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Utilization Manager Jobs in Champaign, IL (NOW HIRING)

Summit BHC

Utilization Specialist

Champaign, IL · On-site

Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

$61K - $71K/yr

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

UHS

Utilization Review Coordinator

Champaign, IL

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

Carle Health

Pharmacist Clinical - Medical Recon

Urbana, IL · On-site

$71.72 - $123.35/hr

Perform utilization management reviews. * Serve as drug information resource for other departments. * Conduct medication reconciliation, perform clinical interventions, uncover adverse drug reactions ...

Carle Health

RN - Clinical Transition Specialist

Urbana, IL · On-site

$35.87 - $58.37/hr

Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the multidisciplinary plan of care document on ...

Fairlawn

Corporate Leasing Manager

Champaign, IL

$85K - $120K/yr

Own the configuration, utilization, optimization, and ongoing performance of Fairlawn's AI Leasing ... Partner with Property Management and Asset Management leadership to develop recommendations ...

Raptor Power Systems

Be Seen First

Engineering Manager - Production Engineering

Champaign, IL · On-site

$140K/yr

Engineering Manager - Production Engineering JOB PURPOSE: The Engineering Manager - Production ... Monitor engineering workload, capacity planning, and resource utilization across all active ...

Genesco

Store Manager

Champaign, IL

JOB SUMMARY To recruit, hire, train, and manage store personnel to achieve store and personal sales ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Journeys

Store Manager

Champaign, IL

JOB SUMMARY To recruit, hire, train, and manage store personnel to achieve store and personal sales ... Genesco's employment practices will continue to be directed toward full utilization of all ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Champaign, IL

Utilization Manager information

See Champaign, IL salary details

$39.1K

$91.1K

$167.7K

How much do utilization manager jobs pay per year?

As of Aug 19, 2026, the average yearly pay for utilization manager in Champaign, IL is $91,144.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,600.00 and $109,700.00 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 Champaign, IL look for?

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

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

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Champaign, IL as of August 2026, with employment types broken down into 81% Full Time, 18% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $91,144 per year, or $43.8 per hour.

Utilization Specialist

Summit BHC

Champaign, IL • On-site

Full-time

Re-posted 14 days ago

Job description

Utilization Specialist | The Pavilion at Williamsburg Place | Williamsburg, Virginia

About the Job:

The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes. Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information; Educates hospital staff about requirements and trends.

Roles and Responsibilities:

Performs admission, concurrent, continued stay, and retrospective reviews using the established hospital criteria. Communicates effectively with insurance companies, health maintenance organization (HMOs) and other similar entities for approval of initial or additional inpatient days for treatment. Provides information they need in a logical, concise manner using technical language that accurately describes patient's condition and need for hospitalization.

Communicates directly with physicians and other providers with respect to specific inquires and perceived trends of issues as they relate to utilization management.

Appeals all denials ensuring accuracy of information and effective coordination of correspondence. Initiates, coordinates, and monitors the appeal process. Provides information to physicians to assist them in their role in appeals.

Assists the admissions department with pre-certifications of care. Performs pre and post admission benefit verification with managed care organizations.

Maintains accurate documentation and files as it relates to utilization management.

Provides ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

Communicates effectively with co-workers, program, and nursing staff regarding charting deficiencies and problems/issues identified. Follows up in each instance to determine if corrective action was taken. Notifies supervisor if corrective action is not completed.

Coordinates information and findings with the business office to help recognize or resolve possible payment problems.

Monitors patient length of stay and extensions and informs clinical and medical staff on issues that may impact length of stay. Investigates short term length of stays and endeavor to create alternate financial planning which would offer the patient extended days of treatment. Participates in discharge planning as required.

Gathers and develops statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.

Conducts quality reviews for medical necessity and services provided. Facilitates peer review calls between facility and external organizations. Identifies potential review problems and discuss them with multi-disciplinary team and/or administration.

Acts as liaison between managed care organizations and the facility professional clinical staff.

Assists with any problems encountered during on-site or telephone reviews by the third-party payers or review organization, when necessary.

Graduation from an approved/accredited school of nursing or a Bachelor's degree in social work, behavioral or mental health, or other related health field required.

Two or more years of direct clinical experience in a psychiatric or mental health setting required.

Current licensure as an LPN or RN or current clinical professional license or certification, as required, within the state where the facility provides services.

Why The Pavilion at Williamsburg Place?The Pavilion at Williamsburg Place offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. The Pavilion at Williamsburg Place is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

Summit BHC logo

About Summit BHC

Sourced by ZipRecruiter

Summit BHC, based in Franklin, TN, USA, is a recognized leader in the field of addiction treatment and behavioral health care services. The company operates a nationwide network of treatment centers aimed at caring for individuals battling substance abuse and mental health disorders. Summit BHC was established with the mission to provide high-quality, addiction treatment and behavioral health services to those in need throughout the United States. With compassion, dignity, and respect as their core values, they endeavor to instill hope during the journey to recovery and beyond.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Franklin, TN, US

Year founded

2013

Social media

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