Utilization Management Manager

AltaMed Health Services

. Oversee a team of nurses and support staff managing patients’ care within inpatient, SNF, and Home Health settings .

Posted 10/14/2026full-timeMontebello • California • United StatesSeniorLead💰 $109,948 - $137,435 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Inpatient Case Management and Utilization Management while effectively leading nursing teams and optimizing patient care pathways. Strong background in policy development, mentorship, and collaboration with multidisciplinary healthcare teams.

Highest-signal resume keywords

Current CA RN/LVN LicenseInpatient Case ManagementUtilization ManagementHealth Insurance ExperienceBLS Certification

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Patient Care ManagementPolicy DevelopmentPerformance AppraisalAudit PreparationDischarge Planning

Soft Skills

MentorshipCollaborationAdvocacyLeadership

Certifications & Qualifications

BLS Certification

Industry Keywords

Inpatient RegulationsDurable Medical Equipment (DME)Managed CareCommercial InsuranceMedicareMedi-Cal

About the role

Key responsibilities & impact

Oversee a team of nurses and support staff managing patients’ care within inpatient, SNF, and Home Health settings
Directly supervise inpatient, home health, and durable medical equipment (DME) nurses and support staff
Oversee the inpatient leadership team
Develop and implement policies and procedures
Analyze day-to-day reporting and prepare for audits
Provide mentorship and assist with performance appraisals
Serve as a subject matter expert on professional nursing and inpatient regulations
Represent the Inpatient team in initiatives and client presentations
Liaise with business units to ensure appropriate discharge planning
Collaborate with patients, families, healthcare teams, physicians, social workers, insurance providers, and community organizations
Navigate challenging placement scenarios and advocate for patients’ needs
Optimize care pathways, support services, and continuity of care

Requirements

What you’ll need

Current CA RN/LVN License required
Minimum of 7 years of relevant experience required
Minimum of 2 years of management experience as a team leader, supervisor, or project/program manager preferred
Health insurance/managed care experience (Commercial, Medicare, and Medi-Cal)
Knowledge of Inpatient Case Management, Utilization Management, or Utilization Review
Valid BLS certification or higher following American Heart Association (AHA) or American Red Cross guidelines

Benefits

Comp & perks

Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Career Advancement & Development opportunities
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance
Discretionary bonuses or incentives may apply