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Insurance Case Manager Jobs in Ogden, UT (NOW HIRING)

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.25 - $25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Assesses and discusses funding and insurance issues with client, family, and healthcare providers ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.25 - $25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Assesses and discusses funding and insurance issues with client, family, and healthcare providers ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.25 - $25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Assesses and discusses funding and insurance issues with client, family, and healthcare providers ...

University of Utah Health

Case Manager

Salt Lake City, UT · On-site

$19.25 - $25/hr

Case management services include monitoring patient care to ensure progress toward desired outcome ... Assesses and discusses funding and insurance issues with client, family, and healthcare providers ...

First Step House

Nurse Case Manager

Salt Lake City, UT · On-site

Nurse Case Manager At First Step House, "We help people build lives of meaning, purpose, and ... Medical, Dental, Vision, Life Insurance Education and Experience * Current, unrestricted Registered ...

Medical City Alliance

RN Case Manager

Ogden, UT · On-site

Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan ... Certification in case management or utilization review preferred. * InterQual experience preferred.

New

Ogden Regional Medical Center

RN Case Manager

Ogden, UT · On-site

Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan ... Certification in case management or utilization review preferred. * InterQual experience preferred.

Ogden Regional Medical Center

RN Case Manager

Ogden, UT · On-site

Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan ... Certification in case management or utilization review preferred. * InterQual experience preferred.

Ogden Regional Medical Center

RN Case Manager

Ogden, UT · On-site

Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan ... Certification in case management or utilization review preferred. * InterQual experience preferred.

Ogden Regional Medical Center

RN Case Manager

Ogden, UT · On-site

Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan ... Certification in case management or utilization review preferred. * InterQual experience preferred.

Mission Hospital

RN Case Manager

South Weber, UT · On-site

Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan ... Certification in case management or utilization review preferred. * InterQual experience preferred.

Ogden Regional Medical Center

RN Case Manager

Ogden, UT · On-site

Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan ... Certification in case management or utilization review preferred. * InterQual experience preferred.

First Step House

Nurse Case Manager

Salt Lake City, UT · On-site

The Valor House Nurse Case Manager provides nursing care, medication management, and health ... Medical, Dental, Vision, Life Insurance Education and Experience * Current, unrestricted Registered ...

Lowe Law Group

Legal Team Case Manager

Ogden, UT · On-site

$20 - $24/hr

Legal Team Case Manager (Full-Time | In-Office | Pre-Litigation) Location: Ogden, Utah Department ... Dental insurance * 401(k) with company match * Paid time off (PTO)

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Ogden, UT

Insurance Case Manager information

See Ogden, UT salary details

$31.8K

$49.8K

$72.4K

How much do insurance case manager jobs pay per year?

As of Aug 7, 2026, the average yearly pay for insurance case manager in Ogden, UT is $49,752.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,200.00 and $57,700.00 per year, depending on experience, location, and employer.

What does an insurance case manager do?

An Insurance Case Manager coordinates and manages insurance claims on behalf of clients, ensuring that cases are processed efficiently and accurately. They review claims, gather necessary documentation, communicate with policyholders, healthcare providers, and insurance companies, and advocate for the best possible outcomes. Their role often involves assessing coverage, resolving issues, and helping clients understand their insurance benefits and options. By serving as a liaison, they streamline the claims process and support clients throughout their case.

What are the key skills and qualifications needed to thrive as an insurance case manager?

To thrive as an Insurance Case Manager, you need a solid understanding of insurance policies, case management practices, and regulatory compliance, often supported by a bachelor’s degree in a related field and relevant certifications such as Certified Case Manager (CCM). Familiarity with claims management software, customer relationship management (CRM) systems, and medical terminology is typically required. Strong communication, organizational, and problem-solving skills help you effectively coordinate between clients, providers, and insurers. These competencies are crucial for ensuring accurate case evaluations, timely claims processing, and high-quality client service.

What is the difference between Insurance Case Manager vs Claims Adjuster?

AspectInsurance Case ManagerClaims Adjuster
CredentialsCertifications like CPCU or ARM often preferredAdjuster licenses required by state
Work EnvironmentOffice-based, client interaction, case managementField or office-based, claims investigation
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentManaging claims, coordinating benefitsEvaluating and settling claims

While both roles work within the insurance industry, Insurance Case Managers focus on coordinating benefits and managing ongoing cases, often requiring certifications like CPCU. Claims Adjusters primarily investigate and settle claims, often working in the field. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What is an insurance case manager?

An insurance case manager’s duties are to ensure the delivery of health care benefits or other forms of insurance and related services to their clients and to oversee their clients’ cases. As an insurance case manager, you can work in a variety of settings but usually for insurance carriers and HMOs. Your responsibilities differ depending on who your employer is and the type of insurance you work with. For example, if you work for a life insurance company, your duties involve assessing risk, processing new application paperwork, and other tasks similar to that of an underwriter.

Is an insurance case manager a stressful job?

