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Utilization Manager Jobs in Montana (NOW HIRING)

Billings Clinic

RN Care Manager (1.0 FTE)

Billings, MT · On-site

Insurance and Utilization Management Maintains working knowledge of CMS requirements and readmission penalties. Maintains working knowledge of insurance/payer benefits. Evaluation Monitors the need ...

Billings Clinic

RN Care Manager (1.0 FTE)

Billings, MT · On-site

Insurance and Utilization Management Maintains working knowledge of CMS requirements and readmission penalties. Maintains working knowledge of insurance/payer benefits. Evaluation Monitors the need ...

Billings Clinic

RN Care Manager (1.0 FTE)

Billings, MT · On-site

Insurance and Utilization Management Maintains working knowledge of CMS requirements and readmission penalties. Maintains working knowledge of insurance/payer benefits. Evaluation Monitors the need ...

Pharmacy Careers

Formulary Management Pharmacist

Billings, MT · On-site

$57.25 - $69/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

Pharmacy Careers

Formulary Management Pharmacist

Missoula, MT · On-site

$57.75 - $69.25/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Montana

Utilization Manager information

See Montana salary details

$35.8K

$83.5K

$153.7K

How much do utilization manager jobs pay per year?

As of Aug 20, 2026, the average yearly pay for utilization manager in Montana is $83,534.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,600.00 and $100,500.00 per year, depending on experience, location, and employer.

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

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

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

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Montana as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $83,534 per year, or $40.2 per hour.

RN CASE MANAGER

Distinctive Home Care Inc

Malmstrom Air Force Base, MT • On-site

Full-time

Re-posted 3 days ago

Job description

Distinctive Home & Health Care is a leading provider of healthcare to serve military installations across the United States. Our team of professionals is dedicated to providing the highest quality of service and support for each one of our clients. Distinctive Healthcare is currently seeking to hire a full time RN Case Manager at Malmstom AFB.

Qualifications:

-Degree/Education: Associates Degree of Nursing. Graduate from a college or university
accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on
Collegiate Nursing Education (CCNE).

-One year of experience in nursing after graduation.
Possess one of the following certifications:

-Commission for Case Manager Certification Certified Case Manager (CCM)
-Certification of Disability Management Specialists Commission: Certified Disability
Management Specialist (CDMS)
-Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN)
-American Board for Occupational Health Nurses Certified Occupational Health Nurse
(COHN) or Certified Occupational Health Nurse-Specialist (COHN-S). - National Board for Certification in Continuity of Care: Advanced Certification in Continuity
of Care (ACCC)
-Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor
(CRC)
-American Nurses Credentialing Center Nurse Case Manager (RN-NCM)

Duties:

-Participate in all phases of the Case Management Program (CMP) and ensure that the CMP
meets established case management (CM) standards of care.

-Provide nursing expertise about the CM process, including assessment, planning,
implementation, coordination, and monitoring. Identify opportunities for CM and identify
and integrate local CM processes.

-Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM

-Develop and implement tools to support case management, such as those used for patient
identification and patient assessment, clinical practice guidelines, algorithms, CM software, and
databases for community resources.

-Integrate CM and utilization management (UM) and integrating nursing case
management with social work case management.

-Maintain liaison with appropriate community agencies and organizations.

-Accurately collect and document patient care data.

-Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical
interventions to ensure continuity of care toward the goal of optimal wellness.

-Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up
post discharge in ambulatory and community health care settings.

-Provide appropriate health care instruction to patient and/or caregivers based on identified
learning needs.


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