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Utilization Manager Jobs in Mississippi (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Magee, MS · 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.

Millcreek of Magee

Utilization Specialist

Magee, MS · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

Acadia Healthcare

Utilization Specialist

Magee, MS · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

UHS

Director of Utilization Review

Gulfport, MS

Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience ...

UHS

Director of Utilization Review

Gulfport, MS

Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience ...

UHS

Director of Utilization Review

Gulfport, MS

Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience ...

UHS

Director of Utilization Review

Gulfport, MS · On-site

Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience ...

Millcreek of Magee

Utilization Assistant

Magee, MS · On-site

Overview PURPOSE STATEMENT: Provide administrative support to the Utilization department ... Gather data to support case management activities, including presentation of gathered data and case ...

Acadia Healthcare

Utilization Assistant

Magee, MS · On-site

Overview PURPOSE STATEMENT: Provide administrative support to the Utilization department ... Gather data to support case management activities, including presentation of gathered data and case ...

Forrest General Hospital

CASE MANAGER

Hattiesburg, MS · On-site

$16.75 - $21.50/hr

Case managers also play a key role in discharge planning and utilization review, helping patients access appropriate resources and services. Essential Functions: * The case manager plans, coordinates ...

Community Health Systems

LPN Case Manager PRN

Vicksburg, MS · On-site

$24.50 - $32.25/hr

Job Summary The Care Manager LVN/ LPN supports effective utilization management and discharge planning by coordinating patient care activities under the direction of a Registered Nurse or physician.

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Mississippi

Utilization Manager information

See Mississippi salary details

$36.9K

$86.2K

$158.6K

How much do utilization manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for utilization manager in Mississippi is $86,194.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,400.00 and $103,700.00 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.

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

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Cities in Mississippi with the most Utilization Manager job openings:

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Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Mississippi as of August 2026, with employment types broken down into 100% Full Time. Highlights an 79% In-person, and 21% Remote job distribution, with an average salary of $86,194 per year, or $41.4 per hour.

Utilization Management Manager-Utilization Mgmt- Days - FT

Memorial Health System

Gulfport, MS • On-site

Full-time

Re-posted 5 days ago

Job description


Oversee the management of patient care utilization, ensuring appropriate healthcare services are provided while optimizing resource use. This individual will be responsible for leading a team of nurses who review medical necessity, appropriateness and efficiency of healthcare services. Ensure compliance with regulatory requirements and maintain high standards of care.
Responsibilities
  • Supervise and lead the UM nursing team and Pre-Certification Specialists, ensuring the review of patient cases for appropriate medical necessity and care protocols
  • Develop, implement and maintain UM policies and procedures in accordance with healthcare regulation and organizational standards
  • Conduct regular training and provide ongoing support for UR team to improve knowledge and performance
  • Collaborate with physicians, other healthcare providers and insurance companies to review and improve treatment plans. Ensure all services are medically necessary and cost effective
  • Evaluate and analyze healthcare utilization trends, identify opportunities for improvement and solutions to improve outcome
  • Monitor and ensure compliance with regulatory requirements including Medicare, Medicaid and other payer policies
  • Prepare and present reports on utilization metrics, case reviews and outcomes to administration leadership groups
  • Resolve complex case issues and provide guidance on challenging utilization decisions
  • Ensure accurate documentation of all UM reviews, ensuring compliance with internal and external audit
  • Foster effective communication between departments, stakeholders and healthcare professionals

Qualifications
Education Requirements
Required: Bachelor Degree
  • Bachelor of Science in Nursing, with an active unrestricted license

Preferred: Master's Degree
  • Nursing or other clinical discipline, Health Administration, Finance, Business Administration, or a related field

License or Certification Requirements
Required: License
  • Nursing degree (RN, BS, BSN, or advanced degree) and unrestricted active nursing license

Experience Requirements
Required: 5 years
  • Nursing experience with at least 2 years in Utilization Management or case management role

Preferred: 2 years
  • Leadership or management experience in nursing or related field

Core Competencies
Knowledge:
  • In depth knowledge of healthcare utilization management processes, medical terminology and clinical guidelines
  • Familiarity with payer requirements and regulation including Medicare, Medicaid and private insurers
  • Working knowledge of applications that are used to enhance utilization management based on evidenced based approach and guidelines
  • Strong knowledge of Microsoft Office applications

Skills:
  • Analytical Skills: The ability to analyze large data sets, determine trends, synthesize results, and deliver prioritized details through effective reporting
  • Communication Skills: Strong communication and interpersonal skills for effective collaboration and education
  • Problem-Solving Skills: The capacity to understand issues, derive many potential solutions, troubleshoot discrepancies, and understand systematic approaches to problem resolution

Abilities:
  • Attention to Detail: Precision is essential when reporting critical analysis to inform decision-making and operational change
  • Time Management: Managing multiple tasks and deadlines while prioritizing work is essential in a fast-paced healthcare environment
  • Technology Proficiency: Beyond EHR systems, familiarity with various billing software and technology tools

Work Environment: This position may involve working in a variety of clinical and administrative settings, requiring adaptability and a proactive approach to problem-solving.
Physical Demands: Frequent reaching, sitting, walking, and standing may be required. No special coordination beyond that used for normal mobility and handling of everyday objects and materials is needed to perform the job.

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