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Utilization Case Manager Jobs in New Jersey (NOW HIRING)

ATD Technology LLC

Case Manager

Morristown, NJ · On-site

$54 - $56/hr

Performs utilization management and quality screenings In- Patient Case Management is required Skills: * 2 years of acute care experience strongly preferred * Case Management, Managed Care. In ...

ATD Technology LLC

Case Manager

Morristown, NJ · On-site

$66 - $68/hr

Performs utilization management and quality screenings Skills: * 2 years of acute care experience strongly preferred * Case Management, Managed Care. * In Patient Case Management is required ...

ATD Technology LLC

Case Manager

Morristown, NJ · On-site

$54 - $56/hr

Performs utilization management and quality screenings Skills: * 2 years of acute care experience strongly preferred * Case Management, Managed Care. * In Patient Case Management is required

ATD Technology LLC

Case Manager

Morristown, NJ · On-site

$54 - $56/hr

Performs utilization management and quality screenings Skills: * 2 years of acute care experience strongly preferred * Case Management, Managed Care. * In Patient Case Management is required * NJ ...

ATD Technology LLC

Case Manager

Morristown, NJ · On-site

$54 - $56/hr

Performs utilization management and quality screenings Skills: * 2 years of acute care experience strongly preferred * Case Management, Managed Care. In Patient Case Management is required Education:

Encompass Health

Case Manager

Toms River, NJ · On-site

$20.25 - $26/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications License or Certification:

Encompass Health

Case Manager

Tinton Falls, NJ · On-site

$21.25 - $27.25/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

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Utilization Case Manager information

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What degree do I need for utilization case manager?

Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).

What are popular job titles related to Utilization Case Manager jobs in New Jersey?

For Utilization Case Manager jobs in New Jersey, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in New Jersey look for?

The top searched job categories for Utilization Case Manager jobs in New Jersey are:

What cities in New Jersey are hiring for Utilization Case Manager jobs?

Cities in New Jersey with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in New Jersey as of August 2026, with employment types broken down into 84% Full Time, 12% Part Time, 2% Temporary, and 2% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution.

Case Manager

ATD Technology LLC

Morristown, NJ • On-site

$54 - $56/hr

Contractor

Re-posted 17 days ago

Job description

Duties:

  • Coordinates patients through the acute care hospitalization
  • Manages all aspects of discharge planning/transition process
  • Performs utilization management and quality screenings In- Patient Case Management is required

Skills:

  • 2 years of acute care experience strongly preferred
  • Case Management, Managed Care.  In Patient Case Management is required

Education:

  • BSN required
  • RN license required
  • CCMC preferred

Schedule Notes:

  • 8a - 4p
  • May require weekend coverage

Hours Per Day:

  • 7.50

Hours Per Week

  • 37.50

Department:

  • CARE MANAGEMENT

ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified job seekers with our client programs while meeting all parties’ financial needs and technical goals. ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000, mid cap and small cap companies in the Commercial, Private, Public and Government sectors across North America.

ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties' financial and technical goals. ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000, mid cap and small cap companies in the Commercial, Public and Government sectors.