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Utilization Manager Jobs in New Rochelle, NY (NOW HIRING)

Samaritan Daytop Village

Utilization Manager

Queens, NY · On-site

$34.61 - $38.46/hr

Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs ...

Samaritan Daytop Village

Utilization Manager

Queens, NY · On-site

$34.61 - $38.46/hr

Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 ...

Samaritan Daytop Village

Utilization Manager

Queens, NY · On-site

$34.61 - $38.46/hr

Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in New Rochelle, NY

Utilization Manager information

See New Rochelle, NY salary details

$40.1K

$93.7K

$172.4K

How much do utilization manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for utilization manager in New Rochelle, NY is $93,656.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,200.00 and $112,700.00 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?

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 are the most commonly searched types of Utilization jobs in New Rochelle, NY? The most popular types of Utilization jobs in New Rochelle, NY are:
What job categories do people searching Utilization Manager jobs in New Rochelle, NY look for? The top searched job categories for Utilization Manager jobs in New Rochelle, NY are:
What cities near New Rochelle, NY are hiring for Utilization Manager jobs? Cities near New Rochelle, NY with the most Utilization Manager job openings:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in New Rochelle, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $93,656 per year, or $45 per hour.

Utilization Manager

Samaritan Daytop Village

Queens, NY • On-site

$34.61 - $38.46/hr

Full-time

Re-posted 18 days ago

Samaritan Daytop Village rating

8.0

Company rating: 8.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Utilization Manager

Healthcare staff can work anywhere….The BEST work with US!

$34.61-38.46 per hour

A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.

Samaritan Daytop Village, serves over 33,000 New Yorkers annually within your neighborhoods and communities so our success depends on those we employ.

The Role

In concert with the agency’s mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements.


What You Will Do

  • Conducts timely scheduled/required utilization reviews for Residential Services sites.
  • Conducts timely and complete quality and appropriateness reviews on a representative sample of treatment records for residential service sites.
  • Attends monthly/other require UR Committee meetings. Prepares accurate and timely UR Committee minutes and reports. Participates in the agency’s Quality Improvement / Utilization Management Committee.
  • Provides Supervisory support to CASAC Counselors and Peer Workers as needed with supervisory guidance from Management/Leadership Team.
  • Monitors and evaluates ongoing audit for chart.
  • Provides direct care services to clients as needed.
  • Assists with the maintenance of the agency’s OASAS accreditation for the program, i.e., standards review and conformance auditing.
  • Performs other duties as assigned.

Who You Will Be

  • High School Diploma or GED required, higher education in the human services field, preferred
  • Current CASAC or the ability to complete requirements to obtain a CASAC (T) within 6 months of hire
  • At least one year of clinical or quality assurance experience in behavioral healthcare/human services organization or one year demonstrated clinical experience in substance use or mental health treatment
  • In depth knowledge on HIPAA, OASAS, and 42 CFR regulations
  • Working knowledge of quality assurance and utilization review systems
  • Proficient in Microsoft Office Suite and EHR systems.
  • Experience working with people from diverse racial, ethnic, and socioeconomic backgrounds.
  • Strong written, verbal, and interpersonal communication skills.
  • Ability to accurately document records according to program standards.
  • Ability to work independently.
  • Spanish bilingual skills are a plus.

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