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Utilization Care Manager Jobs (NOW HIRING)

Crouse Hospital

Care Manager

Syracuse, NY

The Care Manager actively participates in the utilization management process using standards of care to determine the most appropriate level of care, managing care across the continuum to ensure a ...

Crouse Hospital

Care Manager

Syracuse, NY

The Care Manager actively participates in the utilization management process using standards of care to determine the most appropriate level of care, managing care across the continuum to ensure a ...

Mosaic Life Care

Care Manager

Saint Joseph, MO · On-site

The Care Manager works under the supervision of leadership providing coordination of care for ... Utilization data, Quality data, Clinical indicators, etc) utilizing electronic tools, reports, and ...

Franciscan Health

Inpatient Care Manager

Dyer, IN

... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ... Certified Case Manager (CCM) preferred * 5 years of Nursing/Patient Care experience preferred * 2 ...

Crouse Hospital

Care Manager

Syracuse, NY

The Care Manager actively participates in the utilization management process using standards of care to determine the most appropriate level of care, managing care across the continuum to ensure a ...

AHMC Healthcare

CARE MANAGER

Daly City, CA

$68 - $72/hr

The Case Manager RN is responsible for ensuring effective and efficient utilization of hospital resources and assisting patients in receiving appropriate, high quality post hospital care and service.

AHMC Healthcare

CARE MANAGER

Daly City, CA

Overview The Case Manager RN is responsible for ensuring effective and efficient utilization of hospital resources and assisting patients in receiving appropriate, high quality post hospital care and ...

AHMC Healthcare

CARE MANAGER

Daly City, CA · On-site

$68/hr

Overview The Case Manager RN is responsible for ensuring effective and efficient utilization of hospital resources and assisting patients in receiving appropriate, high quality post hospital care and ...

Lee Health

Case Manager RN - Emergency Dept

Fort Myers, FL · On-site

$31.78 - $42.90/hr

Care Management Work Type: Full Time Shift: Shift 2/8:00:00 AM to 8:30:00 PM Minimum to Midpoint Pay Rate: $31.78 - $42.90 / hour Summary Emergency Department Utilization Care Managers perform ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage the care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership abilities by ...

Crouse Hospital

Care Manager

Syracuse, NY

$80K - $86K/yr

Participates in the utilization management process using standards of care to determine the most ... appropriate level of care, managing care across the continuum to ensure a safe discharge in a ...

Willis Knighton Health

Care Manager

Shreveport, LA · On-site

Coordinate and manage the care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...

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Utilization Care Manager information

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$39K

$91K

$167.5K

How much do utilization care manager jobs pay per year?

As of May 31, 2026, the average yearly pay for utilization care manager in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Care Manager, and why are they important?

To thrive as a Utilization Care Manager, you need a background in healthcare, typically as a registered nurse or social worker, with expertise in care coordination and utilization review. Familiarity with utilization management software, medical necessity guidelines (such as Milliman or InterQual), and knowledge of insurance regulations are important. Strong analytical thinking, attention to detail, and effective communication skills help you advocate for patients while working with healthcare teams and payers. These skills ensure appropriate resource use, quality patient outcomes, and compliance with regulatory standards.

How does a Utilization Care Manager typically collaborate with medical and administrative teams to ensure effective patient care?

Utilization Care Managers work closely with physicians, nursing staff, and administrative teams to review patient cases, determine medical necessity, and coordinate appropriate care plans. They frequently participate in interdisciplinary meetings, communicate with insurance providers regarding authorizations, and ensure compliance with regulatory guidelines. This collaborative approach helps to optimize resource utilization, improve patient outcomes, and support smooth transitions of care. Being proactive in communication and documentation is key to success in this role.

What are Utilization Care Managers?

Utilization Care Managers are healthcare professionals responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They work to ensure that patients receive the right care at the right time, while also helping healthcare organizations manage costs and comply with regulations. Utilization Care Managers often review patient cases, coordinate with medical staff, and interact with insurance companies to authorize or deny services. Their goal is to optimize healthcare delivery, reduce unnecessary procedures, and improve patient outcomes.

What is the difference between Utilization Care Manager vs Utilization Review Nurse?

AspectUtilization Care ManagerUtilization Review Nurse
CredentialsRN, case management certificationRN, certification in utilization review
Work EnvironmentHealthcare facilities, insurance companiesHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing resourcesReviewing medical necessity, approving treatments

Utilization Care Managers focus on coordinating patient care and managing resources, while Utilization Review Nurses primarily evaluate medical necessity for treatments. Both roles require nursing credentials and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.

More about Utilization Care Manager jobs
What cities are hiring for Utilization Care Manager jobs? Cities with the most Utilization Care Manager job openings:
What states have the most Utilization Care Manager jobs? States with the most job openings for Utilization Care Manager jobs include:
What job categories do people searching Utilization Care Manager jobs look for? The top searched job categories for Utilization Care Manager jobs are:
Utilization Care Manager jobs near you
Infographic showing various Utilization Care Manager job openings in the United States as of May 2026, with employment types broken down into 71% Full Time, 28% Part Time, and 1% Temporary. Highlights an 39% Physical, 6% Hybrid, and 55% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
Care Manager

Care Manager

Crouse Hospital

Syracuse, NY

Full-time

Posted 8 days ago

Job description

Care Managers are licensed registered professional nurses working collaboratively with the multidisciplinary healthcare team to ensure the appropriate allocation of hospital resources while maintaining the quality of care. The Care Manager actively participates in the utilization management process using standards of care to determine the most appropriate level of care, managing care across the continuum to ensure a safe discharge in a timely manner. The Care Manager conducts the initial assessment of the patients discharge plan based on the clinical course and proactively interacts with the healthcare team to establish the plan of care.

EDUCATION / CERTIFICATION / LICENSURE

Required:

a- Currently licensed as a Registered Professional Nurse in New York State.

a- Associates Degree


Preferred:

a- Bachelor’s Degree in Nursing preferred.


EXPERIENCE

Required:

a- 3 – 5 year’s acute hospital experience.


Preferred:

a- Case Management, Utilization Management experience preferred.


SPECIAL SKILLS/EQUIPMENT

a- Excellent oral and written communication and interpersonal skills. Knowledge of federal and state regulations (DOH, Medicare/Medicare). Strong organizational and problem solving skills. Knowledge of third party payers and /or managed care principles.

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