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Director Case Management Utilization Review Jobs

Albanymed

Utilization Review Nurse

Albany, NY · On-site

$77K - $119K/yr

PRI and Case Management certification preferred. Assertive and creative in problem solving ... Self-directed with the ability to adapt in a changing environment. Basic knowledge of computer ...

Prime Staffing

Travel Utilization Review RN

Orange, CA · On-site

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing ... We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire ...

TH Medical

Director - Case Management

Detroit, MI · On-site

Utilization Management Implements and monitors processes to ensure medical necessity review ... Monitors to ensure case management staff document in the Tenet Case Management system to ...

TH Medical

Director - Case Management

Detroit, MI

Utilization Management Implements and monitors processes to ensure medical necessity review ... Monitors to ensure case management staff document in the Tenet Case Management system to ...

MedStar Health

Director Case Management

Columbia, MD · On-site

The Director of Case Management (DCM) oversees case management activities that may include behavioral health utilization management and care management functions and serves as a liaison to government ...

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL · On-site

$93K - $140K/yr

Two years previous experience in case management/utilization review. * Certification in Case ... Self-directed with sound decision making and communication skills. * Ability to promote team ...

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Director Case Management Utilization Review information

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$45K

$123.6K

$199.5K

How much do director case management utilization review jobs pay per year?

As of Sep 13, 2026, the average yearly pay for director case management utilization review in the United States is $123,611.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,000.00 and $141,500.00 per year, depending on experience, location, and employer.

What is the difference between Director Case Management Utilization Review vs Case Manager?

AspectDirector Case Management Utilization ReviewCase Manager
CredentialsRN, BSN, or related healthcare certifications; often with management experienceRN or licensed healthcare professional; certification varies
Work EnvironmentAdministrative, leadership, and oversight roles in healthcare organizationsDirect patient care, coordination, and support roles
ResponsibilitiesOverseeing utilization review processes, policy development, team managementAssessing patient needs, coordinating care, documenting progress

The main difference is that the Director of Case Management Utilization Review focuses on overseeing review processes and managing teams, while a Case Manager handles direct patient care and coordination. The director role involves strategic oversight, whereas the case manager role is more hands-on with patient interactions.

What cities are hiring for Director Case Management Utilization Review jobs?

Cities with the most Director Case Management Utilization Review job openings:

What states have the most Director Case Management Utilization Review jobs?

States with the most job openings for Director Case Management Utilization Review jobs include:

What are popular job titles related to Director Case Management Utilization Review jobs?

For Director Case Management Utilization Review jobs, the most frequently searched job titles are:

Infographic showing various Director Case Management Utilization Review job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 92% Full Time, 4% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $123,611 per year, or $59.4 per hour.

Travel RN - Case Management/Utilization Review - Case Management

Gordon, AL • On-site

American Traveler
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about American Travelerexternal

Other

Posted 3 days ago

New

Job description

American Traveler is hiring a Case Management RN for a hospital case management role requiring 3+ years of hospital case management experience and a compact or PA RN license.
Job Details
• Hospital-based Case Management unit,
• Adult and geriatric patient population on MS/MS Tele units,
• Approximately 25 cases per day,
• Day shift schedule, 5x8 hours, 8:00 AM to 4:30 PM,
• No weekend or on-call requirements,
• 1 holiday coverage required,
• May float to other units depending on need,
• Uses Epic charting system,
• Business casual dress code with white lab coat required,
Job Requirements
• Active RN license (Compact or PA) required at time of consideration,
• BLS certification required,
• BSN required,
• 3+ years of hospital case management and discharge planning experience required,
• Experience with InterQual and Milliman utilization review criteria required,
• Knowledge of utilization review processes including admission criteria, appeals and denials, concurrent review, and medical necessity determinations,
• Familiarity with regulatory standards such as CMS, HIPAA, ICD-10, DRG, and Joint Commission requirements,
• PA fingerprint clearance and Childline clearance required, which may involve travel and processing time,
• Valid references and copies of certifications required for consideration,
Additional Information
• Coordinate patient care, discharge planning, and utilization review activities for assigned caseload,
• Apply InterQual and Milliman guidelines to support admission and continued stay reviews,
• Collaborate with healthcare team to ensure regulatory compliance and quality care standards,
• RTO must be submitted prior to consideration; time off requests after submission will not be accommodated,
• Block scheduling cannot be accommodated,
• Candidates residing within 50 miles are considered local and may be offered a different pay rate,
• First-time travelers are welcome to apply,
• Labs must be completed within 48 hours of contract signing,
• Modules completed within the first 8 hours of orientation are non-billable

American Traveler logo

About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999

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