What You'll Do Provide complete support to Utilization Review team, coordinating between all ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
What You'll Do Provide complete support to Utilization Review team, coordinating between all ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison! • What ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison! • What ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison! • What ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison! • What ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison! ➢ What ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
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Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison! ➢ What ... management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted ...
CASE MANAGER - RN
Baton Rouge, LA · On-site
The Case Manager is responsible for coordinating and monitoring day to day operations of the Case ... He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its ...
CASE MANAGER - RN
Baton Rouge, LA · On-site
The Case Manager is responsible for coordinating and monitoring day to day operations of the Case ... He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its ...
Internal Medicine Physician General Internist - Physicians Only Apply - Perm
Baton Rouge, LA · On-site
Provides medical leadership for Medicare utilization management activities, Organizational Determinations, and medical review activities pertaining to utilization review, quality assurance, medical ...
Internal Medicine Physician General Internist - Physicians Only Apply - Perm
Baton Rouge, LA · On-site
Provides medical leadership for Medicare utilization management activities, Organizational Determinations, and medical review activities pertaining to utilization review, quality assurance, medical ...
Registered Nurse
Baton Rouge, LA · On-site
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...
Registered Nurse
Baton Rouge, LA · On-site
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ...
Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. • ...
Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. • ...
Care Manager, BH
Baton Rouge, LA · Remote
$64.29K - $102.86K/yr
Collects and analyzes utilization data. Assists with discharge planning and care coordination ... Maintains an active work load in accordance with National Care Manager performance standards.
Care Manager, BH
Baton Rouge, LA · Remote
$64.29K - $102.86K/yr
Collects and analyzes utilization data. Assists with discharge planning and care coordination ... Maintains an active work load in accordance with National Care Manager performance standards.
Appeals Pharmacist (Remote)
Baton Rouge, LA · On-site +1
$50 - $61/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Appeals Pharmacist (Remote)
Baton Rouge, LA · On-site +1
$50 - $61/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Appeals Pharmacist (Remote)
Denham Springs, LA · On-site +1
$52.50 - $64/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Appeals Pharmacist (Remote)
Denham Springs, LA · On-site +1
$52.50 - $64/hr
Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. * Skills:
Remote Prior Authorization Pharmacist
Denham Springs, LA · Remote
$53.25 - $64/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Denham Springs, LA · Remote
$53.25 - $64/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Baton Rouge, LA · Remote
$51 - $61.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
Remote Prior Authorization Pharmacist
Baton Rouge, LA · Remote
$51 - $61.25/hr
Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. * Skills: Excellent clinical review ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
case manager
Baton Rouge, LA · On-site
$19.25 - $24.75/hr
* The Behavioural Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. * Applies critical ...
case manager
Baton Rouge, LA · On-site
$19.25 - $24.75/hr
* The Behavioural Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. * Applies critical ...
Clinical Nurse Liaison
$62.90K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Additional Information All your information will be kept confidential according to EEO ...
Clinical Nurse Liaison
$62.90K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Additional Information All your information will be kept confidential according to EEO ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62.90K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Qualifications Additional Information All your information will be kept confidential ...
Clinical Nurse Liaison
Baton Rouge, LA · On-site
$62.90K - $84K/yr
Experience working in managed care, utilization management, case management, or quality improvement preferred. Qualifications Additional Information All your information will be kept confidential ...
Case Manager 3
Baton Rouge, LA · On-site
$19.25 - $24.75/hr
The Behavioral Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking ...
Case Manager 3
Baton Rouge, LA · On-site
$19.25 - $24.75/hr
The Behavioral Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking ...
Utilization Manager information
See Baton Rouge, LA salary details
$37.4K - $48.7K
9% of jobs
$56.9K is the 25th percentile. Wages below this are outliers.
$48.7K - $59.9K
22% of jobs
$59.9K - $71.1K
11% of jobs
The median wage is $78K / yr.
$71.1K - $82.3K
14% of jobs
$82.3K - $93.5K
12% of jobs
$100.5K is the 75th percentile. Wages above this are outliers.
$93.5K - $104.8K
13% of jobs
$104.8K - $116K
13% of jobs
$116K - $127.2K
5% of jobs
$127.2K - $138.4K
2% of jobs
$138.4K - $149.6K
0% of jobs
$149.6K - $160.8K
0% of jobs
$37.4K
$87.4K
$160.8K
How much do utilization manager jobs pay per year?