Insurance case managers often handle complex cases involving claims, requiring strong organizational and communication skills. The job can be stressful due to tight deadlines, high workload, and the need to manage multiple stakeholders, but it also offers opportunities for problem-solving and professional growth. Stress levels vary depending on workload, employer support, and individual resilience.

How does an insurance case manager typically collaborate with other departments to ensure smooth claim processing?

Insurance Case Managers frequently work with underwriters, claims adjusters, customer service representatives, and sometimes medical professionals to gather necessary information and resolve complex cases. They act as a central point of communication, ensuring all parties are aligned and that documentation is complete and accurate. This collaboration helps streamline claim evaluations, address any discrepancies swiftly, and deliver timely resolutions for clients. Strong teamwork and clear communication are essential for success in this role.
More about Insurance Case Manager jobs
What job categories do people searching Insurance Case Manager jobs in Ogden, UT look for? The top searched job categories for Insurance Case Manager jobs in Ogden, UT are:
What cities near Ogden, UT are hiring for Insurance Case Manager jobs? Cities near Ogden, UT with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Ogden, UT as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $49,752 per year, or $23.9 per hour.

Case Manager

University of Utah Health

Salt Lake City, UT • On-site

$19.25 - $25/hr

Full-time

Re-posted 12 days ago

University Of Utah Health rating

7.7

Company rating: 7.7 out of 10

Based on 142 frontline employees who took The Breakroom Quiz

161st of 887 rated healthcare providers

Job description

Overview
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes across the patient care continuum from pre-admission through post-discharge. Case management services include monitoring patient care to ensure progress toward desired outcome, addressing patient and family needs, resolving obstacles to effective care, coordinating care with payers and vendors, patients and families. Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients discharge plan. This position may be required to access and administer medications within their scope of practice and according to State Law.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
  • Coordinates case management process from patient's entry into the healthcare system to post-discharge, including outpatient settings. Coordinates care and resources with physicians, social workers, and other team members to achieve optimal patient outcomes.
  • Identifies patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request.
  • Monitors and documents quality of care to ensure patient care plan goals are appropriate and that they are understood and implemented. Routinely assesses client and family response to services, while also measuring care plan effectiveness and necessity. Identifies patient needs, including those of an ethical and cultural nature, and ensures they are addressed.
  • Facilitates cost effective outcomes by determining appropriate level of care based on diagnosis, severity, intensity of services required, and other relevant criteria, using national and regional length of stay standards and community norms.
  • Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes.
  • Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and reimbursement.
  • Identifies actual and potential delays in service requests or treatment and communicates them to health care team so steps can be taken to eliminate or minimize delays.
  • Works with other team members to plan appropriate and timely discharges.
  • Establishes measurable discharge planning and self-management goals that promote safe, cost effective, high quality outcomes.
  • Provides oversight of issuance of CMS Important Message to patients.
  • Supervises technical support staff assigned to individual case management teams.
  • May set up patients' follow up appointments and performs post discharge phone calls to patients per care team design.
  • May be required to complete home or site visits as required by the department.
  • At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.
Knowledge / Skills / Abilities
  • Ability to perform the essential functions of the job as outlined above.
  • Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.
  • Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills.
  • Knowledge of funding resources and clinical standards and outcomes.
  • Ability to provide care appropriate to the population served.
  • Demonstrated independent judgment to assess and meet client needs. Ability to have meaningful outcome oriented dialogues with patients, families, various patient care disciplines, ancillary departments, health care and community agencies, third party payors, and Health Science Center professional schools in coordinating care and services for patients.
  • The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned area.
  • The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.

Qualifications
Qualifications
Required
  • Two years of professional experience in a clinically related area.
  • Dependent upon the department of hire, may be required to provide reliable transportation for site visits.
Licenses Required
  • One of the following
    • Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.
    • Current Licensed Clinical Social Worker (L.C.S.W.) certificate for clinical practice in the State of Utah.
    • Current license to practice as a Clinical Mental Health Counselor in the State of Utah.
    • Current license to practice as a Physical Therapist in the State of Utah, or obtain one within 90 days of hire under the Physical Therapy Compact if switching residency to State of Utah. Must maintain current Physical Therapy Compact (multi-state) license if residency is not being changed to Utah.
    • Current licensure to practice as an Occupational Therapist in the State of Utah.
* Additional license requirements as determined by the hiring department.
Qualifications (Preferred)
Preferred
  • Basic Life Support Health Care Provider card through American Heart Association.
  • A Certified Case Management designation.
  • Previous experience in clinical resource management activities and third party payer interactions.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
  • This position involves light work that may exert up to 20 pounds and may consistently require light work involving lifting, carrying, pushing, pulling or otherwise moving objects involving patient care or medical equipment. This position does not provide any direct patient care. Workers in this position may be exposed to infectious diseases and may be required to function around prisoners or behavioral health patients.

Physical Requirements
Carrying, Color Determination, Far Vision, Lifting, Listening, Manual Dexterity, Near Vision, Non Indicated, Pulling and/or Pushing, Reaching, Sitting, Speaking, Standing, Stooping and Crouching, Walking

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