Position Summary and Purpose The Manager of Utilization Management (UM) leads the strategic and operational oversight of utilization review and management across the academic healthcare system. This ...
Position Summary and Purpose The Manager of Utilization Management (UM) leads the strategic and operational oversight of utilization review and management across the academic healthcare system. This ...
Position Summary and Purpose The Manager of Utilization Management (UM) leads the strategic and operational oversight of utilization review and management across the academic healthcare system. This ...
Position Summary and Purpose The Manager of Utilization Management (UM) leads the strategic and operational oversight of utilization review and management across the academic healthcare system. This ...
Collaborate with Care Management and HIM Coding managers on feedback for denials related to utilization management/coding as appropriate with escalation as needed. Ensure Audit Recovery claims from ...
Collaborate with Care Management and HIM Coding managers on feedback for denials related to utilization management/coding as appropriate with escalation as needed. Ensure Audit Recovery claims from ...
Collaborate with Care Management and HIM Coding managers on feedback for denials related to utilization management/coding as appropriate with escalation as needed. Ensure Audit Recovery claims from ...
Collaborate with Care Management and HIM Coding managers on feedback for denials related to utilization management/coding as appropriate with escalation as needed. Ensure Audit Recovery claims from ...
Case Manager II PRN
Louisville, KY · On-site
Utilization Management Conducts medical necessity review for appropriate utilization of services from admission through discharge. * Promotes effective and efficient utilization of clinical resources.
Case Manager II PRN
Louisville, KY · On-site
Utilization Management Conducts medical necessity review for appropriate utilization of services from admission through discharge. * Promotes effective and efficient utilization of clinical resources.
The Director leads and develops the Concurrent Review team, including Utilization Management staff and authorization specialists responsible for securing and maintaining payer approvals. This ...
The Director leads and develops the Concurrent Review team, including Utilization Management staff and authorization specialists responsible for securing and maintaining payer approvals. This ...
Resource Manager
Louisville, KY · Hybrid
$96K - $169K/yr
Analyze scheduling, utilization, and forecasting data to provide insights that support staffing ... Proven ability to manage multiple priorities, stay organized, and operate with a sense of urgency ...
Resource Manager
Louisville, KY · Hybrid
$96K - $169K/yr
Analyze scheduling, utilization, and forecasting data to provide insights that support staffing ... Proven ability to manage multiple priorities, stay organized, and operate with a sense of urgency ...
Case Manager II
Louisville, KY · On-site
Follows patients throughout the continuum of care and ensures optimum utilization of resources ... Enhances the quality of patient management and satisfaction, to promote continuity of care and cost ...
Case Manager II
Louisville, KY · On-site
Follows patients throughout the continuum of care and ensures optimum utilization of resources ... Enhances the quality of patient management and satisfaction, to promote continuity of care and cost ...
Oversee utilization management, hospitalizations, specialty referrals, and post-acute care services * Supervise, mentor, and evaluate employed providers * Partner with operational, compliance ...
Oversee utilization management, hospitalizations, specialty referrals, and post-acute care services * Supervise, mentor, and evaluate employed providers * Partner with operational, compliance ...
Warehouse Manager
Elizabethtown, KY · On-site
$65 - $95/hr
Warehouse Manager will plan, organize and monitor the receiving, storage and distribution of all ... utilization. * Works with other locations, to plan transfer items and efficiency and cost as it ...
Warehouse Manager
Elizabethtown, KY · On-site
$65 - $95/hr
Warehouse Manager will plan, organize and monitor the receiving, storage and distribution of all ... utilization. * Works with other locations, to plan transfer items and efficiency and cost as it ...
Partner with clinical, product, and compliance leaders to translate healthcare operations - Utilization Management, Care Management, HEDIS, STAR Ratings, and Value-Based Care - into scalable, AI ...
Partner with clinical, product, and compliance leaders to translate healthcare operations - Utilization Management, Care Management, HEDIS, STAR Ratings, and Value-Based Care - into scalable, AI ...
Partner with clinical, product, and compliance leaders to translate healthcare operations - Utilization Management, Care Management, HEDIS, STAR Ratings, and Value-Based Care - into scalable, AI ...
Partner with clinical, product, and compliance leaders to translate healthcare operations - Utilization Management, Care Management, HEDIS, STAR Ratings, and Value-Based Care - into scalable, AI ...
