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Utilization Manager Jobs in Vermont (NOW HIRING)

Psychiatric Nurse Practitioner

Rutland, VT · On-site

$125K - $160K/yr

Achieve established utilization management/desired client outcomes for cases assigned. Attend clinical supervision, and team, department and agency staff meetings as provided. Accept cases and attend ...

Psychiatric Nurse Practitioner

Rutland, VT

$123K - $157K/yr

Achieve established utilization management/desired client outcomes for cases assigned. Attend clinical supervision, and team, department and agency staff meetings as provided. Accept cases and attend ...

Supports the Care Management/Utilization Review Roles and Functions * Case Management: Serve as a clinical resource. Contribute clinical knowledge and expertise to facilitate the attainment of the ...

Showing results 21-40

Utilization Manager information

See Vermont salary details

$41.5K

$96.8K

$178.1K

How much do utilization manager jobs pay per year?

As of Aug 21, 2026, the average yearly pay for utilization manager in Vermont is $96,768.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,300.00 and $116,400.00 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.

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

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

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

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

Infographic showing various Utilization Manager job openings in Vermont as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $96,768 per year, or $46.5 per hour.

Healthcare Quality Analyst

Copley Hospital

Morrisville, VT

$25 - $30/hr

Part-time

Re-posted 10 days ago


Job description

Copley Hospital, located in Morrisville/Stowe VT, is in search of a Healthcare Quality Analyst to join our team! At the direction of the Director of Quality, the the Healthcare Quality Analyst is responsible for analyzing clinical and operational data to evaluate healthcare quality, patient outcomes, and compliance with regulatory standards. This role supports quality improvement initiatives, monitors performance metrics, and helps healthcare organizations improve patient safety, efficiency, and care outcomes.

This is a Full-Time position (PT available). 

Copley Hospital has a variety of shifts available across Full-Time, Part-Time, and Per Diem needs. Please consider applying to discuss how your availability may align.

Compensation: $25-30/hour.

The posted salary range reflects compensation for candidates with limited experience. An offer may vary based on factors such as experience, education, skills, internal equity, and market data. An offer of employment may be outside of the posted range based on those factors.


  • Collect, analyze, and interpret healthcare data related to quality metrics, patient outcomes, and utilization.
  • Monitor performance indicators such as CMS quality measures, patient safety indicators, and readmission rates.
  • Prepare reports and dashboards to communicate quality performance to leadership and clinical teams.
  • Identify trends, gaps in care, and opportunities for quality improvement initiatives.
  • Support compliance with regulatory and accreditation standards from organizations such as Centers for Medicare & Medicaid Services and National Committee for Quality Assurance.
  • Collaborate with physicians, nurses, and administrative staff to implement quality improvement programs.
  • Conduct audits and chart reviews to ensure adherence to clinical guidelines and documentation standards.
  • Track utilization patterns to ensure appropriate use of healthcare services.
  • Develop and maintain data reports
  • Support preparation for regulatory audits and accreditation surveys.

Skill Required:

  • Healthcare data analysis
  • Quality improvement methodologies (Lean, Six Sigma, PDSA)
  • Regulatory compliance and accreditation standards
  • Report writing and dashboard development
  • Communication and collaboration with clinical teams
  • Medical knowledge for data abstraction

Education Required:

  • Bachelor’s degree in Healthcare Administration, Public Health, Nursing, Data Analytics, or related field.

Experience Required:

  • 2–5 years of experience in healthcare quality, utilization management, or healthcare analytics
  • Knowledge of healthcare quality measures and reporting systems
  • Strong analytical and data interpretation skills
  • Proficiency in data analysis tools and reporting software