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Utilization Manager Jobs in Carol Stream, IL (NOW HIRING)

US Tech Solutions

Utilization Review Nurse

Chicago, IL · On-site

MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. * MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of ...

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Utilization Manager information

See Carol Stream, IL salary details

$40.3K

$94.1K

$173.2K

How much do utilization manager jobs pay per year?

As of Aug 19, 2026, the average yearly pay for utilization manager in Carol Stream, IL is $94,133.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,500.00 and $113,300.00 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 cities near Carol Stream, IL are hiring for Utilization Manager jobs?

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Carol Stream, IL as of August 2026, with employment types broken down into 82% Full Time, 15% Part Time, 2% Contract, and 1% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $94,133 per year, or $45.3 per hour.

Customer Success & Clinical Utilization Manager - US

Mentice Inc.

Chicago, IL • On-site

$75 - $95/hr

Other

Re-posted 18 days ago

Job description

Customer Success & Clinical Utilization Manager

Location: Florida preferred, or other nearby U.S. locations

Reports to: VP, General Manager of the Americas

Travel: Required (significant customer-facing travel)

About Mentice

Mentice is a leading global MedTech company transforming healthcare through advanced endovascular simulation solutions. For more than 25 years, we’ve helped clinicians acquire, retain, and enhance interventional therapy skills, ultimately improving patient outcomes worldwide.

Our solutions are trusted by top medical device companies and healthcare organizations across the globe. Mentice operates regional offices in the U.S., Europe, India, China, and Japan, with headquarters in Gothenburg, Sweden.

About the Role

We are seeking a Customer Success & Clinical Utilization Manager to serve as a critical bridge between clinical practice, clinical education, and advanced simulation technology. In this role, you will partner closely with healthcare providers to drive adoption, utilization, and measurable impact of simulation-based training solutions across clinical environments.

You will act as a trusted clinical advisor to customers, ensuring our solutions meet real-world needs while helping demonstrate clinical, operational, and financial value. This is a highly visible, customer-facing role with strong influence across product development, clinical research, and education.

What You’ll Do Customer Engagement & Adoption
  • Partner directly with hospitals and academic institutions to support implementation, utilization, and long-term success of simulation solutions
  • Serve as a clinical subject matter expert and trusted advisor throughout the customer lifecycle
  • Conduct on-site visits to drive adoption, optimize workflows, and support customer goals
Clinical Impact, Data & ROI
  • Develop and own a framework for measuring clinical, operational, and financial outcomes of simulation-based training
  • Define success metrics and ROI targets collaboratively with customers
  • Support customers in implementing baseline measurements and ongoing tracking methodologies
  • Translate outcomes into clear, compelling evidence of value
Clinical Research & Product Enablement
  • Lead and support clinical studies with hospital and academic partners
  • Contribute with clinical insight and customer feedback to guide product development and innovation
  • Help establish and document best practices for simulation use
Education, Network & Innovation
  • Develop clinical use cases, educational content, and utilization best practices
  • Build relationships with key opinion leaders and expand clinical networks
  • Stay at the forefront of emerging trends in clinical education and simulation
What We’re Looking For Required Qualifications
  • Strong background in interventional procedures (cardiology, neurovascular, or related fields)
  • Experience in clinical utilization, education, research, or evidence-based practice
  • Familiarity with hospital workflows and/or simulation technologies
  • Excellent communication, presentation, and collaboration skills
  • Ability to work independently in an agile, fast-paced environment
  • Willingness and ability to travel extensively
Education
  • Advanced degree in a clinical or technical discipline (e.g., nursing, technologist background)
  • MBA or equivalent business education is a plus
Experience
  • Minimum 5 years of relevant professional experience
  • Experience in the medical device industry, clinical utilization management, customer success, or clinical practice (e.g., cath lab technologist or nurse) strongly preferred
Why Mentice
  • Be at the forefront of innovation in clinical education and simulation
  • Influence real‑world clinical outcomes and patient care
  • Work cross-functionally with product, research, and education leaders
  • Make a measurable impact on how healthcare professionals train and learn

If you’re passionate about improving clinical education through technology and thrive in customer-facing, impact-driven roles, we’d love to hear from you.

Apply today to help shape the future of simulation-based clinical training.

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