Partner with clinical, product, and compliance leaders to translate healthcare operations - Utilization Management, Care Management, HEDIS, STAR Ratings, and Value-Based Care - into scalable, AI ...
Partner with clinical, product, and compliance leaders to translate healthcare operations - Utilization Management, Care Management, HEDIS, STAR Ratings, and Value-Based Care - into scalable, AI ...
Client Relations Manager
Louisville, KY · On-site
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
Client Relations Manager
Louisville, KY · On-site
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
Client Relations Manager
Louisville, KY · On-site
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
Client Relations Manager
Louisville, KY · On-site
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
Develop and establish strong and effective working relationships with Clinical Vendor Management Professionals, leadership, and external clinical vendors who aid in managing medical utilization for ...
Develop and establish strong and effective working relationships with Clinical Vendor Management Professionals, leadership, and external clinical vendors who aid in managing medical utilization for ...
Develop and establish strong and effective working relationships with Clinical Vendor Management Professionals, leadership, and external clinical vendors who aid in managing medical utilization for ...
Develop and establish strong and effective working relationships with Clinical Vendor Management Professionals, leadership, and external clinical vendors who aid in managing medical utilization for ...
Client Relations Manager
Louisville, KY · On-site
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
Client Relations Manager
Louisville, KY · On-site
NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by ...
Develop and establish strong and effective working relationships with Clinical Vendor Management Professionals, leadership, and external clinical vendors who aid in managing medical utilization for ...
Develop and establish strong and effective working relationships with Clinical Vendor Management Professionals, leadership, and external clinical vendors who aid in managing medical utilization for ...
Utilization Manager information
See Elizabethtown, KY salary details
$35.8K - $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 - $68K
11% of jobs
The median wage is $74.6K / yr.
$68K - $78.7K
14% of jobs
$78.7K - $89.4K
12% of jobs
$96.1K is the 75th percentile. Wages above this are outliers.
$89.4K - $100.1K
13% of jobs
$100.1K - $110.9K
13% of jobs
$110.9K - $121.6K
5% of jobs
$121.6K - $132.3K
2% of jobs
$132.3K - $143K
0% of jobs
$143K - $153.8K
0% of jobs
$35.8K
$83.5K
$153.8K
How much do utilization manager jobs pay per year?
As of Aug 26, 2026, the average yearly pay for utilization manager in Elizabethtown, KY is $83,544.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,600.00 and $100,500.00 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?
| 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.
More about Utilization Manager jobs
What job categories do people searching Utilization Manager jobs in Elizabethtown, KY look for?
The top searched job categories for Utilization Manager jobs in Elizabethtown, KY are:
What cities near Elizabethtown, KY are hiring for Utilization Manager jobs?
Cities near Elizabethtown, KY with the most Utilization Manager job openings:
Full-time
Posted 21 days ago
Job description
Primary Location:
Peace - Louisville
Address:
2020 Newburg Rd.Louisville, KY 40205
Shift:
First Shift (United States of America)
Job Description Summary:
About UofL Health:
UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and Brown Cancer Center.
With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.
Job Description:
Position Summary and Purpose
The Manager of Utilization Management (UM) leads the strategic and operational oversight of utilization review and management across the academic healthcare system. This role ensures appropriate resource utilization, regulatory compliance, and alignment with clinical and financial goals. The Manager collaborates with medical staff, case management, revenue cycle, and IT to optimize care delivery and reimbursement.
Essential Functions:
1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards.
2. Create, implement, and maintain policies and procedures for the UM program, ensuring they align with regulations and organizational goals
3. Analyze UM metrics, identify trends, and prepare reports for senior management or quality improvement committees to guide decision-making and demonstrate the impact of the program.
4. Monitor the clinical review process to ensure patient care is appropriate, effective, and timely, and collaborate with physicians, case management and other professionals to improve utilization.
5. Identify opportunities to enhance the efficiency and accuracy of UM processes, often by working with physician advisors, case management, nursing leadership, and revenue cycle.
6. Ensure the department complies with all applicable state and federal guidelines and manage audits from regulatory agencies or health plans.
