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Utilization Manager Jobs in Stamford, CT (NOW HIRING)

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Utilization Review RN

Greenvale, NY · On-site

Provides timely and thorough case screening to identify case management needs and make appropriate ... Responds to outstanding utilization management issues and inquiries made via overnight voicemail ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Stamford, CT

Utilization Manager information

See Stamford, CT salary details

$41.6K

$97.1K

$178.7K

How much do utilization manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization manager in Stamford, CT is $97,083.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,500.00 and $116,800.00 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.

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For Utilization Manager jobs in Stamford, CT, the most frequently searched job titles are:

What job categories do people searching Utilization Manager jobs in Stamford, CT look for?

The top searched job categories for Utilization Manager jobs in Stamford, CT are:

What cities near Stamford, CT are hiring for Utilization Manager jobs?

Cities near Stamford, CT with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Stamford, CT as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, 2% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $97,043 per year, or $46.7 per hour.

Clinical Appeals and Medical Necessity Manager

Montefiore New Rochelle

Yonkers, NY • On-site

$80 - $100/hr

Other

Posted 17 days ago

Job description

## Clinical Appeals Manager MNApplylocations: 100 Corporate Boulevardtime type: Full timeposted on: Posted Todayjob requisition id: JR229392**City/State:**Yonkers, New York**Grant Funded:**No**Department:**REV - Utilization Management**Work Shift:**Day**Work Days:**MON-FRI**Scheduled Hours:**8:30 AM-5 PM**Scheduled Daily Hours:**7.5 HOURS**Pay Range:**$80,000.00-$100,000.00**Job Summary** This position directly manages the appeals process at the Wakefield Division of Montefiore Medical Center. This RN/PA/FMG/MD/HIM Professional responds to third party clinical denials, interfaces with health plans, works closely with Finance and Contracting regarding utilization management health plan issues, and advises the Director of denial trends. S/he analyzes Wakefield Division denials and acts accordingly to minimize the financial impact of third party payer denials. S/he ensures the Wakefield Division denials and appeals are documented properly in the designated automated tracking application. S/he performs first level review for FFS Medicare elective and emergent hospital admissions. S/he also acts as a resource regarding medical necessity to other associates of the department and to departments that interface with Utilization Management. S/he exhibits expertise in the knowledge of rules, mandates and regulations related to denials and appeals and educates and mentors Case Managers/CTCC's and related staff to ensure compliance with these. S/he will interface with the Case Managers/CTCC's in order to clarify clinical scenarios when medical record documentation is insufficient to do so and the Case Manager/CTCC's was involved with a case on a concurrent basis. CTCC's performing appeals activity report to this associate.**Qualifications**:* Bachelors degree in health care or related field required - Masters preferred* RN/Physician Assistant/Foreign Medical Graduate/HIM Professional preferred* Analytical skills required* Knowledge of Medical Terminology required* Experience in Managed Care/Utilization Management Required* Excellent verbal and written communication and interpersonal skills required* Excellent organizational skills requiredMontefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. #J-18808-Ljbffr

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