests to determine medical necessity and clinical appropriateness of behavioral health ...
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Utilization Management Clinical Analyst HYBRID (PCN 1534)
Troy, MI · On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests to determine medical necessity and clinical appropriateness of behavioral health ...
New
Utilization Management Clinical Analyst - SUD HYBRID (PCN 1543)
Troy, MI · On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst - Substance Use Disorder (SUD) conducts prospective and concurrent reviews of substance use disorder authorization requests to determine ...
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Utilization Management Clinical Analyst - SUD HYBRID (PCN 1543)
Troy, MI · On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst - Substance Use Disorder (SUD) conducts prospective and concurrent reviews of substance use disorder authorization requests to determine ...
Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
The position also participates in management meetings, workgroups, and strategic initiatives while ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
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Utilization Review Supervisor (PCN 1547)
Troy, MI · On-site
$70K - $87K/yr
The position also participates in management meetings, workgroups, and strategic initiatives while ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Provides clerical support for Utilization Management; sorting faxes and mail, obtaining authorization numbers, completing follow-up on outstanding cases, and delivery of letters associated with ...
Provides clerical support for Utilization Management; sorting faxes and mail, obtaining authorization numbers, completing follow-up on outstanding cases, and delivery of letters associated with ...
Utilization Review- RN
Troy, MI · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Utilization Review- RN
Troy, MI · On-site
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Registered Nurse Looking for Utilization Management AND Education experience. Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral ...
Registered Nurse Looking for Utilization Management AND Education experience. Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral ...
Provides clerical support for Utilization Management; sorting faxes and mail, obtaining authorization numbers, completing follow-up on outstanding cases, and delivery of letters associated with ...
Provides clerical support for Utilization Management; sorting faxes and mail, obtaining authorization numbers, completing follow-up on outstanding cases, and delivery of letters associated with ...
Registered Nurse Looking for Utilization Management AND Education experience. Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral ...
Registered Nurse Looking for Utilization Management AND Education experience. Scope of work: In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral ...
Required * Hospital utilization review/utilization management experience. Preferred * Clinical appeals experience. Preferred * LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire ...
New
Required * Hospital utilization review/utilization management experience. Preferred * Clinical appeals experience. Preferred * LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire ...
New
Behavioral Health Utilization Management Specialist
Hastings, MI · On-site
$58K/yr
We are seeking a detail-oriented and clinically skilled Behavioral Health Utilization Management (UM) Specialist to join our team. This role is responsible for reviewing behavioral health services to ...
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Behavioral Health Utilization Management Specialist
Hastings, MI · On-site
$58K/yr
We are seeking a detail-oriented and clinically skilled Behavioral Health Utilization Management (UM) Specialist to join our team. This role is responsible for reviewing behavioral health services to ...
RN Utilization Review Nurse
Troy, MI · On-site
$33 - $37/hr
Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
RN Utilization Review Nurse
Troy, MI · On-site
$33 - $37/hr
Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare. * Works with the Utilization Management team primarily responsible for inpatient medical necessity ...
Utilization Specialist
Battle Creek, MI · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Battle Creek, MI · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Manager information
See Michigan salary details
$34K - $44.2K
9% of jobs
$51.7K is the 25th percentile. Wages below this are outliers.
$44.2K - $54.4K
22% of jobs
$54.4K - $64.5K
11% of jobs
The median wage is $70.8K / yr.
$64.5K - $74.7K
14% of jobs
$74.7K - $84.9K
12% of jobs
$91.3K is the 75th percentile. Wages above this are outliers.
$84.9K - $95.1K
13% of jobs
$95.1K - $105.3K
13% of jobs
$105.3K - $115.4K
5% of jobs
$115.4K - $125.6K
2% of jobs
$125.6K - $135.8K
0% of jobs
$135.8K - $146K
0% of jobs
$34K
$79.3K
$146K
How much do utilization manager jobs pay per year?
What does a utilization manager do?
What jobs pay 4000 a week without a degree?
What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?
What is the highest paying job in healthcare management?
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.
Is being a MOA a good entry level job?
- No Experience Utilization Management Nurse
- Chart Reviewer
- Ltss Care Manager
- Mckesson Nurse
- Full Time Physician Advisor Utilization Review
- Remote Cvs Utilization Management Nurse
- Registered Nurse Utilization Review
- Independent Contractor Remote Utilization Management Nurse
- No Experience Utilization Review Nurse
- Weekend Prior Authorization Nurse
- Manager Aetna Utilization Review
- Director Optum Utilization Review
- Remote Rn Utilization Review Nurse
- Remote Utilization Review
- Remote Supervisor Utilization Management
- Temporary Medical Utilization Review Physician
- Integrated Healthcare
- Registered Nurse Training
- Health Care Project Manager
- Utilization Review Case Manager

Job description
The Access-UM Manager position is a program and administrative management position providing operational oversight and direction for behavioral health services utilization across the region respective to the Region 10 PIHP Access Unit and Utilization Management Unit. An employee at this level is required to perform, among others, the following essential duties:
Provide oversight of Access-UM clinical operations, including backup to the Lead Clinician and clinical staff
Provide direction and supervision of all Access-UM clinical staff and program support staff
Monitor and ensure daily staff coverage, including on-call after-hours coverage
Ensure completion of Access Management System reports
Provide oversight of regional Utilization Management (UM) and Utilization Review (UR) activities across the CMH and SUD provider networks, including case finding and case record review, protocol updates, and quarterly and end of year activity reports
Assist in the development and periodic evaluation of regional clinical practice guidelines
Facilitate and support provider network implementation and sustainment activities pertaining to MDHHS evidence-based practices and UM/UR guidance documents
Complete staff performance reviews and staff development plans
Develop Access-UM Staff Meeting Agenda and conduct staff meetings
Assist with developing and implementing regional Utilization Management Program Plan
Provide lead clinical support and participation on Region 10 committees (UMC, IPLT, SERC), including backup to the UMC Chair
Participate on other committees and work groups as assigned
Provide SME input and representation on HSAG audit Standards and contract monitoring
Serve as backup to the CCO on the state-wide UM Directors Group
Provide technical guidance on clinical issues related to regional Credentialing and Privileging policy standards and Grievance and Appeal reviews and policy standards
About Region 10 PIHP
Sourced by ZipRecruiter
Industry
Public administration
Company size
11 - 50 Employees
Headquarters location
Port Huron, MI, US
Year founded
2014