... acute care setting. * Two years of experience in Utilization Review. * Highly effective ... Certification in Case Management.
... acute care setting. * Two years of experience in Utilization Review. * Highly effective ... Certification in Case Management.
Manager Utilization and Care Management
Murray, UT · On-site +1
$44.99 - $69.44/hr
The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of ...
New
Manager Utilization and Care Management
Murray, UT · On-site +1
$44.99 - $69.44/hr
The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of ...
New
CARE MANAGER
Daly City, CA · On-site
$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.
CARE MANAGER
Daly City, CA · On-site
$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.
Role: RN Manager of Care Management Location: MountainView Regional Medical Center Schedule: Day ... Oversees utilization review and discharge planning processes to ensure appropriateness of admission ...
Role: RN Manager of Care Management Location: MountainView Regional Medical Center Schedule: Day ... Oversees utilization review and discharge planning processes to ensure appropriateness of admission ...
Role: RN Manager of Care Management Location: MountainView Regional Medical Center Schedule: Day ... Oversees utilization review and discharge planning processes to ensure appropriateness of admission ...
New
Role: RN Manager of Care Management Location: MountainView Regional Medical Center Schedule: Day ... Oversees utilization review and discharge planning processes to ensure appropriateness of admission ...
New
CARE MANAGER
Daly City, CA · On-site
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 ...
CARE MANAGER
Daly City, CA · On-site
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 ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for ... Assists nurse Care Managers in communicating with the patient denied hospital days as well as the ...
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 ...
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 ...
BH Care Manager II - Utilization Management
$79K - $119K/yr
BH Care Manager II - Utilization Management Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for ...
New
BH Care Manager II - Utilization Management
$79K - $119K/yr
BH Care Manager II - Utilization Management Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for ...
New
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 ...
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 ...
Care Manager
Shreveport, LA · On-site
Job Summary Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...
Care Manager
Shreveport, LA · On-site
Job Summary Coordinate and manage care throughout the patient's acute inpatient illness; ensure continuity of services and appropriate utilization and management of resources. Demonstrate leadership ...
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 ...
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 ...
Care Manager
Philadelphia, PA · On-site
... care as it relates to providing ongoing psychosocial assessment, screening for potential needs ... Acting as a liaison between the patient, the clinical team, and utilization manager; the management ...
Care Manager
Philadelphia, PA · On-site
... care as it relates to providing ongoing psychosocial assessment, screening for potential needs ... Acting as a liaison between the patient, the clinical team, and utilization manager; the management ...
RN Case Manager
Michigan City, IN · On-site
Inpatient Care Manager II The Inpatient Care Manager II is critical for working with assigned ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
Inpatient Care Manager II The Inpatient Care Manager II is critical for working with assigned ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
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 ...
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 ...
BH Care Manager II - Utilization Management
Cerritos, CA · On-site
$79K - $119K/yr
BH Care Manager II - Utilization Management Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for ...
New
BH Care Manager II - Utilization Management
Cerritos, CA · On-site
$79K - $119K/yr
BH Care Manager II - Utilization Management Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for ...
New
BH Care Manager II - Utilization Management
Cerritos, CA · On-site
$79K - $119K/yr
BH Care Manager II - Utilization Management Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for ...
BH Care Manager II - Utilization Management
Cerritos, CA · On-site
$79K - $119K/yr
BH Care Manager II - Utilization Management Behavioral Health Care Manager II - Utilization Management Location: Virtual - This role enables associates to work virtually full-time, except for ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Utilization Care Manager information
See salary details
$39K - $50.7K
9% of jobs
$59.3K is the 25th percentile. Wages below this are outliers.
$50.7K - $62.4K
22% of jobs
$62.4K - $74K
11% of jobs
The median wage is $81.2K / yr.
$74K - $85.7K
14% of jobs
$85.7K - $97.4K
12% of jobs
$104.7K is the 75th percentile. Wages above this are outliers.
$97.4K - $109.1K
13% of jobs
$109.1K - $120.8K
13% of jobs
$120.8K - $132.5K
5% of jobs
$132.5K - $144.1K
2% of jobs
$144.1K - $155.8K
0% of jobs
$155.8K - $167.5K
0% of jobs
$39K
$91K
$167.5K
How much do utilization care manager jobs pay per year?
How does a utilization care manager collaborate with medical and administrative teams to ensure effective patient care?
What is a utilization care manager?
What are the key skills and qualifications needed to thrive as a utilization care manager, and why are they important?
What is the difference between Utilization Care Manager vs Utilization Review Nurse?
| Aspect | Utilization Care Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, case management certification | RN, certification in utilization review |
| Work Environment | Healthcare facilities, insurance companies | Hospitals, insurance companies, outpatient clinics |
| Primary Focus | Coordinating patient care, managing resources | Reviewing 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.
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Full-time
Posted 8 days ago
St. Clair Health rating
6.8
Based on 31 frontline employees who took The Breakroom Quiz
490th of 887 rated healthcare providers
Job description
Summary
Completes all aspects of Utilization Management for assigned patient population by evaluating appropriate status and physician orders for admission, observation, or outpatient at all points of entry to St. Clair Hospital, and ensures that appropriate orders are placed in the electronic medical record.
Minimum Qualifications
- Current licensure as a Registered Nurse in Pennsylvania.
- Five years of clinical experience as a Registered Nurse in an acute care setting.
- Two years of experience in Utilization Review.
- Highly effective communication skills.
- Ability to identify appropriate status and physician orders for the level of care the patient is or will be placed in.
- Ability to navigate electronic medical records and web-based applications.
- Possesses the ability to manage multiple tasks in a fast-paced environment.
Preferred Qualifications
- Bachelor's degree in nursing or health related field.
- Certification in Case Management.
What St. Clair Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About St. Clair Health
Sourced by ZipRecruiter
St. Clair Hospital is a highly honored, independent, 329 bed acute-care medical center that provides advanced, high quality health care to the residents of southwestern Pennsylvania. A member of the Mayo Clinic Care Network, St. Clair has 600 physicians and 2,500 employees. St. Clair Hospital is the largest employer in Pittsburgh’s South Hills. Providing virtually every health care service that residents may need throughout their lives, the Hospital is focused on continuously enhancing its services and technologies to ensure that the community’s health needs are met. The Hospital offers a comprehensive array of high-quality inpatient and outpatient services, including advanced cardiovascular services; specialized care for women and children; oncology services; orthopedics; emergency care; urgent care; and psychiatry and mental health services.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Pittsburgh, PA, US
Year founded
1954