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Director Case Management Utilization Review Jobs

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL

$19.50 - $25/hr

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 ...

HiredFirst

Director Case Management

Las Vegas, NV · On-site

$135K - $202K/yr

... utilization, onboarding, and staff competencies. The Director ensures rigorous adherence to care ... Extensive case management leadership experience with a demonstrated ability to review data and ...

Washington Hospital

Utilization Review Liaison

Fremont, CA · On-site

$32.35 - $43.63/hr

Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...

HiredFirst

Director Case Management

Las Vegas, NV

$135K - $202K/yr

... utilization, onboarding, and staff competencies. The Director ensures rigorous adherence to care ... Extensive case management leadership experience with a demonstrated ability to review data and ...

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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

Madison, AL • On-site

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

Other

Re-posted 15 days ago

Job description

American Traveler is hiring an experienced RN Case Manager with 5+ years of RN case management experience and inpatient acute case management background for an acute care hospital setting.
Job Details
• Acute care hospital setting within the Case Management department,
• Day shift schedule, 5x8-hour shifts from 8:00 AM to 4:30 PM,
• Required to work every other weekend,
• Patient ratio of 1:10,
• May be assigned to the Emergency Department to address complex clinical and social situations and avoid unnecessary admissions,
Job Requirements
• Active CA RN license required,
• Current BLS certification required,
• Minimum 5 years of RN Case Management experience required,
• Inpatient Acute Case Management hospital experience required,
• Discharge planning experience required with specific experience details to be provided,
• Care coordination and utilization review experience required,
Additional Information
• Responsible for care coordination and care transitions planning throughout the acute care patient experience,
• Collaborates with physicians, utilization managers, medical social workers, and bedside RNs to ensure timely progression and transition of patients to appropriate levels of care,
• Conducts patient assessments to determine readmission risk and screens for ancillary supportive services including palliative care needs,
• Reviews medical records to ensure patients meet level of care requirements and documentation supports LOC determination,
• Monitors length of stay and collaborates with financial counselors regarding inpatient stay denials and insurance status,
• Screens 30-day readmissions and creates effective transition plans in collaboration with interdisciplinary team,
• Identifies ED high utilizers and makes appropriate care plans and community resource referrals,
• Directs and oversees Case Management Assistants for post-acute care service preferences,
• Maintains current knowledge of CMS, Joint Commission, and other regulatory requirements for care transitions,
• Must reside within a 50-mile radius for local candidate rate eligibility,
• Local candidates are accepted at the local rate,
• Returning employees must have a separation period of at least 1 year to be eligible to return as a traveler,
• Maximum RTO of 7 days per contract with only 1 holiday allowed to be requested per contract,
• Holiday coverage required for New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day,
• Prior charge experience is preferred but not required

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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