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Utilization Case Manager Jobs in Aurora, IL (NOW HIRING)

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL · On-site

$93K - $140K/yr

Two years previous experience in case management/utilization review. * Certification in Case Management preferred. * Experience in RAC auditing / review. * DCFS Mandated Reporter Certificate of ...

Morris Hospital

MANAGER CASE MANAGEMENT

Morris, IL · On-site

$19.50 - $25/hr

Two years previous experience in case management/utilization review. * Certification in Case Management preferred. * Experience in RAC auditing / review. * DCFS Mandated Reporter Certificate of ...

Veracity

UR Review Case Manager (Admin)

Chicago, IL · On-site

The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides ...

Corvel

Medical Case Manager II

Downers Grove, IL · On-site

$65K - $98K/yr

As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...

County of DuPage

Clinical Case Manager

Wheaton, IL

$56K - $59K/yr

Develops and maintains current documentation in the medical records regarding status of discharge plans, case management authorizations and utilization review related to discharge. Conducts Minimal ...

County of DuPage, CO

Clinical Case Manager

Wheaton, IL · On-site

$56K - $59K/yr

Develops and maintains current documentation in the medical records regarding status of discharge plans, case management authorizations and utilization review related to discharge. * Conducts Minimal ...

Corvel

Medical Case Manager II - Field

Downers Grove, IL · On-site

$66K - $101K/yr

As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Aurora, IL

Utilization Case Manager information

See Aurora, IL salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for utilization case manager in Aurora, IL is $36.17, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $38.12 per hour, depending on experience, location, and employer.

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 Aurora, IL?

For Utilization Case Manager jobs in Aurora, IL, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Aurora, IL look for?

The top searched job categories for Utilization Case Manager jobs in Aurora, IL are:

What cities near Aurora, IL are hiring for Utilization Case Manager jobs?

Cities near Aurora, IL with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you

Lead Utilization Management Nurse

First Match Services, Inc.

Oak Brook, IL • On-site, Remote

Full-time

Retirement, PTO

Re-posted 7 days ago

Job description

We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and shared-risk models. They deliver timely, turn-key solutions for healthcare providers, health plans and strategic partners.
In this position as the Lead Utilization Management Nurse you will provide expertise in Utilization Management while managing a small team of UM nurses to help ensure that every patient receives the right type of care, at the right time in the right setting, every day! You will also provide hands-on expertise to help implement company strategies and provide oversight of assigned IPA Utilization Management program.
Some other responsibilities include:
  • Conducting monthly client UM Committee meetings
  • Act as a resource for the UM Nurses (first point of contact for clinical clarification/education)
  • Participate in data analysis of utilization metrics
  • Prepare, participate and present summary utilization management reports to UM/QM Committee
  • Much More!

QUALIFICATIONS
  • Bachelor of Science degree (AND or BSD) in Nursing
  • At least 4-5 years of relevant professional experience, including medical management experience in health plans, provider, or MSO settings and quality chart reviews
  • Registered Nurse (RN) with a current and active nursing license to practice in the State of Illinois is required 
  • A minimum of three (3) years of responsible leadership experiences in management positions
  • Certified Case Manager (CCM) preferred
  • Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable
  • Valid Driver's License and vehicle required
  • Ability to travel at least 30% for client meetings within the state required

ADDITIONAL DETAILS
  • On-site gym FREE to employees
  • On-site deli
  • Professional Development Opportunities
  • Great base salary with bonus potential
  • Full benefits, 401k and PTO allowance
  • Eligible for consideration of partial work from home status upon completion of probationary period as designated by the direct supervisor.