ZipRecruiter

Log In

1

Utilization Manager Jobs in Marrero, LA (NOW HIRING)

AbsoluteCARE

Utilization Review Nurse

New Orleans, LA · On-site

We use population health management tools to employ a holistic approach to caring for the highest ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...

AbsoluteCare

Utilization Review Nurse

New Orleans, LA · On-site

We use population health management tools to employ a holistic approach to caring for the highest ... The Utilization Review Nurse ensures appropriate utilization of health services by performing ...

UHS

UR COORDINATOR- FULL TIME

Harahan, LA · On-site

Experience: 3-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or utilization management, or a minimum of three years utilization management ...

Hospital Linked Management

Case Manager

Gretna, LA · On-site

$17.25 - $22.25/hr

Works closely with finance in order to facilitate Utilization Management program. r. Maintains good working relationships with other hospital departments, participates in hospital meetings and serves ...

Deloitte

Epic Tapestry Specialist

New Orleans, LA · Hybrid

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...

Deloitte

Epic Tapestry Sr Analyst

New Orleans, LA · On-site +1

Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and ...

Nautilus

Advanced Practice Provider

New Orleans, LA · 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:

ASM Global

Housekeeping Manager

New Orleans, LA

... projected utilization of the facility * Oversee all operations for housekeeping during and post ... Knowledge of management principles and procedures as relates to personnel deployment and ...

next page

Showing results 1-20

People also search for

All JobsUtilization Manager JobsUtilization Manager Jobs in Marrero, LA

Utilization Manager information

See Marrero, LA salary details

$35.6K

$83.2K

$153.1K

How much do utilization manager jobs pay per year?

As of May 28, 2026, the average yearly pay for utilization manager in Marrero, LA is $83,177.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,400.00 and $100,100.00 per year, depending on experience, location, and employer.

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, and why are they important?

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 does a Utilization Manager do?

A Utilization Manager is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary goal is to ensure that patients receive the right care at the right time while also controlling costs for hospitals, insurance companies, or healthcare organizations. Utilization Managers review patient records, coordinate with healthcare providers, and use clinical guidelines to make informed decisions about treatment approvals or denials. They play a key role in maintaining quality care and regulatory compliance.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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 cities near Marrero, LA are hiring for Utilization Manager jobs? Cities near Marrero, LA with the most Utilization Manager job openings:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Marrero, LA as of May 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Temporary. Highlights an 98% Physical, and 2% Hybrid job distribution, with an average salary of $83,177 per year, or $40 per hour.
Utilization Review Nurse

Utilization Review Nurse

AbsoluteCARE Inc

New Orleans, LA

Other

Medical, Dental, Vision, Life, Retirement

Posted 16 days ago

Job description

Description
AbsoluteCare offers concierge health services using a risk-bearing, PCP-driven care model. We treat the most clinically complex and vulnerable members of the communities we serve, many of whom suffer from behavioral health, substance use, and SDoH challenges. We use population health management tools to employ a holistic approach to caring for the highest utilizers of healthcare services in our comprehensive care centers and in the community. AbsoluteCare tends exclusively to the needs of the top four to six percent of the population who persistently represent a disproportionate amount of unnecessary utilization and cost, regardless of whether they are engaged with other PCPs. In our more than 20 years of service, AbsoluteCare has focused on fulfilling the needs of this population. And we have consistently achieved unprecedented outcomes by addressing medical and psychosocial issues, in addition to the hardships of life that can exacerbate chronic health conditions and complicate access to care.
Our Values:
  • Accountability - We have the integrity to do what we say we will do
  • Caring - The needs of our team and members matter
  • Trust - Our members can rely on us
  • Teamwork - We act together as one inclusive group
Description:
The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with health plans and different providers/care teams to help ensure inpatient bed days and associated discharge/transitional care plans are appropriate. The Utilization Review Nurse provides clinical review for different healthcare services requiring authorization- including acute inpatient, skilled nursing facility, acute rehab, home nursing as well as others. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity and appropriateness of treatment setting by utilizing the applicable policies and guidelines. Utilizes decision making and critical thinking skills in the review and determination of coverage for medically necessary health care services. Is part of a team that accountable for facilitating and providing care coordination services and associated quality outcomes for patients across the continuum of discharge planning and transitional care. Collaborates with different teams to develop and/or implement comprehensive discharge care plans based on assessment of member's clinical and social needs.
  • Reviews and interprets medical records and compares against industry guidelines and company policies to determine medical appropriateness and necessity of care.
  • Apply critical thinking and decision-making skills to determine if the medical record documentation supports the need for service while maintaining quality standards.
  • Continuously reviewing the patients' medical record to ensure that members will not receive unnecessary procedures, ineffective treatment, or unnecessarily extensive hospital stays.
  • As needed, perform onsite of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies.
  • Understands key aspects of discharge planning, transitional care management and drivers of readmissions when coordinating care for complex, vulnerable populations.
  • Ability to work with multidisciplinary teams and embrace teamwork.
  • Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness
  • Demonstrates proficiency with case load and the ability to manage complex cases effectively
  • Works with less structured, more complex issues and ability to identify solutions to non-standard requests and problems.
  • Demonstrates a solid understanding of managed care, Medicare, and Medicaid regulations.
  • Schedule: Monday thru Friday daytime hours, along with rotating weekends and holidays.
Experience
  • Ability to interpret clinical data.
  • Active Registered Nurse license by the State of Louisiana and/or the state(s) in which the nurse is required to practice.
  • Bachelor's Degree in Nursing from an accredited school of nursing
  • Understanding of complex vulnerable populations and their associated care coordination needs.
  • Knowledge of medical appropriateness criteria such as InterQual®, Milliman Care Guidelines®
  • Experience and knowledge with Medicaid and Medicare managed care organizations, regulations and populations.
  • Must have excellent oral, written, and interpersonal communication skills, and must be a creative problem solver.
  • Proven ability to meet deadlines and work under pressure.
  • Must have good typing skills and proficiency using MS Office Word, Excel and Outlook
  • 3-5 years of acute care clinical experience required working in any of the following areas: ER, Critical Care, ICU, Ortho, Med Surg, Telemetry.
  • Health plan, ACO or IPA experience.
Our employeesare offered the following benefits
  • Free parking
  • Free Vision Plan
  • Medical and Dental plans
  • Life Insurance
  • Short Term Disability
  • 401 k Retirement plan

AbsoluteCare provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

Apply