The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ... The Utilization Review Nurse collaborates as necessary with other members of the health care team ...
They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ... The Utilization Review Nurse collaborates as necessary with other members of the health care team ...
Utilization Review Nurse The Utilization Review Nurse is responsible for determining the clinical ... They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ...
Utilization Review Nurse The Utilization Review Nurse is responsible for determining the clinical ... They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ...
Medical Director Utilization Management Oncology
Dallas, TX · Remote
$275K - $325K/yr
Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides clinical expertise in assessing the ...
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Medical Director Utilization Management Oncology
Dallas, TX · Remote
$275K - $325K/yr
Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides clinical expertise in assessing the ...
They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ... The Utilization Review Nurse collaborates as necessary with other members of the health care team ...
They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing ... The Utilization Review Nurse collaborates as necessary with other members of the health care team ...
... management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board ...
... management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board ...
Case Management Shift: Full-time Hybrid Job Summary: The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge utilization reviews to ensure ...
Case Management Shift: Full-time Hybrid Job Summary: The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge utilization reviews to ensure ...
Case Management Shift: Full-time Hybrid Job Summary: The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge utilization reviews to ensure ...
Case Management Shift: Full-time Hybrid Job Summary: The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge utilization reviews to ensure ...
Case Management Shift: Full-time Hybrid Job Summary: The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and postdischarge utilization reviews to ensure ...
Case Management Shift: Full-time Hybrid Job Summary: The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and postdischarge utilization reviews to ensure ...
... management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board ...
... management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board ...
ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and ...
ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and ...
Utilization Management Representative I - Backoffice Support
Grand Prairie, TX · On-site
$16.76 - $27.53/hr
Utilization Management Representative I - Backoffice Support Location : This role enables ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I - Backoffice Support
Grand Prairie, TX · On-site
$16.76 - $27.53/hr
Utilization Management Representative I - Backoffice Support Location : This role enables ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I - Backoffice Support
Grand Prairie, TX · On-site
$16.76 - $27.53/hr
Utilization Management Representative I - Backoffice Support Location : This role enables ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I - Backoffice Support
Grand Prairie, TX · On-site
$16.76 - $27.53/hr
Utilization Management Representative I - Backoffice Support Location : This role enables ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
BH Care Manager II - Utilization Management
$79K - $119K/yr
Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for required in-person training sessions, providing ...
BH Care Manager II - Utilization Management
$79K - $119K/yr
Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for required in-person training sessions, providing ...
The UR Coordinator contacts external case managers/managed care organizations for certification and ... utilization management, and/or case management. Licensure: R.N. LVN, L.M.S.W., LPC, or other health ...
The UR Coordinator contacts external case managers/managed care organizations for certification and ... utilization management, and/or case management. Licensure: R.N. LVN, L.M.S.W., LPC, or other health ...
The UR Coordinator contacts external case managers/managed care organizations for certification and ... utilization management, and/or case management. Licensure: R.N. LVN, L.M.S.W., LPC, or other health ...
The UR Coordinator contacts external case managers/managed care organizations for certification and ... utilization management, and/or case management. Licensure: R.N. LVN, L.M.S.W., LPC, or other health ...
The UR Coordinator contacts external case managers/managed care organizations for certification and ... utilization management, and/or case management. Licensure: R.N. LVN, L.M.S.W., LPC, or other health ...
The UR Coordinator contacts external case managers/managed care organizations for certification and ... utilization management, and/or case management. Licensure: R.N. LVN, L.M.S.W., LPC, or other health ...
Wound Care Utilization Management RN
Grand Prairie, TX · On-site
$39.34 - $56.20/hr
Wound Care Utilization Management RN Virtual : This role enables associates to workvirtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Wound Care Utilization Management RN
Grand Prairie, TX · On-site
$39.34 - $56.20/hr
Wound Care Utilization Management RN Virtual : This role enables associates to workvirtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...
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Utilization Review Nurse
Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...
Utilization Manager information
See Dallas, TX salary details
$35.7K - $46.5K
9% of jobs
$54.4K is the 25th percentile. Wages below this are outliers.
$46.5K - $57.2K
22% of jobs
$57.2K - $67.9K
11% of jobs
The median wage is $74.5K / yr.
$67.9K - $78.6K
14% of jobs
$78.6K - $89.3K
12% of jobs
$96K is the 75th percentile. Wages above this are outliers.
$89.3K - $100K
13% of jobs
$100K - $110.7K
13% of jobs
$110.7K - $121.4K
5% of jobs
$121.4K - $132.1K
2% of jobs
$132.1K - $142.8K
0% of jobs
$142.8K - $153.5K
0% of jobs
$35.7K
$83.4K
$153.5K
How much do utilization manager jobs pay per year?
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 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 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.

Cook Children's Health Care System rating
7.9
Based on 77 frontline employees who took The Breakroom Quiz
108th of 887 rated healthcare providers
Job description
Location:
Calmont Operations BuildingDepartment:
UtilizationShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
Responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and objectives. Acts as process owner and subject matter expert for program benefits and long term supports and services (LTSS).Additional Information:
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and objectives. Acts as process owner and subject matter expert for program benefits and long term supports and services (LTSS). The Supervisor will offer motivation, encouragement, and resources to the team members. Assists individual team members to set and accomplish goals. Train and certify team members on all applicable processes and essential skills related to Utilization Management. Assesses individual team member's existing abilities and provides customized skills training to ensure each team member can properly perform job functions. Provide positive and constructive feedback to direct team towards goals.
Hours: Mon-Fri 8am-5pm Hybrid position, will require in office work 1-2 days per month in Fort Worth.
Required Education, Experience and Licensure:
Bachelor's of Science in Nursing (BSN).
RN License in Texas.
Minimum of 5 years clinical experience.
2 years of Utilization Management experience.
Proficiency in use of computer applications and typing speed (35 words per minute minimum).
Strong skills in the following areas: Oral and written communication, Problem-solving, Organization and time management, Customer service, Knowledge of adult teaching and learning, coaching.
Preferred Qualifications:
1 to 2 years' experience in a supervisory role.
Bilingual (English/Spanish) a plus.
About Us:
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
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About Cook Children's Health Care System
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Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Fort Worth, TX, US
Year founded
1918