Health plan utilization management * Medicare and Medicaid rules and regulations and health plan benefit structure and policy. * Data analysis to include reporting results and developing improvement ...
Health plan utilization management * Medicare and Medicaid rules and regulations and health plan benefit structure and policy. * Data analysis to include reporting results and developing improvement ...
Health plan utilization management * Medicare and Medicaid rules and regulations and health plan benefit structure and policy. * Data analysis to include reporting results and developing improvement ...
Health plan utilization management * Medicare and Medicaid rules and regulations and health plan benefit structure and policy. * Data analysis to include reporting results and developing improvement ...
Health plan utilization management * Medicare and Medicaid rules and regulations and health plan benefit structure and policy. * Data analysis to include reporting results and developing improvement ...
Health plan utilization management * Medicare and Medicaid rules and regulations and health plan benefit structure and policy. * Data analysis to include reporting results and developing improvement ...
Utilization Management Program Manager-RN Summary * Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP ...
Utilization Management Program Manager-RN Summary * Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salem, OR · Remote
As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salem, OR · Remote
As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all ...
Concurrent Review RN
Salem, OR · On-site
$90K - $100K/yr
What You'll Do As a Concurrent Review RN, you'll leverage your clinical expertise and utilization management knowledge to evaluate medical necessity, coordinate care transitions, and collaborate with ...
Concurrent Review RN
Salem, OR · On-site
$90K - $100K/yr
What You'll Do As a Concurrent Review RN, you'll leverage your clinical expertise and utilization management knowledge to evaluate medical necessity, coordinate care transitions, and collaborate with ...
The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization ...
The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization ...
The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization ...
The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization ...
The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization ...
The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization ...
DIVISION ASSET MANAGER
Tangent, OR · On-site
The Division Asset Manager is responsible for overseeing the management, maintenance, and ... Prepare regular reports on asset utilization, costs, performance, and other metrics for divisional ...
DIVISION ASSET MANAGER
Tangent, OR · On-site
The Division Asset Manager is responsible for overseeing the management, maintenance, and ... Prepare regular reports on asset utilization, costs, performance, and other metrics for divisional ...
Remote Care Management Nurse
Salem, OR · Remote
$34.20 - $55.70/hr
Minimum 3 years of direct clinical care or experience in case management, utilization management, disease management, auditing, or retrospective review * Active, unrestricted licensure or ...
Remote Care Management Nurse
Salem, OR · Remote
$34.20 - $55.70/hr
Minimum 3 years of direct clinical care or experience in case management, utilization management, disease management, auditing, or retrospective review * Active, unrestricted licensure or ...
Hospital Supervising Pharmacy Manager - Toledo, Oregon
Toledo, OR · On-site
$69.25 - $81.25/hr
Monitor budgetary and inventory controls to optimize resource utilization. Qualifications and ... Proven experience in pharmacy management roles within a hospital setting. * Strong leadership ...
Hospital Supervising Pharmacy Manager - Toledo, Oregon
Toledo, OR · On-site
$69.25 - $81.25/hr
Monitor budgetary and inventory controls to optimize resource utilization. Qualifications and ... Proven experience in pharmacy management roles within a hospital setting. * Strong leadership ...
Manages utilization review processes, including handling hospital-issued notices, securing financial resources, and assisting patients/families with Medicaid and community services. * Develops and ...
Manages utilization review processes, including handling hospital-issued notices, securing financial resources, and assisting patients/families with Medicaid and community services. * Develops and ...
Care Management Behavioral Health Specialist
Salem, OR · Remote
$34.20 - $55.70/hr
Associate or Bachelor's Degree in Nursing, Behavioral Health, or related field * 3 years of case management, utilization management, disease management, or behavioral health case management ...
Care Management Behavioral Health Specialist
Salem, OR · Remote
$34.20 - $55.70/hr
Associate or Bachelor's Degree in Nursing, Behavioral Health, or related field * 3 years of case management, utilization management, disease management, or behavioral health case management ...
... utilization of those technologies in a pilot fashion as well as documenting. The "as is" business ... Project Manager must be: Familiar with Standard lifecycle methodology, Project management industry ...
... utilization of those technologies in a pilot fashion as well as documenting. The "as is" business ... Project Manager must be: Familiar with Standard lifecycle methodology, Project management industry ...
Configuration Manager
Salem, OR · On-site
$100K - $135K/yr
Manage inventory and performance to business metrics * Write and Submit P&P update requests ... Achieve applicable performance metrics (productivity, quality, TAT, utilization) * Advanced problem ...
