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

Veracity

RN Manager - Care Management

Petaluma, CA · On-site

Experience managing Care Management, Utilization Review, Discharge Planning, Care Coordination, or Transitional Care teams (Yes/No - details): Experience working with Social Determinants of Health ...

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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.

Registered Nurse - Case Management

3B Healthcare, Inc.

Saint Helena, CA • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Travel Registered Nurse Case Management

Profession: Registered Nurse Specialty: Case Management Job Type: Travel Minimum Guaranteed Hours: 40 Jobs Notes: Day shift 8- 4:30, 40 hours, Need RN with acute Case Management experience recent within the last year in a hospital setting. Need discharge planning with knowledge of Utilization Review and Status

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