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Utilization Manager Jobs in Covington, LA (NOW HIRING)

Select Medical

Case Manager - PRN

Lacombe, LA · On-site

$42/hr

... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...

AbsoluteCare

Medical Director

New Orleans, LA

Team Management: Lead the team in tracking and achieving contractual quality metric objectives. * Technology Utilization: Leverage technology and electronic medical records to enhance quality ...

Nautilus

Advanced Practice Provider

New Orleans, LA · On-site

$150/hr

Provide utilization management support to optimize healthcare resources. * Maintain accurate and current medical records. * Adhere to workers' compensation legislation and regulations. Qualifications:

AmerCareRoyal

Production Manager

Hammond, LA · On-site

$85K - $110K/yr

Initiate actions that reduce manufacturing cost through improved labor utilization, reduced ... PRODUCTION MANAGER MEASURABLES Metric Area Expected Focus Employee Safety Safe behaviors, incident ...

Careers - AmerCareRoyal

Production Manager

Hammond, LA · On-site

Initiate actions that reduce manufacturing cost through improved labor utilization, reduced ... PRODUCTION MANAGER MEASURABLES Metric Area Expected Focus Employee Safety Safe behaviors, incident ...

AbsoluteCare

Medical Director

New Orleans, LA · On-site

Familiarity with value-based provider programs, utilization management, and HEDIS quality measures. * Long-term commitment to our organization. Preferred Qualifications * Board Certification in ...

AbsoluteCare

Medical Director

New Orleans, LA

Knowledge of value-based provider programs, utilization management and HEDIS quality measures. * Long-term interest in AbsoluteCare. Preferred Qualifications * Infectious Disease training (Board ...

Ochsner Health

RN Case Manager

New Orleans, LA · On-site

Preferred - 3 yearsof hospital-based experience in discharge planning, case management or utilization review. Certifications Required -Current registered nurse license in state of practice. Basic ...

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Utilization Manager information

See Covington, LA salary details

$33.5K

$78.3K

$144.1K

How much do utilization manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization manager in Covington, LA is $78,292.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,200.00 and $94,200.00 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 Covington, LA look for?

The top searched job categories for Utilization Manager jobs in Covington, LA are:

What cities near Covington, LA are hiring for Utilization Manager jobs?

Cities near Covington, LA with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Covington, LA as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $78,292 per year, or $37.6 per hour.

RN Utilization Manager (PRN)

St. Tammany Parish Hospital

Covington, LA

Part-time

Re-posted 21 days ago

Job description

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.

We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

JOB DESCRIPTION AND POSITION REQUIREMENTS

Scheduled Weekly Hours: TBD

Summary of the Job:

The Utilization Manager is responsible to assist in the development, planning, coordination, and administration of the activities of Utilization Management. Job responsibilities include but are not limited to the following: daily review of medical records to determine appropriateness and medical necessity of admission, continued stay, use of resources, and discharge readiness. Assumes responsibilities delegated by the Department Head.
Minimum Qualifications:

Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Five years of hospital nursing experience preferred. Experience in the field of Utilization Management activities highly preferred. Basic understanding of CPT-ICD-9 coding principles and DRG management preferred. Graduate of accredited school of Nursing and maintains current R.N. licensure by the Louisiana State Board of Nursing. Ability to demonstrate effective written and verbal communication skills and possess emotional and professional maturity. Highly organized and efficient in establishing priorities and performing tasks within specific timeframes. Self-motivator requiring minimal supervision. Views problems as a challenge and investigates alternatives which demand creativity, flexibility and the ability to work under stress. Responsible for maintaining strict confidentiality of all verbal & written information and documents. Knowledgeable in the Utilization Management review process.
Physical Demands:
Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 10 pounds is required.
Physical Effort required:

Constant (67%-100%) - seeing

Frequently (34%-66%) - handling/feeling, talking, hearing
Occasionally (1%-33%) - lifting, carrying, pushing/pulling, stooping, crouching, reaching

Contact Information:

Jennifer Saint, HR Talent Partner

Talent Acquisition - Human Resources

EMPLOYMENT

Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be foundby clicking here, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process.

EQUAL OPPORTUNITY EMPLOYER

St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.

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