7. Provide mentorship, training and performance evaluations.
8. Ensure accurate documentation and data capture for billing and compliance.
9. Facilitate secondary reviews and appeals processes.
10. Performs other duties as assigned.
Other Functions:
• Participate in UM system-wide UM committees and initiatives.
• Analyze utilization trends and recommend process improvements.
• Coordinate certified training programs (e.g., InterQual, MCG).
• Partner with IT to optimize UM-related systems (e.g., EMR, InterQual).
Additional Job Description:
Job Requirements
(Education, Experience, Licensure and Certification)
Education: Bachelor's degree in nursing or related field, master's degree preferred.
License: Active RN license or LCSW required to practice in the state of Kentucky.
Certification: Case/Utilization Management (e.g., ACM, CCM, CMAC).
Experience: Minimum seven years of UM/Case Management experience in an acute care of academic health system. Minimum 4 years leadership experience.
Job Competency:
Knowledge, Skills, and Abilities critical to this role:
• Strategic thinking
• Deep understanding of clinical workflows and regulatory requirements.
• Strong communication and stakeholder engagement skills.
• Data-driven decision-making and continuous improvement mindset.
UofL Health Core Expectation:
At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:
• Honoring and caring for the dignity of all persons
• Ensuring the highest quality of care for those we serve
• Working together as a team to achieve our goals
• Improving continuously by listening, and asking for and responding to feedback
• Seeking new and better ways to meet the needs of those we serve
• Using our resources wisely
• Understanding how each of our roles contributes to the success of UofL Health
Peace - Louisville
Address:
2020 Newburg Rd.Louisville, KY 40205
Shift:
First Shift (United States of America)
Job Description Summary:
About UofL Health:
UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and Brown Cancer Center.
With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.
Job Description:
Position Summary and Purpose
The Manager of Utilization Management (UM) leads the strategic and operational oversight of utilization review and management across the academic healthcare system. This role ensures appropriate resource utilization, regulatory compliance, and alignment with clinical and financial goals. The Manager collaborates with medical staff, case management, revenue cycle, and IT to optimize care delivery and reimbursement.
Essential Functions:
1. Manage the day-to-day operations of the utilization review staff, including training, performance evaluation, and setting performance standards.
2. Create, implement, and maintain policies and procedures for the UM program, ensuring they align with regulations and organizational goals
3. Analyze UM metrics, identify trends, and prepare reports for senior management or quality improvement committees to guide decision-making and demonstrate the impact of the program.
4. Monitor the clinical review process to ensure patient care is appropriate, effective, and timely, and collaborate with physicians, case management and other professionals to improve utilization.
5. Identify opportunities to enhance the efficiency and accuracy of UM processes, often by working with physician advisors, case management, nursing leadership, and revenue cycle.
6. Ensure the department complies with all applicable state and federal guidelines and manage audits from regulatory agencies or health plans.
7. Provide mentorship, training and performance evaluations.
8. Ensure accurate documentation and data capture for billing and compliance.
9. Facilitate secondary reviews and appeals processes.
10. Performs other duties as assigned.
Other Functions:
• Participate in UM system-wide UM committees and initiatives.
• Analyze utilization trends and recommend process improvements.
• Coordinate certified training programs (e.g., InterQual, MCG).
• Partner with IT to optimize UM-related systems (e.g., EMR, InterQual).
Additional Job Description:
Job Requirements
(Education, Experience, Licensure and Certification)
Education: Bachelor's degree in nursing or related field, master's degree preferred.
License: Active RN license or LCSW required to practice in the state of Kentucky.
Certification: Case/Utilization Management (e.g., ACM, CCM, CMAC).
Experience: Minimum seven years of UM/Case Management experience in an acute care of academic health system. Minimum 4 years leadership experience.
Job Competency:
Knowledge, Skills, and Abilities critical to this role:
• Strategic thinking
• Deep understanding of clinical workflows and regulatory requirements.
• Strong communication and stakeholder engagement skills.
• Data-driven decision-making and continuous improvement mindset.
UofL Health Core Expectation:
At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:
• Honoring and caring for the dignity of all persons
• Ensuring the highest quality of care for those we serve
• Working together as a team to achieve our goals
• Improving continuously by listening, and asking for and responding to feedback
• Seeking new and better ways to meet the needs of those we serve
• Using our resources wisely
• Understanding how each of our roles contributes to the success of UofL Health