One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
RN Care Manager - Population Health
Sandy Springs, GA · On-site
$70 - $95/hr
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
RN Care Manager - Population Health
Sandy Springs, GA · On-site
$70 - $95/hr
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
One (1) year of care / case / utilization management experience (provider and/or managed care organization) * Knowledge of the principles and practices of population health, care management, case ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Manager of Paralegal Services
Atlanta, GA · On-site
$120 - $165/hr
The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...
Manager of Paralegal Services
Atlanta, GA · On-site
$120 - $165/hr
The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...
Telephonic Nurse Case Manager
Atlanta, GA · On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Telephonic Nurse Case Manager
Atlanta, GA · On-site
Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...
Serve as the local access and reimbursement expert for the assigned geography, monitoring payer policy, formulary coverage, utilization management requirements, pharmacy access pathways, prior ...
New
Serve as the local access and reimbursement expert for the assigned geography, monitoring payer policy, formulary coverage, utilization management requirements, pharmacy access pathways, prior ...
New
Vice President, Clinical Pharmacy (PBM)
Gainesville, GA · On-site
$180 - $260/hr
Provide clinical oversight of analysis of therapeutic trends, utilization patterns, and opportunities to improve patient outcomes and manage costs. * Ensure all programs align with evidence‑based ...
Vice President, Clinical Pharmacy (PBM)
Gainesville, GA · On-site
$180 - $260/hr
Provide clinical oversight of analysis of therapeutic trends, utilization patterns, and opportunities to improve patient outcomes and manage costs. * Ensure all programs align with evidence‑based ...
Patient Care Coordinator RN
Atlanta, GA · On-site
$16.75 - $22/hr
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.
Patient Care Coordinator RN
Atlanta, GA · On-site
$16.75 - $22/hr
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.
Patient Care Coordinator, RN
Atlanta, GA · On-site
$16.75 - $22/hr
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.
Patient Care Coordinator, RN
Atlanta, GA · On-site
$16.75 - $22/hr
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.
Coord, Patient Care
Atlanta, GA · On-site
$16.75 - $22/hr
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.
New
Coord, Patient Care
Atlanta, GA · On-site
$16.75 - $22/hr
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.
New
Serve as the local access and reimbursement expert for the assigned geography, monitoring payer policy, formulary coverage, utilization management requirements, pharmacy access pathways, prior ...
New
Serve as the local access and reimbursement expert for the assigned geography, monitoring payer policy, formulary coverage, utilization management requirements, pharmacy access pathways, prior ...
New
Utilization Management & CDI Support Maintain cross-functional knowledge and competency in Utilization Management (UM) and Clinical Documentation Integrity (CDI). Collaborate with UM and CDI teams to ...
New
Utilization Management & CDI Support Maintain cross-functional knowledge and competency in Utilization Management (UM) and Clinical Documentation Integrity (CDI). Collaborate with UM and CDI teams to ...
New
Utilization Management & CDI SupportMaintain cross-functional knowledge and competency in Utilization Management (UM) and Clinical Documentation Integrity (CDI).Collaborate with UM and CDI teams to ...
New
Utilization Management & CDI SupportMaintain cross-functional knowledge and competency in Utilization Management (UM) and Clinical Documentation Integrity (CDI).Collaborate with UM and CDI teams to ...
New
Utilization Management & CDI SupportMaintain cross-functional knowledge and competency in Utilization Management (UM) and Clinical Documentation Integrity (CDI).Collaborate with UM and CDI teams to ...
Utilization Management & CDI SupportMaintain cross-functional knowledge and competency in Utilization Management (UM) and Clinical Documentation Integrity (CDI).Collaborate with UM and CDI teams to ...
Provide clinical oversight of analysis of therapeutic trends, utilization patterns, and opportunities to improve patient outcomes and manage costs. * Ensure all programs align with evidence-based ...
Quick apply
Provide clinical oversight of analysis of therapeutic trends, utilization patterns, and opportunities to improve patient outcomes and manage costs. * Ensure all programs align with evidence-based ...
Utilization Manager information
See Suwanee, GA salary details
$36.3K - $47.2K
9% of jobs
$55.2K is the 25th percentile. Wages below this are outliers.
$47.2K - $58K
22% of jobs
$58K - $68.9K
11% of jobs
The median wage is $75.6K / yr.
$68.9K - $79.8K
14% of jobs
$79.8K - $90.7K
12% of jobs
$97.5K is the 75th percentile. Wages above this are outliers.
$90.7K - $101.5K
13% of jobs
$101.5K - $112.4K
13% of jobs
$112.4K - $123.3K
5% of jobs
$123.3K - $134.2K
2% of jobs
$134.2K - $145K
0% of jobs
$145K - $155.9K
0% of jobs
$36.3K
$84.7K
$155.9K
How much do utilization manager jobs pay per year?
As of Sep 6, 2026, the average yearly pay for utilization manager in Suwanee, GA is $84,710.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,400.00 and $101,900.00 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?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found 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 Suwanee, GA look for?
The top searched job categories for Utilization Manager jobs in Suwanee, GA are:
What cities near Suwanee, GA are hiring for Utilization Manager jobs?
Cities near Suwanee, GA with the most Utilization Manager job openings:
Full-time
Posted 4 days ago
Northside Hospital rating
7.3
Based on 450 frontline employees who took The Breakroom Quiz
305th of 898 rated healthcare providers
Job description
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
The RN Care Manager’s primary responsibilities are to oversee care management and coordination of clinical activities for high-risk patients and to promote population management through effective education, self-management support, goal setting, and timely health care delivery. This will include developing and monitoring care management processes and support for primary clinical teams. The Nurse Care Manager will work cooperatively with practice personnel to best serve the needs of the identified patient panel and primary care teams.
REQUIRED
- Bachelor of Science in Nursing from an accredited School of Nursing or applicable field
- Current License in the State of Georgia as a Registered Nurse or Nursing Compact (NLC/eNLC) or Multistate License OR an accredited advanced healthcare related degree
- Three (3) years of clinical care experience
PREFERRED
- One (1) year of care / case / utilization management experience (provider and/or managed care organization)
- Knowledge of the principles and practices of population health, care management, case management, utilization review and clinical quality improvement experience providing clinical care in a primary care setting
- Prior experience with clinical assessments, interviewing, and patient education skills
- Analytical skills necessary to prepare reports.
- Experienced user of clinical information systems (i.e. electronic health record, practice management systems, disease registries, clinical analytic systems)
- Ability to work collaboratively with physicians and healthcare administrators
- Ability to work independently with under general direction
- Skill in oral and written communication
8AM-4PM
What Northside Hospital employees say
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Benefits
Hours and flexibility
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Get the full story on Breakroom
About Northside Hospital
Sourced by ZipRecruiter
* 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Atlanta, GA, US