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Utilization Review Manager Jobs in Rochester, MN

Word On Fire

Facilities Director

Rochester, MN · On-site

$100K - $140K/yr

Review and negotiate service contracts to ensure cost-effective operations * Support insurance ... management * Knowledge of space utilization strategies, move coordination, workplace layout ...

Word On Fire

Facilities Director

Rochester, MN · On-site

$100K - $140K/yr

Review and negotiate service contracts to ensure cost-effective operations * Support insurance ... management * Knowledge of space utilization strategies, move coordination, workplace layout ...

Benchmark

Senior Director, Supply Chain

Rochester, MN · On-site

$185K - $209K/yr

Present results to cognizant operating Divisions' Management • Foster and maintain a sound and ... L. 95-507 • Responsible for the selection, training, developing and reviewing of subordinates;

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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 Jul 22, 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 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 are the key skills and qualifications needed to thrive as a Utilization Review Manager, and why are they important?

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 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.

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 most commonly searched types of Utilization Review jobs in Rochester, MN? The most popular types of Utilization Review jobs in Rochester, MN are:
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Utilization Review Manager jobs near you
Supervisor - Cardiology - Cardiac Lab

Supervisor - Cardiology - Cardiac Lab

Mayo Clinic

Rochester, MN

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Job description

Join our world-renowned team and you will receive:  

  • Relocation assistance up to $10,000, is available to those who qualify
  • Amazing benefits including a rare pension plan, and PTO that starts day one of employment 
  • Room for career growth and advancement
  • Generous family benefits including FSA, paid parental leave, adoption assistance, back up child and adult care, and dependent scholarships
  • Career Investment Program where relevant degrees and certificate programs are 100% paid for by Mayo Clinic to those who qualify

Responsible for overseeing the Cardiac Lab Technicians, including staffing, training, development, and performance management. Responsible for resource utilization through cost effective staffing. Responsible for supporting daily operational management of patient flow. Support on-call responsibilities.

*This vacancy is not eligible for sponsorship and we will not sponsor or transfer visas for this position including F1 OPT Stem.

During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. 

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law".  Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Three years supervisory experience and/or past performance that demonstrates strong leadership skills, including successfully achieving process outcomes and improvement goals, performance coaching and organizational skills, and the ability to communicate effectively with others required. Bachelors Degree preferred.

Must show consistency and confidentiality in dealing with human resource issues and maintain effective relationships with allied health staff, supervisory colleagues, physicians, and administrative leadership. Must be able to efficiently handle a wide variety of tasks simultaneously. Must be able to adapt to a rapidly changing environment. 

Licensure or Certification:

Registered Cardiovascular Invasive Specialist (RCIS) certification.

For candidates who are Radiology Technicians and registered by the American Radiologic Technologists (AART)- RCIS or RCES certification through CCI must be obtained within 18 months of hire into the position.

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About Mayo Clinic

Sourced by ZipRecruiter

Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Rochester, MN, US

Year founded

1919

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