How is Utilization Management used?
Zippia reviewed thousands of resumes to understand how utilization management is used in different jobs. Explore the list of common job responsibilities related to utilization management below:
- Coordinate pharmaceutical utilization management program.
- Trained newly-hired Utilization Management Coordinators.
- Cross-trained as Utilization Management Specialist for skilled nursing facilities in Orange County processing last covered days, authorizations and denial letters.
- Developed and implemented the Total Quality Improvement Mission Statement and Standards for the Utilization Management Department.
- Created standard operating procedures and training manuals still currently being used by the Utilization Management department.
- 15.00hrInitiated implemented and coordinated all aspects of the utilization management function for the cases assigned.
Are Utilization Management skills in demand?
Yes, utilization management skills are in demand today. Currently, 6,739 job openings list utilization management skills as a requirement. The job descriptions that most frequently include utilization management skills are utilization coordinator, utilities supervisor, and utilization review nurse.
How hard is it to learn Utilization Management?
Based on the average complexity level of the jobs that use utilization management the most: utilization coordinator, utilities supervisor, and utilization review nurse. The complexity level of these jobs is challenging.
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What jobs can you get with Utilization Management skills?
You can get a job as a utilization coordinator, utilities supervisor, and utilization review nurse with utilization management skills. After analyzing resumes and job postings, we identified these as the most common job titles for candidates with utilization management skills.
Utilization Coordinator
Job description:
Utilization coordinators are healthcare professionals who coordinate the effective use of health care services as well as review the medical care of inpatient hospitalizations. These coordinators are required to provide scheduling conflict information to their supervisors to alleviate any potential issues with the schedules of physicians that would interrupt patient care. They must provide information education to nursing and medical staff about the issues of utilization. Utilization coordinators must also perform clerical duties and utilize customized data entry programs to assist the claims department with data entry of claims.
- Patients
- Utilization Management
- Patient Care
- Medical Terminology
- Data Entry
- Utilization Review
Utilities Supervisor
Job description:
A utility supervisor supervises the activities of workers that maintain and build systems such as electrical systems, heating and ventilation, or other pipe systems. They are also responsible for supervising workers who maintain and repair processing equipment, buildings, and grounds. They may have to inspect systems, determine necessary maintenance, and compile detailed reports of the cost of completed work.
- Safety Training
- Utilization Review
- Culinary
- Utilization Management
- Utility Systems
- Safety Procedures
Utilization Review Nurse
Job description:
The primary role of an Utilization Review Nurse is to analyze the condition of each patient carefully and decide if the patient still needs to stay in the hospital or be sent home. They deal with patients' relatives, doctors, and people from insurance companies.
- Medical Necessity
- Patients
- Acute Care
- Discharge Planning
- Utilization Management
- Utilization Review
Utilization Review Coordinator
Job description:
In the medical industry, a utilization review coordinator primarily conducts reviews and assessments to ensure that patients receive efficient care and services. Among their responsibilities include coordinating with different departments to gather and analyze data, preparing and processing document and patient information, evaluating current services to identify its strengths and weaknesses, and implementing solutions against problem areas. Furthermore, as a utilization review coordinator, it is essential to maintain an active communication line with staff for a smooth and efficient workflow.
- Patients
- Patient Care
- Acute Care
- Utilization Management
- Discharge Planning
- Social Work
Medical Specialist
Job description:
Medical specialists are responsible for diagnosing patients and performing medical procedures according to their areas of expertise. They coordinate with the clinical team on administering medications, conducting laboratory examinations, and monitoring admitted patients, ensuring that they receive high-quality care services from the medical staff. A medical specialist also communicates with the patients' families to respond to their medical inquiries and concerns, as well as providing them with updates on the patients' progress. A medical specialist observes the cleanliness and orderliness of the facilities at all times, including the inspection of medical tools and equipment for operations.
- Patients
- Customer Service
- Patient Care
- Utilization Management
- Medical Management
- Patient Education
How much can you earn with Utilization Management skills?
You can earn up to $47,791 a year with utilization management skills if you become a utilization coordinator, the highest-paying job that requires utilization management skills. Utilities supervisors can earn the second-highest salary among jobs that use Python, $53,668 a year.
| Job title | Average salary | Hourly rate |
|---|---|---|
| Utilization Coordinator | $47,791 | $23 |
| Utilities Supervisor | $53,668 | $26 |
| Utilization Review Nurse | $65,425 | $31 |
| Utilization Review Coordinator | $52,117 | $25 |
| Medical Specialist | $40,277 | $19 |
Companies using Utilization Management in 2025
The top companies that look for employees with utilization management skills are Humana, Prime Therapeutics, and UnitedHealth Group. In the millions of job postings we reviewed, these companies mention utilization management skills most frequently.
| Rank | Company | % of all skills | Job openings |
|---|---|---|---|
| 1 | Humana | 16% | 10,422 |
| 2 | Prime Therapeutics | 11% | 1,320 |
| 3 | UnitedHealth Group | 10% | 7,299 |
| 4 | Evolent Health | 10% | 1,027 |
| 5 | Highmark | 6% | 6,015 |
Departments using Utilization Management
| Department | Average salary |
|---|---|
| Healthcare | $66,225 |
1 courses for Utilization Management skills
1. Agile Project Management Utilizing Microsoft Project
Learn how to use Microsoft Project to manage agile projects. Author Luke Angel covers setting up agile projects for success, creating custom fields to track elements unique to the agile project method, such as features and sprints, and managing and updating agile task lists as work is completed. She also shows how to manage traditionally scheduled tasks and agile work side by side, track agile project progress, generate burndown reports, and determine your team's velocity. Topics include: Setting project optionsDefining working timeSetting up custom fields and viewsCreating tasksAssigning features to sprintsAssigning resources to tasksTracking progressGenerating a burndown report...