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Utilization Manager Jobs in Hammond, IN (NOW HIRING)

Clarity Clinic

Utilization Review Clinician

Chicago, IL · On-site

$75 - $110/hr

We offer a broad range of specialties and treatment approaches -- including medication management ... The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic ...

Clarity Clinic

Utilization Review Clinician

Chicago, IL · On-site

We offer a broad range of specialties and treatment approaches - including medication management ... The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic ...

Vizient, Inc.

Value Analysis Manager

Chicago, IL · Hybrid

$88K - $155K/yr

Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. Serve as the gatekeeper for new product ...

Vizient

Value Analysis Manager

Chicago, IL · Hybrid

$88K - $155K/yr

Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Hammond, IN

Utilization Manager information

See Hammond, IN salary details

$37.5K

$87.6K

$161.3K

How much do utilization manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization manager in Hammond, IN is $87,622.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,300.00 and $105,400.00 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 Hammond, IN look for?

The top searched job categories for Utilization Manager jobs in Hammond, IN are:

What cities near Hammond, IN are hiring for Utilization Manager jobs?

Cities near Hammond, IN with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Hammond, IN as of August 2026, with employment types broken down into 82% Full Time, 16% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $87,622 per year, or $42.1 per hour.

Medical Review Coordinator - Utilization Review

Olympia Fields Hospital

Olympia Fields, IL

$32 - $46.35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New

Job description

Overview

Department: Utilization Review 

Shift: Full-Time, On-Site

Facility: Olympia Fields Hospital 

Location: Olympia Fields, Illinois 60461

Responsibilities

Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO (Chief Medical Officer). Actively participates in the Case management and UR meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the clinical criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. Master of Public Health (MPH) or post-graduation in a related health care field is required.2. Medical Graduate, Dental Graduate required.3. Knowledge of Clinical Pathophysiology and Pharmacology required.

Preferred qualifications:

1. ECFMG Certification And/or Bachelor's or higher from a US-based accredited institution in a Health and Human Services field is highly preferred. 2. Utilization Review/Case Management experience is highly preferred. 3. 1+ year of clinical experience in acute care setting preferred. 4. Excellent written and verbal communication skills. Excellent critical thinking skills.5. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.6. Ability to work independently in a time-oriented environment.7. Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.

Pay Transparency

Olympia Fields Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $32 to $46.35 on an hourly basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment StatusFull TimeShiftDaysEqual Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

#LI-MP2

Employment Type: FULL_TIME

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