Ensures the Utilization Management (UM) unit's compliance with all regulatory agencies' rules and regulations, which govern health plan operations. Serves as the primary back up for the inpatient ...
Ensures the Utilization Management (UM) unit's compliance with all regulatory agencies' rules and regulations, which govern health plan operations. Serves as the primary back up for the inpatient ...
This role serves as the clinical lead for utilization management and a key contributor to denial prevention, partnering closely with Denial Management and Revenue Cycle teams to proactively identify ...
This role serves as the clinical lead for utilization management and a key contributor to denial prevention, partnering closely with Denial Management and Revenue Cycle teams to proactively identify ...
Ensures the Utilization Management (UM) unit's compliance with all regulatory agencies' rules and regulations, which govern health plan operations. Serves as the primary back up for the inpatient ...
Ensures the Utilization Management (UM) unit's compliance with all regulatory agencies' rules and regulations, which govern health plan operations. Serves as the primary back up for the inpatient ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Utilization Review Nurse
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse ...
The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse ...
The Vice President, Utilization Management serves as the executive leader responsible for enterprise strategy, performance optimization, and value-based resource management across Oceans Healthcare. ...
The Vice President, Utilization Management serves as the executive leader responsible for enterprise strategy, performance optimization, and value-based resource management across Oceans Healthcare. ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
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 REVIEW NURSE - RN
Houston, TX · On-site
... management. This role demands a solid clinical nursing background, sharp analytical skills, and a ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
UTILIZATION REVIEW NURSE - RN
Houston, TX · On-site
... management. This role demands a solid clinical nursing background, sharp analytical skills, and a ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
UTILIZATION REVIEW NURSE - RN
Houston, TX · On-site
... management. This role demands a solid clinical nursing background, sharp analytical skills, and a ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
Quick apply
UTILIZATION REVIEW NURSE - RN
Houston, TX · On-site
... management. This role demands a solid clinical nursing background, sharp analytical skills, and a ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
Utilization Specialist - PRN
El Paso, TX · 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.
Utilization Specialist - PRN
El Paso, TX · 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.
Utilization Specialist *PRN*
Austin, TX · 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.
Utilization Specialist *PRN*
Austin, TX · 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.
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Quick apply
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Utilization Specialist - PRN
El Paso, TX · 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.
Utilization Specialist - PRN
El Paso, TX · 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.
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.
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.
Utilization Management LPN
Pearland, TX · Remote
$40/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance, Dental Insurance and 401(k) Pay Rate: $40/hr (Paid Weekly) Work Location: 11511 SHADOW CREEK Pkwy, Pearland, TX ...
Utilization Management LPN
Pearland, TX · Remote
$40/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance, Dental Insurance and 401(k) Pay Rate: $40/hr (Paid Weekly) Work Location: 11511 SHADOW CREEK Pkwy, Pearland, TX ...
They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ... The Utilization Review Nurse collaborates as necessary with other members of the health care team ...
They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ... The Utilization Review Nurse collaborates as necessary with other members of the health care team ...
Utilization Manager information
See Texas salary details
$36.3K - $47.2K
9% of jobs
$55.3K is the 25th percentile. Wages below this are outliers.
$47.2K - $58.1K
22% of jobs
$58.1K - $69K
11% of jobs
The median wage is $75.7K / yr.
$69K - $79.9K
14% of jobs
$79.9K - $90.8K
12% of jobs
$97.6K is the 75th percentile. Wages above this are outliers.
$90.8K - $101.6K
13% of jobs
$101.6K - $112.5K
13% of jobs
$112.5K - $123.4K
5% of jobs
$123.4K - $134.3K
2% of jobs
$134.3K - $145.2K
0% of jobs
$145.2K - $156.1K
0% of jobs
$36.3K
$84.8K
$156.1K
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?
- Flexible Cvs Utilization Management Nurse
- Chart Reviewer
- Pre Service Review Nurse
- Healthcare Revenue Cycle Manager
- Remote Cvs Utilization Management Nurse
- Lvn Utilization Review
- Entry Level Utilization Management Nurse
- Freelance Physician Case Reviewer
- Remote Utilization Management
- Overnight Physician Case Reviewer
- Director Optum Utilization Review
- Commission Anthem Utilization Review
- Utilization Management Care Coordinator
- Assistant Remote Utilization Review
- Utilization Management Team Lead
- Care Manager
- Night Shift Optum Utilization Review
- Flex Schedule Utilization Review
- Authorization Utilization Review
- Free Utilization Review Training

Utilization Rev Nurse Coord , El Paso Health
El Paso, TX • On-site
Other
Re-posted 24 days ago
University Medical Center Of El Paso rating
6.7
Based on 36 frontline employees who took The Breakroom Quiz
618th of 1,020 rated hospitals
Job description
What University Medical Center Of El Paso employees say
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About University Medical Center of El Paso
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
El Paso, TX, US
Year founded
1915