... 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 ...
... 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 ...
Clinical Specialist Utilization Management
Detroit, MI · On-site
$77K - $98K/yr
Provides Utilization Management and review of services to persons served by DWIHN. * Provides clinical expertise and consultation for care coordination teams. * Facilitates an integrated approach to ...
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Clinical Specialist Utilization Management
Detroit, MI · On-site
$77K - $98K/yr
Provides Utilization Management and review of services to persons served by DWIHN. * Provides clinical expertise and consultation for care coordination teams. * Facilitates an integrated approach to ...
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 ...
Oversee utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
Oversee utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
Oversee utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
Oversee utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
Oversee utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
Oversee utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
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 ...
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 ...
Utilization Mgmt Spec
Southfield, MI · Hybrid
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 Mgmt Spec
Southfield, MI · Hybrid
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 ...
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 ...
RN Utilization Review Nurse
$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
$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 ...
Familiarity with manager health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries are ...
Familiarity with manager health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred. EEO Statement All UHS subsidiaries are ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio ...
Senior Utilization Management Compliance and Accreditation Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job Summary: At Delta Dental of Michigan, Ohio ...
Makes recommendations and provides financial and utilization management (UM) information to other members of the care facilitation teams for work prioritization. Works closely with inpatient care ...
Makes recommendations and provides financial and utilization management (UM) information to other members of the care facilitation teams for work prioritization. Works closely with inpatient care ...
RN Utilization Review Specialist
Grand Rapids, MI · On-site +1
Makes recommendations and provides financial and utilization management (UM) information to other members of the care facilitation teams for work prioritization. Works closely with inpatient care ...
RN Utilization Review Specialist
Grand Rapids, MI · On-site +1
Makes recommendations and provides financial and utilization management (UM) information to other members of the care facilitation teams for work prioritization. Works closely with inpatient care ...
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?
As of Jun 9, 2026, the average yearly pay for utilization manager in Michigan is $79,325.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,900.00 and $95,400.00 per year, depending on experience, location, and employer.
What does a Utilization Manager do?
A Utilization Manager is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary goal is to ensure that patients receive the right care at the right time while also controlling costs for hospitals, insurance companies, or healthcare organizations. Utilization Managers review patient records, coordinate with healthcare providers, and use clinical guidelines to make informed decisions about treatment approvals or denials. They play a key role in maintaining quality care and regulatory compliance.
What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?
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?
| 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.
More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Michigan? The most popular types of Utilization jobs in Michigan are:
What are popular job titles related to Utilization Manager jobs in Michigan? For Utilization Manager jobs in Michigan, the most frequently searched job titles are:
- Remote Utilization Management
- Manager Care Management
- No Experience Utilization Review Nurse
- Weekday Cvs Utilization Management Nurse
- Chart Reviewer
- Remote Utilization Management Nurse
- Registered Nurse Utilization Review
- Full Time Physician Advisor Utilization Review
- Cvs Health Utilization Management
- No Experience Utilization Management Nurse
What job categories do people searching Utilization Manager jobs in Michigan look for? The top searched job categories for Utilization Manager jobs in Michigan are:
What cities in Michigan are hiring for Utilization Manager jobs? Cities in Michigan with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in MI? For Utilization Manager jobs in MI, the most frequently searched job titles are:
Job description
$3,000 Sign on Bonus Available!
Overview: Region 10 is committed to being a premier employer by enhancing the lives of our team and supporting their growth as people and professionals. Sign on bonus of $3,000 available. We provide competitive wage scales that reward experience and performance, ongoing career development and training opportunities, excellent health coverage, generous paid time off with additional performance-based incentives, 13 paid holidays, flexible scheduling, and a comprehensive benefit program.
Essential FunctionsThe UM 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 Management Plan, regional clinical practice guidelines, Medicaid Provider Manual and MDHHS contract requirements.
An employee at this level will be involved in the following duties, which do not include all tasks to be performed:
- Member of Region 10 Utilization Management Committee
- Assists with implementing regional Utilization Management Program Plan
- Assists with the development and generation of strategies, functions, and UM/UR monitoring/evaluation reports supporting UM Program Plan Redesign implementation
- Directs regional Utilization Review across the CMH and SUD provider networks, including case finding, review protocol updates, and quarterly and end of year reports.
- Serves as member on Region 10 Improving Practices Leadership Team, Region 10 Credentialing and Privilegiing Committee, and other work groups as required.
- Assists in the development and periodic evaluation of regional clinical practice guidelines
- Facilitates and supports provider network implementation and sustainment activities pertaining to MDHHS evidence-based practices and practice standards and guidance documents
- Provides technical guidance in clinical issues related to regional Credentialing and Privileging policy standards
- Provides technical guidance in clinical issues related to regional Grievance and Appeal policy standards
- Reviews UMC quarterly reports from CMHs (Behavioral Treatment Plan services, emergency use of physical management, Adverse Benefit Determination, Customer Involvement, Wellness / Healthy Communities)
- Provides periodic reports to the Region 10 PIHP Sentinel Events Review Committee (Critical Incidents, Sentinel Events, Risk Events Management)
- Serves as backup to the CCO on the state-wide UM Directors Group
About Region 10 PIHP
Sourced by ZipRecruiter
Industry
Public administration
Company size
11 - 50 Employees
Headquarters location
Port Huron, MI, US
Year founded
2014