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

Sutter Health

Utilization Coordinator

Santa Rosa, CA · On-site

$77.29 - $102.55/hr

Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care ...

Sutter Health

Utilization Coordinator

Santa Rosa, CA

$77.29 - $102.55/hr

Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care ...

Sutter Health

Care Manager II, Acute ( RN )

Novato, CA

$90.58 - $126.81/hr

This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level ...

Sutter Health

Care Manager II, Acute ( RN )

Novato, CA · On-site

$90.58 - $126.81/hr

This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level ...

Alignment Health

Internal Medicine Physician

Novato, CA · Remote

MUST HAVE CALIFORNIA LICENSE Utilization Management Experience The Utilization Management, Medical Director works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare ...

NeoDym Technologies

RN Manager

Santa Rosa, CA · On-site

$186K - $294K/yr

This leadership role is responsible for managing Case Managers and support staff while ensuring effective care coordination, discharge planning, utilization management, and quality outcomes across ...

Sutter Health

Case Management Assistant II

Santa Rosa, CA · On-site

$32.06 - $44.88/hr

PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: * 1 year of experience in utilization management and discharge planning. SKILLS AND KNOWLEDGE * Oral and written communication skills. * Interpersonal ...

Jconnect Infotech Inc

RN Case Manager

Saint Helena, CA · On-site

$2.7K - $2.8K/wk

CA RN license, Cerner/PowerChart experience, recent acute hospital case management experience (within the last year), discharge planning and utilization review knowledge, BSN preferred ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Santa Rosa, CA

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 Aug 12, 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 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 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
Infographic showing various Utilization Manager job openings in Santa Rosa, CA 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 $99,506 per year, or $47.8 per hour.

Utilization Coordinator

Sutter Health

Santa Rosa, CA • On-site

$77.29 - $102.55/hr

Full-time

Posted 8 days ago

Sutter Health rating

8.2

Company rating: 8.2 out of 10

Based on 326 frontline employees who took The Breakroom Quiz

55th of 887 rated healthcare providers

Job description

We are so glad you are interested in joining Sutter Health!
Organization:
SSRRH-Sutter Santa Rosa Reg Hospital
Position Overview:
Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and Intervention for the high risk patient presenting to the Emergency Department. Strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex health needs.
Job Description:
EDUCATION:
  • Other: Graduate of an accredited school of nursing

CERTIFICATION & LICENSURE:
  • RN-Registered Nurse of California

  • BLS-Basic Life Support Healthcare Provider

  • CCM - Certified Case Manager (certification may be required by entity and time to acquire may be dependent on qualifications for exam)

TYPICAL EXPERIENCE:
  • 2 years recent relevant experience

SKILLS AND KNOWLEDGE:
  • A broad knowledge base of health care delivery and case management within a managed care environment.

  • Comprehensive knowledge of Utilization Review, levels of care, and observation status.

  • Working knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Title 22, CHA Consent Manual, California Department of Public Health (CDPH) and The Joint Commission (TJC).

  • A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements.

  • Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners.

  • Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.

  • Demonstrates commitment to service excellence in all patient, family and employee interactions and in performing all job responsibilities.

  • Functions in a manner to promote quality patient care and assure a positive patient experience.

  • Verbal and written communication skills.

  • Interpersonal communication and negotiation skills.

  • Must have time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.

  • Intermediate computer skills.

  • Ability to promote teamwork and to effectively function in teams.

  • Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience.

Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
As Needed, Rotating Weekends
Benefits:
Yes
Unions:
Yes
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $77.29 to $102.55 / hour
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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