Provide Utilization Management functions in Mental Health Services. * Authorization of services based upon UM Guidelines. * Coordination and management of the Discharge Process. * Management of ...
Provide Utilization Management functions in Mental Health Services. * Authorization of services based upon UM Guidelines. * Coordination and management of the Discharge Process. * Management of ...
Utilization Management Reviewer FT
Lubbock, TX · On-site
$21.54/hr
Provide Utilization Management functions in Mental Health Services. * Authorization of services based upon UM Guidelines. * Coordination and management of the Discharge Process. * Management of ...
Utilization Management Reviewer FT
Lubbock, TX · On-site
$21.54/hr
Provide Utilization Management functions in Mental Health Services. * Authorization of services based upon UM Guidelines. * Coordination and management of the Discharge Process. * Management of ...
Formulary Strategy & Utilization Review Pharmacist
Lubbock, TX · On-site
$50.25 - $60.50/hr
Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and ... PharmD with managed care, DUR, or pharmacy benefit experience. * Strong Excel/data analytics ...
Formulary Strategy & Utilization Review Pharmacist
Lubbock, TX · On-site
$50.25 - $60.50/hr
Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and ... PharmD with managed care, DUR, or pharmacy benefit experience. * Strong Excel/data analytics ...
Adult MH Intensive Services Program Manager FT
Lubbock, TX · On-site
$22.18 - $26/hr
Leads quality assurance, utilization review, audit readiness, and continuous quality improvement ... May maintain and manage a clinical caseload as needed to support program operations, ensure ...
Adult MH Intensive Services Program Manager FT
Lubbock, TX · On-site
$22.18 - $26/hr
Leads quality assurance, utilization review, audit readiness, and continuous quality improvement ... May maintain and manage a clinical caseload as needed to support program operations, ensure ...
Adult MH Routine Services Program Manager FT
Lubbock, TX · On-site
$22.18 - $26/hr
Leads quality assurance, utilization review, audit readiness, and continuous quality improvement ... May maintain and manage a clinical caseload as needed to support program operations, ensure ...
Adult MH Routine Services Program Manager FT
Lubbock, TX · On-site
$22.18 - $26/hr
Leads quality assurance, utilization review, audit readiness, and continuous quality improvement ... May maintain and manage a clinical caseload as needed to support program operations, ensure ...
Copy of Advanced Practice Provider
Lubbock, TX · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and current medical records. * Adhere to workers' compensation legislation and regulations. Qualifications:
Quick apply
Copy of Advanced Practice Provider
Lubbock, TX · On-site
$150/hr
Provide utilization management support to optimize healthcare resources. * Maintain accurate and current medical records. * Adhere to workers' compensation legislation and regulations. Qualifications:
Resource Utilization: Responsible for effective, efficient and competitive management and utilization of all resources, with emphasis on safety, timeliness, cost-containment, system reliability ...
Resource Utilization: Responsible for effective, efficient and competitive management and utilization of all resources, with emphasis on safety, timeliness, cost-containment, system reliability ...
Care Coordination Specialist & CDI
$50K - $55K/yr
This onsite role combines expertise in clinical documentation improvement, care coordination, utilization management, and discharge planning. The ideal candidate will bring a blend of social work or ...
Care Coordination Specialist & CDI
$50K - $55K/yr
This onsite role combines expertise in clinical documentation improvement, care coordination, utilization management, and discharge planning. The ideal candidate will bring a blend of social work or ...
Case Management Director
$130K - $140K/yr
The ideal candidate brings strong utilization review and denial management expertise, executive‑level communication skills, and a positive, adaptable leadership mindset. This position is open due ...
New
Case Management Director
$130K - $140K/yr
The ideal candidate brings strong utilization review and denial management expertise, executive‑level communication skills, and a positive, adaptable leadership mindset. This position is open due ...
New
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
RN Case Manager/UR Reviewer
Lubbock, TX · On-site
... Management/CDI ... Document all utilization review activity on the appropriate forms. * Develop and maintain an ...
Laboratory Manager
Lubbock, TX · On-site
Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the ... Works with Office Management during preparation of proposals and quotations for laboratory testing ...
