... 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 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 ...
Utilization Review Specialist
$70K - $100K/yr
Utilization review experience Additional Skills & Qualifications * Perform utilization review ... Collaborate with physicians, case management teams, and payers to support authorization and ...
Utilization Review Specialist
$70K - $100K/yr
Utilization review experience Additional Skills & Qualifications * Perform utilization review ... Collaborate with physicians, case management teams, and payers to support authorization and ...
... 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 ...
Afterhours Utilization Management Representative III This role enables associates to work virtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Afterhours Utilization Management Representative III This role enables associates to work virtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
BH Care Manager II - Utilization Management
Grand Prairie, TX · On-site
$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
Grand Prairie, TX · On-site
$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 ...
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 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 ...
Afterhours Utilization Management Representative III Location : This role enables associates to ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Afterhours Utilization Management Representative III Location : This role enables associates to ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Afterhours Utilization Management Representative III Location : This role enables associates to ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Afterhours Utilization Management Representative III Location : This role enables associates to ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
New
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
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 ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
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 work virtually ... 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 work virtually ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
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 ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Utilization Manager information
See Lancaster, TX salary details
$37K - $48K
9% of jobs
$56.2K is the 25th percentile. Wages below this are outliers.
$48K - $59.1K
22% of jobs
$59.1K - $70.2K
11% of jobs
The median wage is $77K / yr.
$70.2K - $81.3K
14% of jobs
$81.3K - $92.3K
12% of jobs
$99.3K is the 75th percentile. Wages above this are outliers.
$92.3K - $103.4K
13% of jobs
$103.4K - $114.5K
13% of jobs
$114.5K - $125.6K
5% of jobs
$125.6K - $136.6K
2% of jobs
$136.6K - $147.7K
0% of jobs
$147.7K - $158.8K
0% of jobs
$37K
$86.3K
$158.8K
How much do utilization manager jobs pay per year?
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?
What are some common challenges faced by utilization managers, and how can they be addressed?
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.
What are the most commonly searched types of Utilization jobs in Lancaster, TX?
The most popular types of Utilization jobs in Lancaster, TX are:
What job categories do people searching Utilization Manager jobs in Lancaster, TX look for?
The top searched job categories for Utilization Manager jobs in Lancaster, TX are:
What cities near Lancaster, TX are hiring for Utilization Manager jobs?
Cities near Lancaster, TX with the most Utilization Manager job openings:

Contractor
Re-posted 7 days ago
Job description
Flexible Independent Contractor (1099) Opportunity
General Psychiatrist for utilization review - Texas state medical license required
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 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-Certified physicians in Psychiatry to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current TEXAS STATE unencumbered medical license
- Current Board Certification in Psychiatry
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations