# Utilization Management

Skill · Healthcare and Medical

Canonical page: https://career.thegoodapps.co/skills/utilization-management

Utilization management is a healthcare administration process used by insurers and hospitals to evaluate the necessity, efficiency, and appropriateness of medical services and treatments before, during, or after they are provided. Nurses, case managers, and medical directors use it to control costs and ensure care aligns with clinical guidelines, often through prior authorization and concurrent review processes.

## Utilization Management in the job market

- Open roles: 10
- Employers hiring: 5
- Last checked: September 13, 2026

## Roles that use Utilization Management

- [Pharmacy Director](https://career.thegoodapps.co/occupations/pharmacy-director) — 1
- [Physician](https://career.thegoodapps.co/occupations/physician) — 1
- [Psychologist](https://career.thegoodapps.co/occupations/psychologist) — 1
- [Registered Nurse](https://career.thegoodapps.co/occupations/registered-nurse) — 1

## Employers hiring for Utilization Management

- [Elevance Health](https://career.thegoodapps.co/organizations/elevance-health) — 4 open roles
- [Cambia Health Solutions](https://career.thegoodapps.co/organizations/cambia-health-solutions) — 2 open roles
- [Cohere Health](https://career.thegoodapps.co/organizations/cohere-health) — 2 open roles
- [AdventHealth](https://career.thegoodapps.co/organizations/adventhealth) — 1 open role
- [Cigna](https://career.thegoodapps.co/organizations/cigna) — 1 open role

Related skills: [Utilization Review](https://career.thegoodapps.co/skills/utilization-review), [Case Management](https://career.thegoodapps.co/skills/case-management), [Care Coordination](https://career.thegoodapps.co/skills/care-coordination), [Clinical Documentation](https://career.thegoodapps.co/skills/clinical-documentation)

## Open roles requiring Utilization Management (10)

- [Global Clinical Program Strategy Director - Cigna Healthcare - Hybrid](https://career.thegoodapps.co/jobs/67d3b6bf-b337-4ec0-a173-51eea77e758c/global-clinical-program-strategy-director-cigna-healthcare-hybrid-at-cigna) at [Cigna](https://career.thegoodapps.co/organizations/cigna) — Full-time, $141,500 – $235,900
- [Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE](https://career.thegoodapps.co/jobs/f2744566-1285-45ea-905e-3c2d02701bbb/associate-medical-director-behavioral-health-or-utilization-management-medical) at [Cambia Health Solutions](https://career.thegoodapps.co/organizations/cambia-health-solutions) — Part-time, $217,600 – $294,400
- [Registered Nurse Care Manager](https://career.thegoodapps.co/jobs/84a6ac14-b6a7-4fdc-b658-b44af3d249be/registered-nurse-care-manager-at-adventhealth) at [AdventHealth](https://career.thegoodapps.co/organizations/adventhealth) — Full-time, ADVENTHEALTH HEART OF FLORIDA, $32 – $56 / hour
- [Behavioral Health Medical Director – Psychiatrist – California Medicaid (Part-Time)](https://career.thegoodapps.co/jobs/5de92022-7390-475d-b71a-ee7c1adce240/behavioral-health-medical-director-psychiatrist-california-medicaid-part-time) at [Elevance Health](https://career.thegoodapps.co/organizations/elevance-health) — Part-time, $178,135 – $290,438
- [Medical Patient Language Writing Specialist](https://career.thegoodapps.co/jobs/2718ccbc-8c18-48e2-95ea-62122758dd42/medical-patient-language-writing-specialist-at-cohere-health) at [Cohere Health](https://career.thegoodapps.co/organizations/cohere-health) — Full-time, United States, $85,000 – $92,000
- [Director Clinical Operations and Medical Policy](https://career.thegoodapps.co/jobs/ad3e839d-fecd-4186-987e-1709a6b6a8f0/director-clinical-operations-and-medical-policy-at-cambia-health-solutions) at [Cambia Health Solutions](https://career.thegoodapps.co/organizations/cambia-health-solutions) — Full-time, $166,992 – $242,700
- [Psychologist Reviewer - Kansas - part time](https://career.thegoodapps.co/jobs/fb051707-aab2-4759-85c0-4cd1b3e65e7a/psychologist-reviewer-kansas-part-time-at-elevance-health) at [Elevance Health](https://career.thegoodapps.co/organizations/elevance-health) — Part-time
- [Strategic Medical Director, Diagnostic Imaging](https://job-boards.greenhouse.io/coherehealth/jobs/7814262003) at [Cohere Health](https://career.thegoodapps.co/organizations/cohere-health) — Full-time, United States, $285,000 – $305,000 (listed on Cohere Health's own careers site)
- [Nurse Case Manager Lead](https://career.thegoodapps.co/jobs/4cb506f5-476c-4ca9-a40f-93d551581be2/nurse-case-manager-lead-at-elevance-health) at [Elevance Health](https://career.thegoodapps.co/organizations/elevance-health) — Full-time
- [LTSS Service Coordinator - Eastern Iowa](https://career.thegoodapps.co/jobs/2978ac31-407a-4265-8974-03c5ce760140/ltss-service-coordinator-eastern-iowa-at-elevance-health) at [Elevance Health](https://career.thegoodapps.co/organizations/elevance-health)