Objective To discuss the community health management utilization behavior and its influencing factors among older migrants, and to establish its functional relationship model, so as to provide reference for community nurses conducting health management for older migrants. Methods A total of 636 older migrants from 6 communities in Hangzhou were selected using convenientce sampling, then they were investigated utilizing a self-designed questionnaire (community health management utilization behavior and influencing factors for older migrants), and structural equation model was applied to analyze the influencing factors and path. Results The total score of the community health management utilization behavior among the older migrants was 8.65±3.58, and 40 of the older migrants were high utilizer, 173 were moderate utilizer, and 423 were low utilizer. Among all the influencing factors of their community health management utilization behavior, the effect value of health needs was the largest (total effect value was 0.51), followed by policy impact and environmental accessibility (total effect value was -0.45 and -0.35) respectively, while social support, health belief and environmental impact only had an indirect impact (total effect value was 0.26, 0.16 and -0.08 respectively). Conclusion Community health management utilization behavior among older migrants is mainly influenced by health needs, policy, environmental accessibility, utilization intention, social support, health belief and environmental impact. It is necessary to enhance older migrants′ awareness of health management needs and improve the allocation of community health resources, etc., so as to promote their community health management utilization behavior.