As of May 29, 2026, the average yearly pay for utilization manager in Baton Rouge, LA is $87,392.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,100.00 and $105,100.00 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, 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 does a Utilization Manager do?
A Utilization Manager is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary goal is to ensure that patients receive the right care at the right time while also controlling costs for hospitals, insurance companies, or healthcare organizations. Utilization Managers review patient records, coordinate with healthcare providers, and use clinical guidelines to make informed decisions about treatment approvals or denials. They play a key role in maintaining quality care and regulatory compliance.
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.
More about Utilization Manager jobs
What are popular job titles related to Utilization Manager jobs in Baton Rouge, LA? For Utilization Manager jobs in Baton Rouge, LA, the most frequently searched job titles are:
- Utilization Management
- Hospice Rn
- Remote Medical Review Nurse
- Temporary Utilization Review Nurse
- Weekday Cvs Utilization Management Nurse
- Evening Optum Health Utilization Review
- Full Time Physician Advisor Utilization Review
- No Experience Utilization Management Nurse
- Flexible Cvs Utilization Management Nurse
- Remote Utilization Management
What job categories do people searching Utilization Manager jobs in Baton Rouge, LA look for? The top searched job categories for Utilization Manager jobs in Baton Rouge, LA are:
- Health Care Project Manager
- Night Shift Medical Utilization Review Physician
- Full Time Weekend Utilization Review
- Full Time Cigna Utilization Review
- Remote Aetna Utilization Review
- Remote Aetna Utilization Review Nurse
- Freelance International Utilization Review Nurse
- Live In Cigna Utilization Review Nurse
- Part Time Optum Utilization Review
- Rn Resume
What cities near Baton Rouge, LA are hiring for Utilization Manager jobs? Cities near Baton Rouge, LA with the most Utilization Manager job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 15 days ago
Job description
Who We Are
Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen
locations across six states. With an unrivaled, evidence - based clinical curriculum and highly
individualized care, Avenues continues to set new standards in the world of addiction treatment. Our
programs - spanning detox, residential, PHP, IOP and outpatient services - have transformed the
lives of thousands to date. But our secret superpower is our people. If you are a talented, passionate
clinician looking to make a real difference in the recovery community, the Avenues family warmly
welcomes you!
Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison!
What You'll Do
Provide complete support to Utilization Review team, coordinating between all necessary parties
Provide compliance and quality assurance oversight, ensuring consistent review and development of clinical processes
Perform consistent chart audits and reviews to ensure all is up to date
Provide accountability and follow up for any missing chart items, follow-ups etc.
Engage clients throughout treatment to contribute to warm, recovery - oriented environment
Collaborate with extended treatment team as necessary
Conduct intake assessments and facilitate group sessions when needed
What We're Looking For
- High School diploma/ GED required
- Min. 1 year experience in treatment industry preferred
- If in recovery, a minimum one-year period of sustained sobriety is required.
- Excellent interpersonal, oral, and written communication skills
- Acute observational, collaboration, and leadership skill
- Knowledge of medical terminology
Where You'll Work
Avenues Recovery Center at Louisiana is a residential facility which offers inpatient drug and alcohol rehabilitation services as well as withdrawal management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted townhomes - enables clients to engage in full-time inpatient treatment while separately residing in a warm domestic setting, removing barriers and diminishing any institutionalized feeling. Staffed by skilled, passionate professionals, clients receive round - the - clock care in the most dignified and compassionate manner. Each staff member is 100% invested in the success of each client and contributes to the wonderful, pervasive homelike atmosphere - which consistently fosters openness and healing.
Why Join Us?
Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is
pursued. We support our employees unconditionally, and work to provide them with every resource
they need to excel! Aside from generous PTO and compensation, when you join the Avenues family,
you'll be eligible for the following benefits package:
401K with employer match
Medical Insurance
Dental
Vision
Accident
Critical Illness
Hospital Indemnity
Voluntary Short-Term Disability
Voluntary Long -Term Disability
Employer-Paid Life and AD&D
LifeTime Benefit Term Insurance with Long Term Care
Legal Coverage
Pet Insurance
Identity Theft Protection
Employer-Paid Employee Assistance Program
Flexible Spending Account (FSA) - Medical
Dependent Care FSA (DCF)
Join our growing team and discover the magic here at Avenues!
Apply today!
About Avenues Recovery
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
1 - 10 Employees
Headquarters location
Saint Paul, MN, US
Year founded
2020