Daily Responsibilities of RN Manager of Utilization Management: Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate ...
Daily Responsibilities of RN Manager of Utilization Management: Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
Supervisor Utilization Management Hybridrole(3days/weekin office)atourBurlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargooffices. Candidates ...
Supervisor Utilization Management Hybridrole(3days/weekin office)atourBurlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargooffices. Candidates ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
Utilization Management Discharge Nurse The Utilization Management Discharge Nurse uses the nursing process and nursing expertise in using review criteria to determine medical necessity for inpatient ...
Utilization Management Discharge Nurse The Utilization Management Discharge Nurse uses the nursing process and nursing expertise in using review criteria to determine medical necessity for inpatient ...
Manager, Clinical Utilization Management & Transitions of Care
Seattle, WA · On-site +1
$48.91 - $78.75/hr
This leader partners closely with the broader Utilization Management team, network facilities, and vendors to develop and optimize workflows that ensure regulatory compliance, operational efficiency ...
Manager, Clinical Utilization Management & Transitions of Care
Seattle, WA · On-site +1
$48.91 - $78.75/hr
This leader partners closely with the broader Utilization Management team, network facilities, and vendors to develop and optimize workflows that ensure regulatory compliance, operational efficiency ...
Manager, Clinical Utilization Management & Transitions of Care
Seattle, WA · On-site
$101K - $163K/yr
This leader partners closely with the broader Utilization Management team, network facilities, and vendors to develop and optimize workflows that ensure regulatory compliance, operational efficiency ...
Manager, Clinical Utilization Management & Transitions of Care
Seattle, WA · On-site
$101K - $163K/yr
This leader partners closely with the broader Utilization Management team, network facilities, and vendors to develop and optimize workflows that ensure regulatory compliance, operational efficiency ...
This leader partners closely with the broader Utilization Management team, network facilities, and vendors to develop and optimize workflows that ensure regulatory compliance, operational efficiency ...
Quick apply
This leader partners closely with the broader Utilization Management team, network facilities, and vendors to develop and optimize workflows that ensure regulatory compliance, operational efficiency ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and ...
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and ...
Quick apply
About the Role The Level I Utilization Management Clinician performs utilization review for medical ... Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and ...
The level I UM Coordinator is responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital ...
Quick apply
The level I UM Coordinator is responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital ...
Utilization Management Coordinator I
Seattle, WA · On-site
$43K - $60K/yr
The level I UM Coordinator is responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital ...
Utilization Management Coordinator I
Seattle, WA · On-site
$43K - $60K/yr
The level I UM Coordinator is responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital ...
Utilization Management Coordinator I
Seattle, WA · On-site +1
$21 - $28.98/hr
The level I UM Coordinator is responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital ...
Utilization Management Coordinator I
Seattle, WA · On-site +1
$21 - $28.98/hr
The level I UM Coordinator is responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital ...
UW MEDICINE IT SERVICES has an outstanding job opportunity for a Portfolio Manager (Fred Hutch / UW Medicine) . WORK SCHEDULE * 100% FTE - 40 hours per week * Day Shift - UW MEDICINE ITS SERVICES ...
UW MEDICINE IT SERVICES has an outstanding job opportunity for a Portfolio Manager (Fred Hutch / UW Medicine) . WORK SCHEDULE * 100% FTE - 40 hours per week * Day Shift - UW MEDICINE ITS SERVICES ...
Portfolio Manager (Fred Hutch / UW Medicine)
Seattle, WA · On-site +1
UW MEDICINE IT SERVICES has an outstanding job opportunity for a Portfolio Manager (Fred Hutch / UW Medicine) . WORK SCHEDULE * 100% FTE - 40 hours per week * Day Shift - UW MEDICINE ITS SERVICES ...
Portfolio Manager (Fred Hutch / UW Medicine)
Seattle, WA · On-site +1
UW MEDICINE IT SERVICES has an outstanding job opportunity for a Portfolio Manager (Fred Hutch / UW Medicine) . WORK SCHEDULE * 100% FTE - 40 hours per week * Day Shift - UW MEDICINE ITS SERVICES ...
May refer specific cases to the Physician Utilization Management Advisors (PUMA). * Excellent fact finding, interpersonal communication, and problem solving skills. * Guides performance improvement ...
May refer specific cases to the Physician Utilization Management Advisors (PUMA). * Excellent fact finding, interpersonal communication, and problem solving skills. * Guides performance improvement ...
Utilization Management Representative I - Backoffice Support
Seattle, WA · On-site
$16.76 - $27.53/hr
Utilization Management Representative I - Backoffice Support Utilization Management Representative ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I - Backoffice Support
Seattle, WA · On-site
$16.76 - $27.53/hr
Utilization Management Representative I - Backoffice Support Utilization Management Representative ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
GENERAL SUMMARY The Organ Utilization Coordinator (OUC) is accountable for the allocation of organs ... This includes managing allocation processes for transplantation and research, scheduling surgical ...
Organ Utilization Coordinator
Bellevue, WA · On-site
$36.50 - $52.94/hr
GENERAL SUMMARY The Organ Utilization Coordinator (OUC) is accountable for the allocation of organs ... This includes managing allocation processes for transplantation and research, scheduling surgical ...
Utilization Manager information
See Kent, WA salary details
$44K - $57.2K
9% of jobs
$66.9K is the 25th percentile. Wages below this are outliers.
$57.2K - $70.4K
22% of jobs
$70.4K - $83.6K
11% of jobs
The median wage is $91.7K / yr.
$83.6K - $96.8K
14% of jobs
$96.8K - $110K
12% of jobs
$118.2K is the 75th percentile. Wages above this are outliers.
$110K - $123.2K
13% of jobs
$123.2K - $136.3K
13% of jobs
$136.3K - $149.5K
5% of jobs
$149.5K - $162.7K
2% of jobs
$162.7K - $175.9K
0% of jobs
$175.9K - $189.1K
0% of jobs
$44K
$102.7K
$189.1K
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.

Full-time
Re-posted 8 days ago
Job description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Daily Responsibilities of RN Manager of Utilization Management:Â
Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.
Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.
Promote compliance with federal and state regulations and contractual agreements.
Develop, implement and maintain compliance, policies and procedures regarding medical utilization management functions.
Develop, implement, and maintain utilization management programs to facilitate the use of appropriate medical resources and decrease the business unit's financial exposure.
Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make recommendations to management.
Facilitate on-going communication between utilization management staff and contracted providers.
Develop staff skills and competencies through training and experience.
Requirements of RN Manager of Utilization Management:
RN license, current in Washington
Bachelor's Degree
3+ years of utilization management
Recent nursing experience in an acute care setting (med/surge, peds, OB) and/or rehab/SNF/LTAC
Management experience (progressive discipline, workflows, productivity reports, team building)
Needs to be organized
Must have good computer skills - Excel, Outlook, etc
Soft skills needed - these are crucial:
Needs to be able to kindly keep a team on track - must be both firm and kind.
Not looking for a "task master" but a previous manager was too much of a pushover. Need to be comfortable redirecting people.
The Director of this department is direct, but polite and fair & that's what she's looking for in her managers.
Hours for this Position:
M-F 8-5
Advantages of this Opportunity:
Competitive salary
Fun and positive work environment
Want More Information?
If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I'm Interested" Button to email your resume.Â
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003