Configuration Manager
Salem, OR · On-site
$100K - $135K/yr
Manage inventory and performance to business metrics * Write and Submit P&P update requests ... Achieve applicable performance metrics (productivity, quality, TAT, utilization) * Advanced problem ...
Manage inventory and performance to business metrics * Write and Submit P&P update requests ... Achieve applicable performance metrics (productivity, quality, TAT, utilization) * Advanced problem ...
Manage inventory and performance to business metrics * Write and Submit P&P update requests ... Achieve applicable performance metrics (productivity, quality, TAT, utilization) * Advanced problem ...
Business Office Manager
Salem, OR · On-site
$23 - $25/hr
Quick learner with ability to master the programming and utilization of various systems * Ownership ... Manage multiple priorities simultaneously * Maintain accurate records for employee payroll
Business Office Manager
Salem, OR · On-site
$23 - $25/hr
Quick learner with ability to master the programming and utilization of various systems * Ownership ... Manage multiple priorities simultaneously * Maintain accurate records for employee payroll
Business Office Manager
$23 - $25/hr
Quick learner with ability to master the programming and utilization of various systems * Ownership ... Manage multiple priorities simultaneously * Maintain accurate records for employee payroll
Quick apply
Business Office Manager
$23 - $25/hr
Quick learner with ability to master the programming and utilization of various systems * Ownership ... Manage multiple priorities simultaneously * Maintain accurate records for employee payroll
Program Manager
$125K/yr
Applying management techniques, methods, theories, principles, and labor relations concepts, sufficient to assure optimum utilization of personnel, equipment, and space, and to accomplish program ...
Program Manager
$125K/yr
Applying management techniques, methods, theories, principles, and labor relations concepts, sufficient to assure optimum utilization of personnel, equipment, and space, and to accomplish program ...
Utilization Manager information
See Corvallis, OR salary details
$40.4K - $52.5K
9% of jobs
$61.4K is the 25th percentile. Wages below this are outliers.
$52.5K - $64.6K
22% of jobs
$64.6K - $76.7K
11% of jobs
The median wage is $84.2K / yr.
$76.7K - $88.8K
14% of jobs
$88.8K - $100.9K
12% of jobs
$108.5K is the 75th percentile. Wages above this are outliers.
$100.9K - $113K
13% of jobs
$113K - $125.1K
13% of jobs
$125.1K - $137.2K
5% of jobs
$137.2K - $149.3K
2% of jobs
$149.3K - $161.4K
0% of jobs
$161.4K - $173.5K
0% of jobs
$40.4K
$94.3K
$173.5K
How much do utilization manager jobs pay per year?
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?
What are some common challenges faced by utilization managers, and how can they be addressed?
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.
What job categories do people searching Utilization Manager jobs in Corvallis, OR look for?
The top searched job categories for Utilization Manager jobs in Corvallis, OR are:
What cities near Corvallis, OR are hiring for Utilization Manager jobs?
Cities near Corvallis, OR with the most Utilization Manager job openings:

Utilization Management Program Manager-RN
Corvallis, OR • Remote
6.8
Based on 67 frontline employees who took The Breakroom Quiz
499th of 896 rated healthcare providers
People enjoy working here
Recommended by parents
Respectful managers
Uninterrupted breaks
Full-time
Re-posted 6 days ago
Job description
Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans.
As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
Our ideal candidate will have the following experience:
- Health plan utilization management
- Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
- Data analysis to include reporting results and developing improvement plans
- Quality Management experience in a healthcare setting
- JOB SUMMARY/PURPOSE
- Executes program(s) that meet the needs of the organization, employees and/or customers. Plans, initiates, oversees execution of all elements for assigned program(s). Leads the development, implementation and management of assigned program(s) and associated projects. Oversees process from planning to completion. Works with multiple internal teams, vendors, clients. Responsible for explaining, training, and mentoring the entire organization on the program. Collaborates with SHS system experts to ensure focus, alignment, and best practices for the program.
- EXPERIENCE/EDUCATION/QUALIFICATIONS
- Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master's degree in a related field preferred.
- One (1) year clinical nursing experience plus four (4) years health plan utilization management experience required.
- Experience or training in the following required:
- Health care delivery systems and/or managed care patients.
- Computer applications including electronic documentation (e.g., MS Office, EPIC, Clinical Care Advanced).
- Experience in the following preferred:
- Team leadership.
- Case management.
- Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
- KNOWLEDGE/SKILLS/ABILITIES
- Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
- Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
- Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
- Communication and team building – Lead effectively with excellent verbal and written communication. Delegates and initiates/manage cross-functional teams and multi-disciplinary projects.
- PHYSICAL DEMANDS
Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 – 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK – LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0 - 20 pounds force)
PULL (0 - 20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
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