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Utilities manager skills for your resume and career

Updated January 8, 2025

4 min read

Below we've compiled a list of the most critical utilities manager skills. We ranked the top skills for utilities managers based on the percentage of resumes they appeared on. For example, 10.3% of utilities manager resumes contained behavioral health as a skill. Continue reading to find out what skills a utilities manager needs to be successful in the workplace.

15 utilities manager skills for your resume and career

1. Behavioral Health

Here's how utilities managers use behavioral health:

Review and evaluate inpatient and outpatient behavioral health treatments for medical necessity, emergency status and quality of care.
Perform behavioral health utilization management for managed care customers seeking inpatient and outpatient services across multiple states.

2. Patients

Here's how utilities managers use patients:

Conducted utilization and clinical reviews with patients receiving mental health and substance use services ensuring compliance with all qualifying medical criteria.
Consulted with attending physicians and insurance company medical director to customize treatment plans for high-risk patients to prevent hospital re-admissions.

3. Discharge Planning

Here's how utilities managers use discharge planning:

Perform discharge planning in collaboration with hospital interdisciplinary team including utilization review nurses, social services, and physicians.
Communicated identified discharge planning activities cross-functionally with Program Director and staff in preparation of client discharge.

4. Utilization Review

Another name for utilization review is utilization management. It is the process of ensuring that healthcare services are used in a suitable manner. Utilization review is a critical component of adding value to the health care system. Mostly, UR is carried out by healthcare insurance companies, but hospitals and other healthcare providers also perform the process. Utilization review has three types of assessment namely: concurrent, prospective, and retrospective.

Here's how utilities managers use utilization review:

Developed and Instituted utilization review for medical appropriateness of radiology services Requested further documentation to ensure proper billing of services.
Analyzed and evaluated utilization reviews to determine appropriateness of services rendered to members and determined if compensation was warranted.

5. Community Resources

Community resources are a set of resources that are used in the day to day life of people which improves their lifestyle in some way. People, sites or houses, and population assistance can come under the services offered by community resources.

Here's how utilities managers use community resources:

Reviewed therapist and paraprofessional notes for clinical appropriateness, conducted therapy and provided community resources to clients.
Established a strong networking/referral relationship with community resources to sustain longevity of program.

6. Appeals

Here's how utilities managers use appeals:

Monitor Appeals Department for accuracy of clinical requests.
Compile PowerPoint quarterly reviews for unused beds, denials, approvals, quality issues, chart appeals, etc.

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7. Patient Care

Patient care entails the diagnosis, recovery, and control of sickness as well as the maintenance of physical and emotional well-being through the use of healthcare providers' services. Patient care is described as services provided to patients by health practitioners or non-professionals under guidance.

Here's how utilities managers use patient care:

Collaborate with interdisciplinary treatment team for treatment planning and contribute to clinical decision-making processes to ensure quality patient care.
Identified opportunities of savings through product substitution without affecting quality or patient care.

8. Performance Measures

Here's how utilities managers use performance measures:

Audited performance measures, drafted measure work-ups and other materials for Incentive Performance Measurement.

9. Substance Abuse

Here's how utilities managers use substance abuse:

Reviewed utilization of mental health and substance abuse services provided in inpatient and intermediate care settings.
Review and approve substance abuse and psychiatric in patient hospitalizations for Medicaid members.

10. Medicaid

Here's how utilities managers use medicaid:

Consulted weekly with company Medical Directors regarding systems of care and acuity of Medicaid recipients receiving care.
Assisted in overseeing the implementation of Comprehensive Community Support Services as a new Medicaid benefit.

11. Oversight

Having oversight of someone means to monitor a process or a situation. If someone has oversight of something, they are responsible for the completion of the project. Oversight is usually given to experts as they monitor their juniors or newbies as they go through a project.

Here's how utilities managers use oversight:

Selected for this position after water quality was questioned by government oversight officials and congressional inquiries had begun.
Conducted ongoing availability, monitoring and oversight of non-clinical staff activities.

13. HEDIS

Here's how utilities managers use hedis:

Perform member followups for Anti-psychotic and ADHD medication compliance HEDIS quality measures.
Identify the medical information that supports the specific HEDIS measure.

14. Concurrent Review

Here's how utilities managers use concurrent review:

Reviewed & assessed medical records for appropriate physician orders, prepared concurrent reviews and retrospective reviews as assigned.
Completed concurrent reviews to assess daily treatment outcomes and when necessary facilitated doctor to doctor review process.

15. InterQual

Here's how utilities managers use interqual:

Supervised medical record review to determine appropriateness of admission, procedures, and the necessity for stay utilizing InterQual criteria.
Conducted individual training to doctors on documentation that meets medical necessity and InterQual criteria.

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List of utilities manager skills to add to your resume

The most important skills for a utilities manager resume and required skills for a utilities manager to have include:

Behavioral Health
Patients
Discharge Planning
Utilization Review
Community Resources
Appeals
Patient Care
Performance Measures
Substance Abuse
Medicaid
Oversight
Social Work
HEDIS
Concurrent Review
InterQual
Health Plan

CMS
Rehabilitation
Home Health
Medical Necessity Criteria
NCQA
Medical Services
Quality Care
SNF
HIPAA
HVAC
Mental Health
CPT
Clinical Documentation
Regulatory Agencies
Milliman
Utilization Management

Direct Reports
Medical Management
Regulatory Compliance
ICD-9
Process Improvement
Performance Evaluations
Outpatient Services
Compressed Air Systems
HMO
Water Treatment
URAC
Peer Review
Cost Savings
Clinical Review
APS

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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