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Utilization Jobs (NOW HIRING)

Samaritan Daytop Village

Utilization Manager

Queens, NY

$34.61 - $38.46/hr

Utilization Manager Healthcare staff can work anywhere....The BEST work with US! $34.61-38.46 per hour A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs ...

Clarvida - Georgia

Utilization Manager

Savannah, GA · On-site

Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate Utilization Management functions for the agency. * Trains staff on proper documentation, including ...

Clarvida - Georgia

Utilization Manager

Augusta, GA · On-site

Utilization Manager LCSW, LPC, LMSW, LAPC As our Utilization Manager, you will coordinate Utilization Management functions for the agency. * Trains staff on proper documentation, including ...

UHS

UTILIZATION COORDINATOR

Memphis, TN · On-site

Responsibilities Utilization Management Coordinator Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to provide superior behavioral ...

Acadia Healthcare

Utilization Specialist

Springfield, MO · On-site

$18 - $22/hr

Overview Utilization Specialist Lakeland Behavioral Health System We're Hiring a Utilization Specialist! Lakeland Behavioral Health System is looking for a Utilization Specialist to help support ...

Summit BHC

Utilization Specialist

Williamsburg, VA · On-site

Utilization Specialist | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays ...

GRO Community

Utilization Review Manager

Chicago, IL · On-site

Utilization Review Manager Location: Chicago Job Type: Full-Time Reports to: Director of Revenue Cycle Manager; In Direct Reporting to Chief Clinical Officer Direct Reports: none, subject to change ...

Summit BHC

Utilization Specialist

Champaign, IL · On-site

Utilization Specialist | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays ...

GRO Community

Utilization Review Manager

Chicago, IL · On-site

Utilization Review Manager Location: Chicago Job Type: Full-Time Reports to: Director of Revenue Cycle Manager; In Direct Reporting to Chief Clinical Officer Direct Reports: none, subject to change ...

Acadia Healthcare

Utilization Specialist

Danville, PA · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the ...

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Utilization information

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$42

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How much do utilization jobs pay per hour?

As of Jul 8, 2026, the average hourly pay for utilization in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Utilization vs Resource Coordinator?

AspectUtilizationResource Coordinator
Primary FocusMeasuring and optimizing how staff time is usedManaging and assigning resources for projects
Required CredentialsOften no specific credentials, but industry experience helpsTypically requires organizational or project management skills
Work EnvironmentCorporate, healthcare, or consulting firmsProject teams, staffing agencies, or departments
Common UsageTracking staff utilization ratesAllocating resources to projects or tasks

Utilization focuses on measuring how effectively staff time is used, often to improve productivity. Resource Coordinator involves actively managing and assigning resources to ensure project needs are met. While related, utilization is more about analysis, and resource coordination is about execution and management.

What are utilization specialists?

Utilization specialists are professionals who review and evaluate the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. They work closely with healthcare providers, insurance companies, and patients to ensure that care is delivered according to established guidelines and that resources are used effectively. Their goal is to help manage costs while ensuring patients receive the appropriate level of care.

What are some of the common challenges faced by Utilization Review Specialists when assessing medical necessity of services?

Utilization Review Specialists often encounter the challenge of balancing patient advocacy with cost-effective care. They must stay updated on evolving insurance policies and clinical guidelines, which can be complex and change frequently. Additionally, coordinating with physicians and healthcare staff to obtain necessary documentation and clarifying treatment plans can be time-consuming. Strong communication skills and attention to detail are essential to ensure timely and accurate reviews, while also maintaining positive working relationships with clinical teams.

What are the key skills and qualifications needed to thrive as a Utilization Review Specialist, and why are they important?

To thrive as a Utilization Review Specialist, you need a background in healthcare (often as an RN or LPN/LVN), strong analytical skills, and knowledge of insurance and medical necessity criteria. Familiarity with utilization management software, ICD-10/CPT coding, and regulatory guidelines like Medicare and Medicaid is typically required. Excellent attention to detail, critical thinking, and effective communication skills set top performers apart in this role. These abilities are crucial to accurately evaluating patient care needs, ensuring regulatory compliance, and optimizing resource use within healthcare organizations.
More about Utilization jobs
What cities are hiring for Utilization jobs? Cities with the most Utilization job openings:
What are the most commonly searched types of Utilization jobs? The most popular types of Utilization jobs are:
What states have the most Utilization jobs? States with the most job openings for Utilization jobs include:
Utilization jobs near you
Infographic showing various Utilization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Utilization Manager

Utilization Manager

Samaritan Daytop Village

Queens, NY

$34.61 - $38.46/hr

Full-time

Re-posted 13 days ago

Samaritan Daytop Village rating

6.4

Company rating: 6.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Utilization Manager

Healthcare staff can work anywhere….The BEST work with US!

$34.61-38.46 per hour

A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.

Samaritan Daytop Village, serves over 33,000 New Yorkers annually within your neighborhoods and communities so our success depends on those we employ.

The Role

In concert with the agency’s mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements.


What You Will Do

  • Conducts timely scheduled/required utilization reviews for Residential Services sites.
  • Conducts timely and complete quality and appropriateness reviews on a representative sample of treatment records for residential service sites.
  • Attends monthly/other require UR Committee meetings. Prepares accurate and timely UR Committee minutes and reports. Participates in the agency’s Quality Improvement / Utilization Management Committee.
  • Provides Supervisory support to CASAC Counselors and Peer Workers as needed with supervisory guidance from Management/Leadership Team.
  • Monitors and evaluates ongoing audit for chart.
  • Provides direct care services to clients as needed.
  • Assists with the maintenance of the agency’s OASAS accreditation for the program, i.e., standards review and conformance auditing.
  • Performs other duties as assigned.

Who You Will Be

  • High School Diploma or GED required, higher education in the human services field, preferred
  • Current CASAC or the ability to complete requirements to obtain a CASAC (T) within 6 months of hire
  • At least one year of clinical or quality assurance experience in behavioral healthcare/human services organization or one year demonstrated clinical experience in substance use or mental health treatment
  • In depth knowledge on HIPAA, OASAS, and 42 CFR regulations
  • Working knowledge of quality assurance and utilization review systems
  • Proficient in Microsoft Office Suite and EHR systems.
  • Experience working with people from diverse racial, ethnic, and socioeconomic backgrounds.
  • Strong written, verbal, and interpersonal communication skills.
  • Ability to accurately document records according to program standards.
  • Ability to work independently.
  • Spanish bilingual skills are a plus.

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