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Utilization Manager Jobs in Santa Rosa, CA (NOW HIRING)

ALOIS Healthcare

Utilization Review

Santa Rosa, CA · On-site

Utilization Review Nurse A utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services.

New

Prime Staffing

Travel RN Case Manager

Santa Rosa, CA · On-site

Utilization Management * Patient Advocacy * Interdisciplinary Team Collaboration * Proficiency with Epic EMR preferred * Strong communication and organizational skills Traveler Requirements * First ...

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Utilization Manager information

See Santa Rosa, CA salary details

$42.6K

$99.5K

$183.1K

How much do utilization manager jobs pay per year?

As of Jun 29, 2026, the average yearly pay for utilization manager in Santa Rosa, CA is $99,506.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,100.00 and $119,700.00 per year, depending on experience, location, and employer.

What jobs pay $2000 a day?

Utilization Managers typically do not earn $2000 a day; such high daily rates are more common in specialized consulting, executive roles, or highly experienced professionals in fields like finance, law, or certain medical specialties. These roles often require advanced certifications, extensive experience, and work in high-demand environments. Most standard utilization management positions offer salaries that are significantly lower than this daily rate.

What job makes $10,000 a month without a degree?

A Utilization Manager can potentially earn $10,000 or more per month through experience and advanced skills in healthcare or corporate settings, often without a formal degree. Success in such roles depends on industry knowledge, certifications, and the ability to optimize resource use, with some professionals reaching high earnings through management of large teams or projects.

What jobs in the US pay 300,000 a year?

Utilization Managers in healthcare and insurance industries can earn around $300,000 annually, especially with extensive experience, certifications, and leadership responsibilities. High-paying roles often require advanced skills in data analysis, resource allocation, and strategic planning, and may involve managing large teams or complex projects.

What does a utilization manager do?

A utilization manager oversees the efficient use of resources, such as staff and equipment, to ensure that services are delivered within budget and meet organizational goals. They analyze data, monitor utilization rates, and coordinate with teams to optimize productivity and reduce waste, often using management software and reporting tools.

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 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 popular job titles related to Utilization Manager jobs in Santa Rosa, CA? For Utilization Manager jobs in Santa Rosa, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Santa Rosa, CA look for? The top searched job categories for Utilization Manager jobs in Santa Rosa, CA are:
What cities near Santa Rosa, CA are hiring for Utilization Manager jobs? Cities near Santa Rosa, CA with the most Utilization Manager job openings:
Utilization Manager jobs near you
Travel Utilization Review RN - $1,979 per week

Travel Utilization Review RN - $1,979 per week

Vivian Health

Santa Rosa, CA • On-site

$1.9K/wk

Other

Medical, Dental, Life, Retirement

Posted 6 hours ago

Job description

American Consultants is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 07/13/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Job Opportunity – Registered Nurse / Utilization Review – Santa Rosa, CA 95405

Start Date: July 13, 2026

Location: Santa Rosa, California

Schedule: Day shift, 5x8-hour (08:00 - 16:30), remote position. Weekend coverage required with every third weekend rotation. 40-hour orientation provided.

Highlights:
  • Remote utilization review position supporting acute care hospital services
  • 91-day travel assignment with comprehensive orientation and training
  • Work with Epic charting system in a centralized utilization management team
  • Collaborate across multiple care settings serving diverse patient populations including neonates through geriatrics
  • Apply InterQual criteria and evidence-based guidelines for medical necessity determinations
  • Competitive travel nursing compensation with housing and meal stipends
Requirements:
  • Active California Registered Nurse license required
  • Minimum 3 years of acute medical Care Manager/Utilization Management experience performing utilization review in a hospital setting
  • Previous travel nursing experience required
  • Proficient with Epic charting system with recent use within the last 6-12 months (required)
  • Strong knowledge of InterQual criteria (required hardstop)
  • Experience with HMOs, IPAs, and Medicare regulations including CC44s, ABNs, HINNs, and MCSNs
  • Expertise in concurrent review, continued stay reviews, pre-certification review, appeals and denials, medical necessity determinations, and discharge planning
  • California and Medi-Cal experience/knowledge preferred
  • Ability to work in Pacific Standard Time zone and maintain flexibility to rotate between facilities
  • Commitment to work 3 of 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, New Year's Day)
  • Two professional references covering one year within the last three years
Why Join Us?

This remote utilization review opportunity offers the flexibility of working from home while supporting critical care coordination and quality improvement initiatives. You'll gain valuable experience with InterQual criteria, Medicare regulations, and complex case management while enjoying competitive travel nursing compensation and comprehensive support. Join a collaborative interdisciplinary team dedicated to ensuring appropriate care delivery and optimal patient outcomes across multiple acute care settings.

American Consultants Job ID #18609371. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Manager,07:00:00-15:00:00

About American Consultants

Since 1989, American Consultants has been the leader in national healthcare staffing and consulting services. We have successfully placed thousands of healthcare professionals in executive, clinical, laboratory, financial, consulting, and HIT roles across the country. We specialize in Healthcare Search and Staffing, IT Staffing and Solutions, and Executive Search and Interim Services. American Consultants takes a consultative approach to help our clients solve their talent acquisition and HIT challenges. We are truly the healthcare people.

Benefits
  • Medical benefits
  • Dental benefits
  • Life insurance
  • Weekly pay
  • License and certification reimbursement
  • Holiday Pay
  • 401k retirement plan
  • Referral bonus

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