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Utilization Review Manager Jobs in Rochester, MN

Energy Market Analyst

Rochester, MN · On-site +1

$103K - $151.47K/yr

... utilization of RPU's portfolio. Maintain knowledge of MISO resource adequacy rules and capacity ... Understand and review MISO settlement statements with Manager Perform other duties as assigned or ...

Energy Market Analyst

Rochester, MN · On-site

$103K - $151.47K/yr

... utilization of RPU's portfolio. * Maintain knowledge of MISO resource adequacy rules and capacity ... Understand and review MISO settlement statements with Manager Perform other duties as assigned or ...

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Utilization Review Manager information

See Rochester, MN salary details

$35.8K

$83.5K

$153.6K

How much do utilization review manager jobs pay per year?

As of Jun 1, 2026, the average yearly pay for utilization review manager in Rochester, MN is $83,466.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,600.00 and $100,400.00 per year, depending on experience, location, and employer.

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 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 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 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 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:
Assistant Supervisor -Security Ambassador

Assistant Supervisor -Security Ambassador

Mayo Clinic

Rochester, MN

Full-time

Medical, Dental, Vision, Retirement

Posted 21 days ago


Mayo Clinic rating

7.8

Company rating: 7.8 out of 10

Based on 673 frontline employees who took The Breakroom Quiz

131st of 864 rated healthcare providers


Job description

The Mayo Clinic Global Security Ambassador Assistant Supervisor will assist in overseeing a workforce of Security Ambassadors. The Security Ambassadors verify patient appointments, communicate with colleagues within the practice to gather appointment details, understand and enforce the institutional visitor policy, following designated screening script and process flows, enforce entrance utilization via the use of related visitor management equipment and any related policies (ex: masking, badging), and may greet patients and visitors and assist with navigation. The Security Ambassador primarily works at patient designated buildings/entrances to ensure policy enforcement and to monitor patient and visitor flow. The Ambassadors will also work with our Facilities Access Management technologies including but not limited to weapons detection and visitor management technology. The assistant supervisors are responsible for helping with the recruiting, interviewing, hiring and performance management of Security Ambassadors. They are also responsible for assisting the training and development of staff, scheduling, providing direction, problem solving, and daily operations. They will use appropriate data to drive staffing to workload and other business-related decisions. The assistant supervisor will be familiar with Mayo Policies and Procedures and keep staff informed as needed. They will also be familiar with the Emergency Preparedness Plan and serve as a focal point for emergencies at the numerous screening checkpoints to ensure a safe and secure environment. They will ensure Ambassadors are trained to respond to a variety of emergencies they may encounter at the checkpoints. The Assistant Supervisors will perform routine Ambassador functions as needed along with their other duties.

This position may be required to carry and deploy a taser.

**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

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.

High school diploma or GED required. Associate's degree or three years of work in customer service, healthcare, security or related field of equivalent training/education. Must have strong communication, interpersonal, problem solving, and organizational skills. A commitment to providing excellent customer service and the ability to work collaboratively in a team environment is essential. Outstanding professionalism, management skills, strong computer skills, time management skills and the ability to work independently. Works well both with and in positions of authority, fosters an environment of mutual respect, teamwork, and open collaboration not only within their work unit but across enterprise work units. Must understand and promote a culture of safety. Ability to recognize staff for opportunities of growth, development, and positive performance. Must demonstrate good judgment in respecting the confidentiality of patient and employee information along with promoting a high degree of morale and spirit of motivation within the work unit. Requires flexibility and a willingness to participate and initiate change to improve efficiency. Knowledge of multiple office, clinical applications, security software programs and security-related equipment. These systems include but are not limited to EVOLV, Resolver, EPIC, Nextiva, and Microsoft Office. Must exhibit evidence of conflict management and resolution skills. Must complete training in SIRA, Verbal Judo, and AVADE within 6 months of hire.


What Mayo Clinic employees say

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Get the full story on Breakroom


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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