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

GQR

RN - Case Manager

Santa Rosa, CA

$2K - $2K/wk

Contract - W2 Case Management/Utilization Review Job Location: Santa Rosa, California Start Date: June 15, 2026 Profession: Facility: Estimated Pay: $2065.88 - $2160.88 Duration:13 weeks Specialty:

GQR Healthcare

Travel RN Case Manager

Santa Rosa, CA

$2K - $2K/wk

Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible ...

GQR Healthcare

Travel RN Case Manager

Santa Rosa, CA

$2K - $2K/wk

Travel Contract - W2 Case Management/Utilization Review Job Location: Santa Rosa, California Start Date: June 15, 2026 Profession: Facility: Estimated Pay: $2065.88 - $2160.88 Duration:13 weeks ...

UnitiMed

RN Case Manager

Santa Rosa, CA

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

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All 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 Jun 8, 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 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 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
Infographic showing various Utilization Manager job openings in Santa Rosa, CA as of May 2026, with employment types broken down into 82% Full Time, 17% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $99,506 per year, or $47.8 per hour.

Case Manager RN - Novato

Novato Healthcare Center

Novato, CA

$45 - $55/hr

Full-time

Posted 29 days ago

Job description

Case Manager Principal Responsibilities: CLINICAL
• Case Manager coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication.
• Conducts pre-admission on-site assessments to ensure clinically appropriate admissions in accordance with Federal, State and Company requirements.
• Ensures continuity of care appropriate to meet patient, payor and Company requirements.
Case Manager ADMINISTRATIVE
• Supports the overall goals of the Company and the Center.
• Determines resource utilization specific to patient care needs, outcome expectations, payor and Company requirements.
• Participates in negotiating coverage as assigned.
• Ensures exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.
• Attends all Center or Company required inservices and meetings.
• Ensures all documentation necessary for quality case management is maintained according to Federal, State and Company requirements.
Case Manager QUALIFICATIONS
• Current licensure in State in which practicing.
• Strong administrative and organizational skills.
• Minimum 2 years experience in case management.
• Bachelors degree in health care field preferred.
Case Manager CONSUMER SERVICE
• Presents professional image to consumers through dress, behavior and speech.
• Adheres to Company standards for resolving consumer concerns.
• Ensures that all patient/resident rights are protected.