Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a ...
Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a ...
Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a ...
Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a ...
Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical ...
Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical ...
Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C. Requirements: * Associates Degree of Nursing
Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C. Requirements: * Associates Degree of Nursing
Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C. Requirements: * Associates Degree of Nursing
Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C. Requirements: * Associates Degree of Nursing
Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C. Requirements: * Associates Degree of Nursing
Spectrum Healthcare Resources has an opportunity for a Registered Nurse Utilization Management (UMRN) working at Joint Base Andrews in Washington, D.C. Requirements: * Associates Degree of Nursing
The RN Utilization Manager is accountable for HCBS Review Case Managers who perform evaluation of Home and Community Based Services (HCBS) of members in the Optum at Home Long Term Services and ...
The RN Utilization Manager is accountable for HCBS Review Case Managers who perform evaluation of Home and Community Based Services (HCBS) of members in the Optum at Home Long Term Services and ...
The RN Utilization Manager is accountable for HCBS Review Case Managers who perform evaluation of Home and Community Based Services (HCBS) of members in the Optum at Home Long Term Services and ...
The RN Utilization Manager is accountable for HCBS Review Case Managers who perform evaluation of Home and Community Based Services (HCBS) of members in the Optum at Home Long Term Services and ...
Utilization Mangement Technician
Washington, DC · On-site +1
$27.02 - $36.78/hr
The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing correspondence, faxes and authorizations related to ...
Utilization Mangement Technician
Washington, DC · On-site +1
$27.02 - $36.78/hr
The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing correspondence, faxes and authorizations related to ...
Director Utilization Management MedStar Family Choice
Washington, DC · On-site
$120K - $238K/yr
About the Job General Summary of Position The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan's centralized utilization management function ...
Director Utilization Management MedStar Family Choice
Washington, DC · On-site
$120K - $238K/yr
About the Job General Summary of Position The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan's centralized utilization management function ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and ...
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and ...
Clinical Care Reviewer UM
Washington, DC · On-site
Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical ...
Clinical Care Reviewer UM
Washington, DC · On-site
Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical ...
Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical ...
Role Overview Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical ...
Utilization Review Coordinator
Washington, DC · On-site
$33.60 - $50.40/hr
Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...
Utilization Review Coordinator
Washington, DC · On-site
$33.60 - $50.40/hr
Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...
Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...
Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...
Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...
Informs department director of changes in managed care companies. Maintains awareness of unique ... Six months psychiatric utilization review either for hospital or external review organization ...
Utilization Management & Coordination * Monitor service utilization, authorizations, and funding sources including Medicaid and Local Dollar. * Collaborate with billing and administrative teams to ...
Utilization Management & Coordination * Monitor service utilization, authorizations, and funding sources including Medicaid and Local Dollar. * Collaborate with billing and administrative teams to ...
Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong ... Utilization Review Pharmacist opening.
Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong ... Utilization Review Pharmacist opening.
Utilization Manager information
See Manassas, VA salary details
$39K - $50.7K
9% of jobs
$59.3K is the 25th percentile. Wages below this are outliers.
$50.7K - $62.3K
22% of jobs
$62.3K - $74K
11% of jobs
The median wage is $81.2K / yr.
$74K - $85.7K
14% of jobs
$85.7K - $97.4K
12% of jobs
$104.7K is the 75th percentile. Wages above this are outliers.
$97.4K - $109.1K
13% of jobs
$109.1K - $120.7K
13% of jobs
$120.7K - $132.4K
5% of jobs
$132.4K - $144.1K
2% of jobs
$144.1K - $155.8K
0% of jobs
$155.8K - $167.5K
0% of jobs
$39K
$91K
$167.5K
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 job categories do people searching Utilization Manager jobs in Manassas, VA look for?
The top searched job categories for Utilization Manager jobs in Manassas, VA are:
What cities near Manassas, VA are hiring for Utilization Manager jobs?
Cities near Manassas, VA with the most Utilization Manager job openings:

Other
Medical, PTO
Re-posted 12 days ago
Job description
Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options.
This is a great full-time opportunity with telework available. Please see the qualifications below and submit your resume if you are interested in being considered.
Required Qualifications:
- Bachelor's degree in Nursing, Master's preferred, or other clinically related Health Service degree.
- Department of Defense Program Management (PM) experience preferred, minimum 2 years within the last 5 years.
- Experience in the operations and organization of the Department of Defense Military Health System desired.
Saratoga Medical Center, Inc. is an equal opportunity employer and will not discriminate in recruiting, hiring, training, promotion, transfer, discharge, compensation or any other term or condition of employment on the basis of race, religion, color, age (over age 39), sex, national origin, or on the basis of disability if the employee can perform the essential functions of the job, with a reasonable accommodation if necessary.
About Saratoga Medical Center
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
New York, NY, US