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Utilization Review Manager Jobs in Rochester, MN

AEG

General Manager- Mayo Civic Center

Rochester, MN · On-site

Aggressively promotes the use of the facility to maximize its utilization. * Negotiate lease ... review and analysis. * Performs Live Entertainment risk/profit analyses to secure local, regional ...

Geotek LLC

Shift Superintendent

Stewartville, MN · On-site

$86K - $107K/yr

... labor utilization, schedule attainment, scrap, rework, training, and operational metrics • ... MGR's with annual performance reviews and other administrative duties as assigned by Director.

InfraServices

Integration Foreman

Wanamingo, MN · On-site

$28 - $35/hr

Supervise on-site inventory and material management, ensuring accurate tracking, appropriate utilization, and timely replenishment of project supplies * Collect, review, and submit all required on ...

InfraServices

Integration Foreman

Wanamingo, MN · On-site

... management, ensuring accurate tracking, appropriate utilization, and timely replenishment of project supplies Collect, review, and submit all required on-site closeout documentation in accordance ...

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All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Rochester, MN

Utilization Review Manager information

See Rochester, MN salary details

$39.6K

$92.5K

$170.3K

How much do utilization review manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for utilization review manager in Rochester, MN is $92,512.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $111,300.00 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 Rochester, MN?

The most popular types of Utilization Review jobs in Rochester, MN are:

What are popular job titles related to Utilization Review Manager jobs in Rochester, MN?

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

What job categories do people searching Utilization Review Manager jobs in Rochester, MN look for?

The top searched job categories for Utilization Review Manager jobs in Rochester, MN are:

What cities near Rochester, MN are hiring for Utilization Review Manager jobs?

Cities near Rochester, MN with the most Utilization Review Manager job openings:

Utilization Review Manager jobs near you

Program Manager

US Department of the Treasury

Rochester, MN

$125K/yr

Full-time

Re-posted yesterday

U.S. Department Of The Treasury rating

8.2

Company rating: 8.2 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

311th of 855 rated public administrative organizations

Job description

WHAT IS TEGE - Tax Exempt/Government Entities ?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • TEGE - Exempt Organizations and Government Entities - Government Entities, Federal, State, Local (FSL)
REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by the closing date of this announcement.
QUALIFICATION REQUIREMENTS: To qualify for this position, you must meet the qualification requirements outlined below:
SPECIALIZED EXPERIENCE: To be minimally qualified for this position you must have at least one (1) year of specialized experience equivalent to the next lower level payband or GS grade in the normal line of progression. Specialized experience would include one year of substantive supervisory or program management experience at the GS-13 or GS-14 level or equivalent level manager or comparable management or leadership experiences outside of Federal service. To be qualifying for this position your experience should be sufficient to demonstrate:

  • Applying management techniques, methods, theories, principles, and labor relations concepts, sufficient to assure optimum utilization of personnel, equipment, and space, and to accomplish program objectives through combined technical and administrative oversight
  • Applying appropriate operations, policies, applicable laws, regulations, rules, practices, procedures, and techniques sufficient to provide oversight and direction in the planning, development, and implementation of the technical aspects of programs directly related and/or specific to the position being filled.
  • Applying budget and fiscal methods used in establishing and maintaining an organization.
  • Working on major programs segments, organizational structures and/or functional responsibilities specific to the position being filled.
  • Analyzing and reporting enterprise risks using established risk management principles, tools, practices, and frameworks to manage risks.
  • Providing strategic recommendations to executive leadership to strengthen governance, support mission objectives, and enhance organizational performance.
  • Communicating technical, and sensitive information through written reports, executive briefings, presentations, and consultations with senior executives, managers, employees, and external stakeholders to build consensus, influence outcomes, and support strategic initiatives.


AND
You must also meet the following requirement(s):

  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens".

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

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