Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Utilization Management Coordinator Company Overview: At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and ...
Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or Meditech/MIDAS experience Required * Previous experience in prior authorization process Required
Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or Meditech/MIDAS experience Required * Previous experience in prior authorization process Required
Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or Meditech/MIDAS experience Required * Previous experience in prior authorization process Required
Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or Meditech/MIDAS experience Required * Previous experience in prior authorization process Required
Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or Meditech/MIDAS experience Required * Previous experience in prior authorization process Required
Previous experience in Utilization Management and/or Appeals Required * Previous Epic experience or Meditech/MIDAS experience Required * Previous experience in prior authorization process Required
This role focuses on enhancing hospital services through utilization management, compliance, and clinical documentation improvement. The position offers an opportunity for professional growth within ...
This role focuses on enhancing hospital services through utilization management, compliance, and clinical documentation improvement. The position offers an opportunity for professional growth within ...
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
Medical Director Physician
Macon, GA · On-site
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
Medical Director Physician
Macon, GA · On-site
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
Medical Director Physician
Macon, GA · On-site
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
Medical Director Physician
Macon, GA · On-site
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
Hospitalist Medical Director
Macon, GA · On-site
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
Hospitalist Medical Director
Macon, GA · On-site
We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI) to support hospital performance. Qualifications: * Board-certified in family or internal medicine.
Consumer Access Specialist PRN
Gordon, GA · On-site
$15.89 - $25.43/hr
Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information. * Contacts insurance companies to verify eligibility and ...
Consumer Access Specialist PRN
Gordon, GA · On-site
$15.89 - $25.43/hr
Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information. * Contacts insurance companies to verify eligibility and ...
Director of Care Management and Social Work
$87K - $162K/yr
Collaborates with interdisciplinary hospital leaders, executives, post-acute care entities, and Utilization Management to improve patient outcomes, care transitions, and reduce readmissions.
Director of Care Management and Social Work
$87K - $162K/yr
Collaborates with interdisciplinary hospital leaders, executives, post-acute care entities, and Utilization Management to improve patient outcomes, care transitions, and reduce readmissions.
The Regional Fleet Manager leads strategic planning efforts to optimize fleet utilization, preventive maintenance programs, and vehicle replacement strategies. The position collaborates with cross ...
Quick apply
The Regional Fleet Manager leads strategic planning efforts to optimize fleet utilization, preventive maintenance programs, and vehicle replacement strategies. The position collaborates with cross ...
Ensure optimal utilization of work procedures in regards to stripping, mining, processing ... Manage Employee Relations. Provide strong leadership, training, team building, and supervision to ...
Ensure optimal utilization of work procedures in regards to stripping, mining, processing ... Manage Employee Relations. Provide strong leadership, training, team building, and supervision to ...
Utilization Manager information
See Macon, GA salary details
$37.4K - $48.6K
9% of jobs
$56.9K is the 25th percentile. Wages below this are outliers.
$48.6K - $59.8K
22% of jobs
$59.8K - $71K
11% of jobs
The median wage is $77.9K / yr.
$71K - $82.2K
14% of jobs
$82.2K - $93.4K
12% of jobs
$100.4K is the 75th percentile. Wages above this are outliers.
$93.4K - $104.6K
13% of jobs
$104.6K - $115.8K
13% of jobs
$115.8K - $127K
5% of jobs
$127K - $138.2K
2% of jobs
$138.2K - $149.4K
0% of jobs
$149.4K - $160.6K
0% of jobs
$37.4K
$87.3K
$160.6K
How much do utilization manager jobs pay per year?
As of Aug 10, 2026, the average yearly pay for utilization manager in Macon, GA is $87,286.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,100.00 and $105,000.00 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?
| 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.
More about Utilization Manager jobs
What job categories do people searching Utilization Manager jobs in Macon, GA look for? The top searched job categories for Utilization Manager jobs in Macon, GA are:
What cities near Macon, GA are hiring for Utilization Manager jobs? Cities near Macon, GA with the most Utilization Manager job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 16 days ago
Job description
Utilization Management Coordinator
Company Overview:
At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and making a difference in the lives of clients and their families. We believe in supporting our team as well as our clients with our comprehensive benefits package and a supportive work culture, including health, dental, and vision benefits, paid vacation, retirement plans, and more.
Position Overview:
The Utilization Management Coordinator role is focused on ensuring clients receive the appropriate level of behavioral health care while maintaining compliance with medical necessity, authorization, and documentation requirements. The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services.
Location/Schedule:
3575 Fulton Mill Road, Macon, GA.
Key Responsibilities
- Create Connects batch files
- Retrieve and process response files from Beacon’s SFTP site
- Work Connects documents in rejected, denied, hold, no CID, multi-final payer and status appropriately
- Review discharge connects and flip to UM complete
- Manage and process BHL CSU authorizations and update Carelogic
- Review and process AC file for BHL CSU authorization
- Complete State Discharge process for Fulton locations
- Create PTRF referral via Beacon authorization request
- Review and process Connects documents in UM review
Qualifications
- High School Diploma (Bachelors in helping profession such as social work, community counseling, counseling psychology, or criminology preferred)
- 1-3 years of utilization management experience
Additional Benefits:
- Flexible spending accounts
- 11 Paid holidays
- Voluntary Life Insurance