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Utilization Manager Jobs in Berwyn, IL (NOW HIRING)

Advocate Health

RN Care Manager

Downers Grove, IL · On-site

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Vizient

Resource Manager

Chicago, IL · On-site

The Resource Manager is responsible for owning staffing workflows, driving utilization outcomes, and ensuring data integrity within the PSA and staffing tools, while coaching junior team members and ...

Vizient

Value Analysis Manager

Chicago, IL · Hybrid

$88K - $155K/yr

Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...

Veracity

UR Review Case Manager (Admin)

Chicago, IL · On-site

The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides ...

Advocate Aurora Health

RN Care Manager

Downers Grove, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Accenture

Clinical Management Manager

Chicago, IL · On-site

$94K - $293K/yr

Design and implement care delivery models, workflows, and utilization management solutions * Drive measurable improvements in patient flow, capacity, LOS, and avoidable utilization * Partner with ...

Advocate Health

Inpatient Care Manager

Chicago, IL · On-site

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Advocate Aurora Health

Inpatient Care Manager

Chicago, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Advocate Aurora Health

Inpatient Care Manager

Chicago, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

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Showing results 41-60

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Berwyn, IL

Utilization Manager information

See Berwyn, IL salary details

$39.5K

$92.3K

$169.8K

How much do utilization manager jobs pay per year?

As of Aug 19, 2026, the average yearly pay for utilization manager in Berwyn, IL is $92,285.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,300.00 and $111,000.00 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.

More about Utilization Manager jobs

What job categories do people searching Utilization Manager jobs in Berwyn, IL look for?

The top searched job categories for Utilization Manager jobs in Berwyn, IL are:

What cities near Berwyn, IL are hiring for Utilization Manager jobs?

Cities near Berwyn, IL with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Berwyn, IL as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $92,285 per year, or $44.4 per hour.

RN Care Management (Full-time)

Humboldt Park Health

Chicago, IL • On-site

Full-time

Re-posted 20 days ago

Humboldt Park Health rating

5.4

Company rating: 5.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

952nd of 1,060 rated hospitals

Job description

JOB SUMMARY –

The RN Case Manager carries out activities related to utilization management, discharge planning, and care coordination. Participates in patient care rounds and promotes interdisciplinary collaboration with all team members. ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care He/she clinically assesses, plans, implements, coordinates, monitors, and evaluates options and services through effective care coordination and utilization of healthcare resources in order to achieve desired clinical and financial goals.

Key responsibilities include determination of medical necessity, ability to partner with the healthcare team to ensure all aspects of the patient’s needs, clinical, psychosocial and financial are adequately addressed in the transition of care plan and to manage the patient’s timely progression of care and safe transition to the next most appropriate level of care.

QUALIFICATIONS –

  • Current IL RN licensure required
  • RN Degree (Bachelor’s degree preferred)
  • Experience and certification in case management preferred; case management certification expected within 2 years of hire
  • Experience in Utilization Management
  • 5 years minimum in acute nursing experience
  • BLS Required
  • Current sound clinical knowledge; knowledge of medical literature, research methodology, financial/ reimbursement issues
  • Strong collaboration, communication and interpersonal skills
  • Excellent organizational and time management skills
  • Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems
  • Desire to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams
  • Current knowledge of discharge planning, resource management, utilization review and care coordination in an acute care setting
  • Knowledge of CMS, commercial payer requirements and hospital financial/reimbursement processes
  • Excellent written/verbal communication skills, critical thinking skills, creative problem-solving skills, good organizational and planning skills
  • Must be self-directed, have the ability to tolerate frequent interruption and work in a fast-paced work environment
  • Knowledge of funding, resources, services, clinical standards, care coordination processes and outcomes are preferred
  • Weekend rotation will be required. Holiday and on call may be required

What Humboldt Park Health employees say

Pay

Hours and flexibility

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