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Utilization Manager Jobs in Jackson, MS (NOW HIRING)

Evolent

Physician Reviewer-Radiology (Full-Time)

Jackson, MS · On-site

$95 - $96/hr

  • Medical

As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...

Evolent

Physician Reviewer-Radiology (Part Time)

Jackson, MS · On-site

$95 - $100/hr

  • Medical

As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...

UHS

UR COORDINATOR

Flowood, MS

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities We are looking for looking for a dynamic Utilization Review Coordinator to join our team! Monday - Friday 8A - 4:30P Brentwood Behavioral Healthcare is a provider of quality ...

UHS

UR COORDINATOR

Flowood, MS · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Responsibilities We are looking for looking for a dynamic Utilization Review Coordinator to join our team! Monday - Friday 8A - 4:30P Brentwood Behavioral Healthcare is a provider of quality ...

GQR Global Markets

RN Case Manager

Jackson, MS · On-site

$2.2K - $2.3K/wk

  • Medical

  • Dental

  • Vision

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Jackson, Mississippi Start Date: August 6, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2241 ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Jackson, MS

Utilization Manager information

See Jackson, MS salary details

$34K

$79.3K

$146K

How much do utilization manager jobs pay per year?

As of Aug 14, 2026, the average yearly pay for utilization manager in Jackson, MS is $79,309.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,800.00 and $95,400.00 per year, depending on experience, location, and employer.

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 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?

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 Jackson, MS look for?

The top searched job categories for Utilization Manager jobs in Jackson, MS are:

What cities near Jackson, MS are hiring for Utilization Manager jobs?

Cities near Jackson, MS with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Jackson, MS as of August 2026, with employment types broken down into 100% Full Time. Highlights an 74% In-person, and 26% Remote job distribution, with an average salary of $79,309 per year, or $38.1 per hour.

LPN/RN MDS Clinical Care Coordinator - Chadwick Community Care Center

CommCare Inc

Jackson, MS • On-site

$32.50 - $39.25/hr

Other

Re-posted 9 days ago

Job description

Description
At CommCare Corporation, we're not just another healthcare provider. We're an established, forward-thinking leader in retirement living, skilled nursing, and hospice care across Louisiana and Mississippi. Our team is driven by creativity, expertise, and a passion for caregiving, and we're looking for someone who shares these values to join us.
We're seeking the right candidate for the position of LPN/RN MDS Clinical Care Coordinator at Chadwick Community Care Center. In this vital role, you'll ensure that our residents receive the highest level of care while collaborating with a dedicated team, providing exceptional clinical leadership and support.
What You Bring to the Table:
Essential Qualifications:
  • Conduct comprehensive assessments of patients' medical records, including medical history, diagnoses, and treatment plans.
  • Collaborate with interdisciplinary teams to gather necessary information for MDS assessments and Care Plans.
  • Ensure compliance with federal and state regulations related to MDS assessments and Care Plans.
  • Accurately code medical diagnoses and procedures using appropriate coding systems.
  • Utilize clinical documentation improvement strategies to ensure accurate and complete documentation.
  • Monitor and track patient progress and outcomes to support care planning and utilization management.
  • Collaborate with healthcare providers to develop effective discharge plans.
  • Maintain up-to-date knowledge of Medicare guidelines and regulations.
Requirements
The Ideal Candidate:
  • Current Mississippi Registered Nurse (RN) or LPN license-current/active
  • Previous experience in medical coding, MDS processes/planning, Care Plan management.
  • Strong understanding of Medicare guidelines and regulations.
  • Familiarity with utilization management processes.
  • Experience with Matrix or similar electronic health record systems is a plus.
  • Excellent attention to detail and organizational skills.
  • Strong communication and interpersonal skills
  • Organized and detailed in work performance.
  • Excellent documentation skills; ability to write well to communicate patient care needs.
  • Genuine caring for and interest in Residents of a nursing facility.
Other Qualifications
  • Has not been excluded from participating in Medicare and Medicaid programs.
  • Maintains eligibility to participate in Medicare and Medicaid programs throughout employment.

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