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Utilization Manager Jobs in Springfield, GA (NOW HIRING)

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to ...

Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to ...

Maintaining effective utilization of manpower, equipment and supplies. * Assessing the need for and ... management experience. * Possess a Basic Life Support (BLS) certification by start date. * ACLS ...

Track quantities, equipment utilization, productivity, and cost performance * Manage RFIs, submittals, pay applications, change orders, and subcontractor billing * Maintain strong relationships with ...

Showing results 41-60

Utilization Manager information

See Springfield, GA salary details

$32.2K

$75.2K

$138.4K

How much do utilization manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for utilization manager in Springfield, GA is $75,181.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,200.00 and $90,500.00 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.

What cities near Springfield, GA are hiring for Utilization Manager jobs?

Cities near Springfield, GA with the most Utilization Manager job openings:

Infographic showing various Utilization Manager job openings in Springfield, GA as of August 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $75,181 per year, or $36.1 per hour.

Care Coordinator - CH

St. Joseph's/Candler

Savannah, GA • On-site

$32.75/hr

Full-time

PTO

Posted 27 days ago


St. Joseph's/Candler Health System rating

7.0

Company rating: 7.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz


Job description

  • Position Summary
    • The Care Coordinator assumes responsibility and accountability for the collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual’s medical and psychosocial needs, using communication and available resources to insure quality, cost-effective outcomes. Closely monitors length of stay for all assigned patients.
  • Education
    • Bachelor's Degree in Nursing - Preferred  or Master's Degree in Social Work - Preferred
  • Experience
    • 1-2 Years if nursing or social work experience - Required
    • 3 - 5 Years of case management experience in acute care setting - Preferred
  • License & Certification
    • Professional License with State of Practice - Required for Nurse; Preferred for Social Worker
    • National Certification in Case Management - Preferred
  • Core Job Functions
    • Performs brief assessment, readmission risk assessment, and 6 clicks mobility assessment within one business day of admission.  Discuss discharge-planning needs with patient, family, and care team to determine most effective coordination of resources. Ensures patient/family/caregiver is aware of and agreeable to expected day of discharge.  Reassess and document updates to discharge plan every 2 days including patient understanding or refusal of plan. 
    • Collaborates with Social Workers for complex-patient problem resolution.  Resolves outstanding or unanticipated discharge issues through communication with patient, family, and care team. Schedule regular family conferences to maintain communication. Present and discuss high-risk complex patients at high risk LOS / Complex Care rounds with CCC leadership. Discuss barriers with the attending physician and if unsuccessful, escalate to leadership and Physician Advisor.
    • Attends MDRs per department standard operating procedure.  Provides GMLOS, actual LOS, and expected date of discharge for every patient each day.  Focus MDR team’s attention on identifying barriers to discharge and creating plan of action to address the barriers.  Provide insights on appropriate patients status and level of care.   Review action items created during MDRs at the daily 2pm touchpoint meetings to determine resolution versus need for additional action
    • Identifies patients who are readmissions or at high risk of extending their stay beyond the GMLOS and take actions to minimize avoidable days.  Documents avoidable days per department standard operating procedure.
    • Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritize review of SDC and Observation patients to determine if ready for discharge. Follows payer requirements and government regulations to ensure compliant, safe, and cost-effective care.
    • Identify anticipated discharge date for each patient each day. Provide insights on appropriate patient status and level of care throughout the patient stay to care team members during MDRs. Focus care team's attention on discharge planning, outliers and potential outliers. Present and discuss medical plan and transition plan of assigned patients at high risk LOS meetings.
    • Maintains communication with care team by checking voice mail and email at minimum every 2 hours, completes required documentation by the end of the workday, adheres to on-call schedule and works holidays/covers weekend WOW absences as scheduled, and provides handoffs by email to team members as patients transition through the continuum of care.  Provides weekend / on-call / PTO handoff.

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