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Utilization Manager Jobs in Plainfield, IL (NOW HIRING)

AltaStaff

UM Care Review Clinician

Chicago, IL · On-site

$40 - $42/hr

Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care. * Assess and analyze ...

Advocate Health

RN Care Manager

Downers Grove, IL · On-site

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Vizient, Inc.

Value Analysis Manager

Chicago, IL · Hybrid

$88K - $155K/yr

Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. Serve as the gatekeeper for new product ...

Veracity

UR Review Case Manager (Admin)

Chicago, IL · On-site

The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides ...

Clarity Clinic

Utilization Review Clinician

Chicago, IL · On-site

We offer a broad range of specialties and treatment approaches - including medication management ... The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic ...

Clarity Clinic

Utilization Review Clinician

Chicago, IL · On-site

We offer a broad range of specialties and treatment approaches - including medication management ... The Utilization Review Clinician owns the clinical utilization review function for Clarity Clinic ...

Advocate Aurora Health

RN Care Manager

Downers Grove, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Advocate Health

Inpatient Care Manager

Chicago, IL · On-site

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Advocate Aurora Health

Inpatient Care Manager

Chicago, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Advocate Aurora Health

Inpatient Care Manager

Oak Lawn, IL · On-site

$38.20 - $57.30/hr

Documents discharge planning interventions and utilization review activity per department and ... Collaborates with managers, physicians, medical directors, advisory groups, and treatment teams for ...

Advocate Aurora Health

Inpatient Care Manager

Chicago, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Advocate Aurora Health

RN Care Manager

Downers Grove, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

Advocate Aurora Health

RN Care Manager

Downers Grove, IL · On-site

$38.20 - $57.30/hr

Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Plainfield, IL

Utilization Manager information

See Plainfield, IL salary details

$38K

$88.7K

$163.3K

How much do utilization manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization manager in Plainfield, IL is $88,709.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $106,700.00 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?

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 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 job categories do people searching Utilization Manager jobs in Plainfield, IL look for?

The top searched job categories for Utilization Manager jobs in Plainfield, IL are:

What cities near Plainfield, IL are hiring for Utilization Manager jobs?

Cities near Plainfield, IL with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Plainfield, IL as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $88,709 per year, or $42.6 per hour.

UM Care Review Clinician

AltaStaff

Chicago, IL • On-site

$40 - $42/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

AltaStaff is a staffing agency currently looking for a Care Review Clinician I to work with our Managed Care Client!
Pay Rate: $40 - 42.00 hourly
Schedule: Monday-Friday 9am-5:30pm CST, Rotating Saturday 7-11am CST, Rotating Holidays
This is a fully remote role but candidates must have a valid RN license in Illinois
Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care.

  • Assess and analyze clinical service requests (e.g., surgeries, outpatient therapies, DME) using evidence-based MCP/MCG criteria.
  • Verify member benefits and eligibility and Process prior authorization determinations within regulatory timelines
  • Collaborate with multidisciplinary teams
  • Completes/reviews Authorizations, reviewing faxes that can be 50-100 pages long
  • Will be expected to manage 25-30 cases successfully daily.
  • Should be able to quickly and accurately determine whether the criteria meet medical necessity.
  • Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.
  • Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and
  • guidelines.
  • Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
  • Additional duties assigned
Education/Experience:
  • RN license in IL required
  • Must have 2+ years clinical practice experience (hospital, case management, utilization management)
  • Must have 1-3+ years of hospital or medical clinic, utilization review
  • Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity
  • Must have solid experience within a clinical setting as RN's must be able to use their knowledge to extrapolate key information during the authorization process

If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
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