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Utilization Review Manager Jobs in Michigan (NOW HIRING)

Integra Partners

Utilization Management Coordinator

Troy, MI · On-site +1

$19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES ... Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ...

UHS

UR COORDINATOR

Augusta, MI · On-site

  • Medical

Minimum of 1 years of experience in utilization review/case management preferred. * Minimum of 1 year facility based psychiatric/substance abuse experience preferred. EEO Statement All UHS ...

UHS

UR COORDINATOR

Augusta, MI · On-site

  • Medical

Minimum of 1 years of experience in utilization review/case management preferred. * Minimum of 1 year facility based psychiatric/substance abuse experience preferred. EEO Statement All UHS ...

UHS

UR COORDINATOR

Augusta, MI

  • Medical

Minimum of 1 years of experience in utilization review/case management preferred. * Minimum of 1 year facility based psychiatric/substance abuse experience preferred. EEO Statement All UHS ...

Trinityhealth

Case Manager

Livonia, MI

$18.75 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. Current knowledge of third party payor ...

Trinity Health

Case Manager

Livonia, MI · On-site

$18.75 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. • Current knowledge of third party payor ...

Trinity Health

Case Manager

Livonia, MI · On-site

$18.75 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. Current knowledge of third party payor ...

Healthcare Support Staffing

Care Review Clinician

Troy, MI · On-site

$33 - $37/hr

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members ...

Trinity Health

Case Management

Livonia, MI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. • Current knowledge of third party payor ...

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Showing results 41-60

All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Michigan

Utilization Review Manager information

See Michigan salary details

$34K

$79.3K

$146K

How much do utilization review manager jobs pay per year?

As of Aug 18, 2026, the average yearly pay for utilization review manager in Michigan is $79,325.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,900.00 and $95,400.00 per year, depending on experience, location, and employer.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.

What are the key skills and qualifications needed to thrive as a utilization review manager?

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

What are the most commonly searched types of Utilization Review jobs in Michigan?

The most popular types of Utilization Review jobs in Michigan are:

What are popular job titles related to Utilization Review Manager jobs in Michigan?

For Utilization Review Manager jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Utilization Review Manager jobs in Michigan look for?

The top searched job categories for Utilization Review Manager jobs in Michigan are:

What cities in Michigan are hiring for Utilization Review Manager jobs?

Cities in Michigan with the most Utilization Review Manager job openings:

Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Michigan as of August 2026, with employment types broken down into 82% Full Time, 13% Part Time, 2% Temporary, 2% Contract, and 1% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $79,325 per year, or $38.1 per hour.

Utilization Management Coordinator

Integra Partners

Troy, MI • On-site, Remote

$19/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals.
JOB RESPONSIBILITIES
  • Monitor incoming faxes
  • Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes
  • Verify eligibility and claim history in proprietary claims platform
  • Verify all necessary documentation has been submitted with authorization requests
  • Contact requesting providers to obtain medical records or other necessary documentation related to specific UM request
  • Generate correspondence and assist with faxing/mailing member and provider notifications
  • Complete verbal notifications
  • Document as required in authorization platform
  • Initiate appeal cases and forward to UM Nurses for completion
  • Meet internal and regulator deadlines for UM cases
  • Complete tasks assigned by UM Nurses and document as required
  • Complete inquiries received from call center and other internal & external sources
  • Other duties as assigned by UM Director
  • Strong organizational skills, ability to adapt quickly to change and desire to work in a fast-paced environment
  • Team oriented and self-motivated with a positive attitude

Pay: $19.00/hour
What will you learn in the first 6 months?
  • Verbal notifications
  • How to work in authorization systems Essette and Salesforce
  • Incoming/outgoing faxing process
  • Understanding the expectations and functions of the UM team
  • Time Management

What will you achieve in the first 12 months?
  • Expand knowledge of ICD-10 and HCPC codes
  • Maintaining expected timelines

EXPERIENCE:
  • 1 year as a UM Coordinator in a managed care payer environment preferred
  • Knowledge of ICD-10, HCPCS codes and medical terminology required
  • Ability to prioritize multiple tasks using time management and organizational skills
  • Strong computer skills with proficiency in Word, Outlook and other software applications
  • Ability to collect data, establish facts and draw valid conclusions
  • Effective written and oral communication skills
  • Experience with DMEPOS desired
  • Medicare/Medicaid experience a plus

Benefits Offered
  • Competitive compensation and annual bonus program
  • 401(k) retirement program with company match
  • Company-paid life insurance
  • Company-paid short term disability coverage (location restrictions may apply)
  • Medical, Vision, and Dental benefits
  • Paid Time Off (PTO)
  • Paid Parental Leave
  • Sick Time
  • Paid company holidays and floating holidays
  • Quarterly company-sponsored events
  • Health and wellness programs
  • Career development opportunities

Remote Opportunities
We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington.
Our Story
Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits.
With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We're looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.
Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

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