Laboratory Manager
Lubbock, TX · On-site
Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the ... Works with Office Management during preparation of proposals and quotations for laboratory testing ...
Laboratory Manager
Lubbock, TX · On-site
Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the ... Works with Office Management during preparation of proposals and quotations for laboratory testing ...
Laboratory Manager
Lubbock, TX · On-site
Oversee or coordinate the training and utilization of laboratory staff. Oversee or coordinate the ... Works with Office Management during preparation of proposals and quotations for laboratory testing ...
... safe utilization of equipment and facilities, quality of services and work products, timely ... Based on project size, the Project Manager will lead and / or perform sampling and provide ...
... safe utilization of equipment and facilities, quality of services and work products, timely ... Based on project size, the Project Manager will lead and / or perform sampling and provide ...
Support utilization management and formulary compliance efforts for customers operating under PPD pricing models. * Identify customer concerns, service gaps, and growth opportunities, partnering with ...
New
Support utilization management and formulary compliance efforts for customers operating under PPD pricing models. * Identify customer concerns, service gaps, and growth opportunities, partnering with ...
New
Utilization Manager information
See Lubbock, TX salary details
$33.5K - $43.5K
9% of jobs
$50.9K is the 25th percentile. Wages below this are outliers.
$43.5K - $53.6K
22% of jobs
$53.6K - $63.6K
11% of jobs
The median wage is $69.8K / yr.
$63.6K - $73.6K
14% of jobs
$73.6K - $83.6K
12% of jobs
$89.9K is the 75th percentile. Wages above this are outliers.
$83.6K - $93.7K
13% of jobs
$93.7K - $103.7K
13% of jobs
$103.7K - $113.7K
5% of jobs
$113.7K - $123.8K
2% of jobs
$123.8K - $133.8K
0% of jobs
$133.8K - $143.8K
0% of jobs
$33.5K
$78.2K
$143.8K
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.

Other
Medical, Life, Retirement, PTO
Re-posted yesterday
Job description
StarCare Specialty Health System (StarCare) is seeking a full time Utilization Management (UM) Reviewer to join its outstanding Utilization Management team supporting the agency's various mental health authorization processes.
Responsibilities:
- Provide Utilization Management functions in Mental Health Services.
- Authorization of services based upon UM Guidelines.
- Coordination and management of the Discharge Process.
- Management of capacity related to Mental Health Service authorizations, and the management of the Mental Health Waiting Lists and Pre-Authorization Lists.
- Conduct additional specific UM Reviews as needed.
- Assist with the administrative functions of the UM Department.
- Participate in the MAC Time Study as required and utilize Medicaid decision-making authority.
- Complete all required documentation.
- Communicate information to supervisor and other agency employees or vendors.
- Assist with special projects or assignments as needed or as requested.
Benefit Package: StarCare offers an expansive benefit package including, but not limited to: Company-paid medical coverage, fully funded employer contribution to HSA, company-paid life insurance, company paid hospital indemnity plan, retirement plan with up to 12% employer match, front loaded paid time off (PTO), thirteen (13) paid holidays, sabbatical leave, longevity augmentations, and employee referral augmentations.
Qualifications:
- Graduation from accredited four (4) year college or university with major course work in a Human Services Field (Psychology, Sociology, Family Studies, etc.)
- Must have at least three (3) years of clinically appropriate experience in direct care for adults and/or children with serious mental illness or emotional disturbance and/or chemical dependency.
- Knowledge and skill in operating standard office equipment and personal computer with Microsoft Office products is required.
- Ability to communicate effectively, both orally, and in writing.
- Ability to maintain an effective working relationship with other employees and the public.
- Ability to organize and prioritize a variety of assignments and manage time effectively.
- Ability to problem-solve and make decisions based upon specific criteria.
- Knowledge of current healthcare standards.
- Knowledge of appropriate rules, regulations, and policies and procedures.
- Knowledge of general DSM-5 language and concepts.
- Knowledge of the Mental Health Service Delivery system.
- Must pass a pre-hire drug screen and criminal background check.
- Must have a Texas driver's license, liability auto insurance, and be insurable under the Agency's insurance.
About StarCare Specialty Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Lubbock, TX, US
Year founded
1964