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Utilization Case Manager Jobs in Central Point, OR

Asante

Case Management Specialist

Medford, OR · On-site

$23.28 - $32.02/hr

... Case Management Specialist functions as a member of the Case Management team. They utilize ... utilization review, and denials management activities as defined by the RN Discharge Coordinator ...

Seafield Center

Assessment Counselor

Medford, OR

$21 - $38/hr

Determine appropriate level of care, after reviewing case with supervisor. * Coordinate all ... Crisis Intervention * Knowledge of Managed Care * Agespecific clinical skills-Adolescent

All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Central Point, OR

Utilization Case Manager information

See Central Point, OR salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization case manager in Central Point, OR is $36.22, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $38.17 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.

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 degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

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.

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 cities near Central Point, OR are hiring for Utilization Case Manager jobs?

Cities near Central Point, OR with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you

Discharge Coord/Case Manager RN ARRMC (Case Management)

Asante

Medford, OR • On-site

$49.33 - $67.84/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Additional Position Details: FTE: 0.000001 | On Call | Variable Schedule Days
Salary Range: $49.33-$ 67.84
Position Summary
The RN Discharge Coordinator/Case Manager performs a variety of duties centered around the discharge and case management of patients. Responsibilities include assessing patients for transitional care needs and barriers to discharge; communicating with the patient and family on their preferences; charting and documentation of plan of care; coordinating plans for discharges involving community resources and alternate levels of care; facilitating successful adherence to the discharge plan; maintaining high quality, patient centered and cost-effective results; and complying with all regulatory requirements.
The Discharge Coordinator/Case Manager has a pivotal role in providing a smooth transition to the patient's next level of care. This role requires the ability to utilize critical thinking, multitasking, and prioritization. An additional requirement is strong communication skills to promote collaborative relationships with the patients, their families, and the healthcare team.
Qualifications
Education
  • Bachelor's degree in nursing or allied health field, preferred

Experience
  • 2 years of progressive nursing experience in an acute care setting, preferably within discharge, utilization, and/or case management - or the equivalent in education and/or experience - is required

Please note: Preference will be given to candidates having both preferred experience and education
Licensure/Certifications
  • RN: Registered Nurse licensed by the Oregon State Board of Nursing required upon start
  • CCM: Certified Case Manager, preferred
  • ACM: Accredited Case Manager, preferred

Skills/Abilities
  • Ability to prioritize job responsibilities and organize workload
  • Effectively communicate information related to system, departmental, and patient processes
  • Demonstrates flexibility in workload adjustments and volume
  • Ability to function in a team environment with healthcare professionals
  • Excellent interpersonal skills to effectively represent the department to the public and interact with fellow team members, nursing/physician/ancillary staff, third-party payors, and patients/families
  • Project management skills; technical support with computer skills; critical thinking; leadership attributes; problem solving skills; ability to gather data and report on findings, preferred
Total Rewards
We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:
  • Competitive Pay: Hourly and salaried positions earn market-based compensation.
  • Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
  • Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
  • Paid Time Off: Generous ETO for part-time and above employees.
  • Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
  • Additional Benefits: Life insurance, disability coverage, and employee assistance programs.

At Asante, we are guided by our values:
Excellence - Respect - Honesty - Service - Teamwork
Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.
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About Asante

Sourced by ZipRecruiter

As the largest healthcare provider in nine counties, Asante provides comprehensive medical care to more than 600,000 people throughout southern Oregon and northern California. At Asante, our top priority is you. We believe each person must be treated with compassion, dignity, honesty and skill. Our 6,347 employees work together to make this ideal a reality, supported by new technology, modern facilities, and a common purpose of healing and hope. Asante is based in Medford, Oregon, and governed by a board of directors composed of local volunteers and physicians. Board members give their time to ensure that the people of nine Southern Oregon and Northern California counties receive high-quality health care services provided with compassion. All decisions are made by people who live and work in our community.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Medford, OR, US

Year founded

1995

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