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Utilization Manager Jobs in Ohio (NOW HIRING)

syfs

UR Manager

Columbus, OH

For billing and hospitalization utilization review purposes, the reviewer will identify and certify ... Maintain compliancy with regulation changes affecting utilization management. PositionRequirements ...

Southwest General

UTILIZATION SPECIALIST

Parma, OH · On-site

The Utilization Specialist will work collaboratively with management, staff, and departments involved in the patients plan of care. The Utilization Specialists responsibility is to collect data and ...

Southwest General

UTILIZATION SPECIALIST

Westlake, OH · On-site

The Utilization Specialist will work collaboratively with management, staff, and departments involved in the patients plan of care. The Utilization Specialists responsibility is to collect data and ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Ohio

Utilization Manager information

See Ohio salary details

$37.1K

$86.5K

$159.2K

How much do utilization manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for utilization manager in Ohio is $86,524.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,600.00 and $104,100.00 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.

More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Ohio? The most popular types of Utilization jobs in Ohio are:
What are popular job titles related to Utilization Manager jobs in Ohio? For Utilization Manager jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Ohio look for? The top searched job categories for Utilization Manager jobs in Ohio are:
What cities in Ohio are hiring for Utilization Manager jobs? Cities in Ohio with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in OH? For Utilization Manager jobs in OH, the most frequently searched job titles are:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Ohio as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $86,524 per year, or $41.6 per hour.

RN - Utilization Manager

Talented Medical Solutions

Middleburg Heights, OH • On-site

$1.8K - $2.1K/wk

Full-time

Re-posted 18 days ago

Job description

Job Title: RN – Utilization Manager
Location: Middleburg Heights, OH

Schedule:

  • Full-time, 40 hours/week

  • Five 8-hour shifts (8:00a–4:30p)

  • 40 hours not guaranteed; may be low-censused up to one 12-hour shift per pay period

  • Start Date: ASAP or 12/08 (URGENT NEED)

Pay:

  • Local: $47/hr

  • Traveler: $54/hr

Position Details:
Seeking an experienced RN Utilization Manager to support clinical reviews and care coordination in an acute care setting. The ideal candidate will have a strong background in clinical nursing, case management, and utilization management.

Requirements:

  • Minimum 5 years of recent clinical nursing experience

  • Prior Case Management or Utilization Management experience required

  • Experience with screening criteria: Cerner, InterQual, and MCG

  • Active, unencumbered Ohio RN license

  • ACM or CCM certification preferred