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Utilization Manager Jobs in Athens, GA (NOW HIRING)

ProCare Rx

Clinical QA Specialist

Gainesville, GA · On-site

$34 - $45.25/hr

Review and validate that rules and utilization management along with clinical edits are programmed against clinical policies accurately. Write reports that will produce accurate information needed to ...

ProCare Rx

Clinical QA Specialist

Gainesville, GA · On-site

$34 - $45.25/hr

... and utilization management along with clinical edits are programmed against clinical policies accurately. • Write reports that will produce accurate information needed to validate that clinical ...

Pilgrim's

Shift Manager- Day Shfit

Athens, GA

$12.50 - $16/hr

Ensuring effective utilization of human resources by training subordinates, motivating consistent ... Managing all aspects of operations to assure a safe working environment. * Taking immediate action ...

Pilgrim's

Shift Manager- Day Shfit

Athens, GA

$12.50 - $16/hr

Ensuring effective utilization of human resources by training subordinates, motivating consistent ... Managing all aspects of operations to assure a safe working environment. * Taking immediate action ...

jbs

Shift Manager- Day Shfit

Athens, GA · On-site

$14.50 - $18.25/hr

Ensuring effective utilization of human resources by training subordinates, motivating consistent ... Managing all aspects of operations to assure a safe working environment. * Taking immediate action ...

Pilgrim's

Shift Manager- Day Shfit

Athens, GA

$14.50 - $18.25/hr

Ensuring effective utilization of human resources by training subordinates, motivating consistent ... Managing all aspects of operations to assure a safe working environment. * Taking immediate action ...

Pilgrim's

Shift Manager- Day Shfit

Athens, GA

$12.50 - $16/hr

Ensuring effective utilization of human resources by training subordinates, motivating consistent ... Managing all aspects of operations to assure a safe working environment. * Taking immediate action ...

Pilgrim's

Shift Manager- Day Shfit

Athens, GA

$14.50 - $18.25/hr

Ensuring effective utilization of human resources by training subordinates, motivating consistent ... Managing all aspects of operations to assure a safe working environment.Taking immediate action to ...

Pilgrim's

Shift Manager- Day Shfit

Athens, GA · On-site

$14.50 - $18.25/hr

Ensuring effective utilization of human resources by training subordinates, motivating consistent ... Managing all aspects of operations to assure a safe working environment. * Taking immediate action ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Athens, GA

Utilization Manager information

See Athens, GA salary details

$37.7K

$87.9K

$161.7K

How much do utilization manager jobs pay per year?

As of Jun 15, 2026, the average yearly pay for utilization manager in Athens, GA is $87,879.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,500.00 and $105,700.00 per year, depending on experience, location, and employer.

What jobs pay $2000 a day?

Utilization Managers typically do not earn $2000 a day; such high daily rates are more common in specialized consulting, executive roles, or highly experienced professionals in fields like finance, law, or certain medical specialties. These roles often require advanced certifications, extensive experience, and work in high-demand environments. Most standard utilization management positions offer salaries that are significantly lower than this daily rate.

What job makes $10,000 a month without a degree?

A Utilization Manager can potentially earn $10,000 or more per month through experience and advanced skills in healthcare or corporate settings, often without a formal degree. Success in such roles depends on industry knowledge, certifications, and the ability to optimize resource use, with some professionals reaching high earnings through management of large teams or projects.

What jobs in the US pay 300,000 a year?

Utilization Managers in healthcare and insurance industries can earn around $300,000 annually, especially with extensive experience, certifications, and leadership responsibilities. High-paying roles often require advanced skills in data analysis, resource allocation, and strategic planning, and may involve managing large teams or complex projects.

What does a utilization manager do?

A utilization manager oversees the efficient use of resources, such as staff and equipment, to ensure that services are delivered within budget and meet organizational goals. They analyze data, monitor utilization rates, and coordinate with teams to optimize productivity and reduce waste, often using management software and reporting tools.

What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?

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 popular job titles related to Utilization Manager jobs in Athens, GA? For Utilization Manager jobs in Athens, GA, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Athens, GA look for? The top searched job categories for Utilization Manager jobs in Athens, GA are:
What cities near Athens, GA are hiring for Utilization Manager jobs? Cities near Athens, GA with the most Utilization Manager job openings:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Athens, GA as of June 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,879 per year, or $42.2 per hour.
Utilization Management Specialist

Utilization Management Specialist

Advantage Behavioral Health Systems

Athens, GA • On-site, Remote

$45K - $48K/yr

Full-time

Posted 2 days ago

Job description

Schedule:
Monday through Friday 8:00 AM - 4:30 PM
Position Summary:
Under general supervision, performs complex administrative duties and statistical, financial, or operations data analysis and reporting in support of management decision making within the functional area. Identifies trends, discrepancies and variances to improve the efficiency and effectiveness of operations. May partner with other departments, divisions, outside agencies, and vendors to address business issues. Exercises various latitudes of independent judgement. May administer or provide high level support for various projects, grants, contracts, implementation of procedures and/or any specialized functions. Assists with orientation, training, or providing task guidance of junior team members.
Job Responsibilities and Performance Standards:
  • Processes and answers Sys Aid Tickets regarding authorizations and write-off requests as submitted by staff
  • Runs daily, monthly, quarterly reports including but not limited to expiring auths, no auths, registrations lapsed, CMO requests, Void status, Pend status, KPI dashboard (CMO & VA)
  • Research and works on reports for correction and trends, communicating actions and trends to programs and supervisors
  • Monitors Care Management Auth email for authorization manual uploads and 15-day report from Carelon
  • Monitors CMO/Medicare Teams Chat
  • Submits Requests for Services onto the HealthShare Referral Manager (HRSM) system for VA clients
  • Monitors HealthShare Referral Manager (HRSM) for tasks assigned from VA, uploads required documentation for VA clients
  • Coordinates with Centralized Scheduling for new VA referrals and kept appointments
  • Submits Outpatient Treatment Requests on GAMMIS portal
  • Downloads approved authorizations from GAMMIS portal
  • Batches and loads ASO authorization requests and response files
  • Completes concurrent ASO authorization requests for Outpatient clinics
  • Research and works rejections from ASO, CMO, and VA authorization requests
  • Collaborate with Care Management Department staff for clinical review and guidance with authorization requests, rejections, denials, etc.
  • Tracks Women's Residential and Transition Registrations and Authorizations.
  • Other duties as assigned.

Minimum Qualifications:
  • High school diploma or GED AND 2 years of experience required at the lower-level position or position equivalent.
  • Must show ability to lead and supervise a team.

Apply