ZipRecruiter

Log In

1

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

Carle Health

OP Care Management RN

Peoria, IL · On-site

$33.11 - $53.88/hr

Certified Case Manager within 2 years - Commission for Case Manager Certification (CCMC), Education ... utilization. Conduct holistic health care assessment including health risk assessment, patient ...

Carle Health

OP Care Management RN

Peoria, IL · On-site

$33.11 - $53.88/hr

Certified Case Manager within 2 years - Commission for Case Manager Certification (CCMC), Education ... utilization. Conduct holistic health care assessment including health risk assessment, patient ...

OSF HealthCare

Registered Nurse RN Hospice

Peoria, IL · On-site

$36.59 - $53.17/hr

The RN Case Manager is responsible for care coordination, appropriate visit pattern utilization, outcome monitoring/management, resource management and episode management. Qualifications REQUIRED ...

Carle Health

OP Care Management RN

Peoria, IL · On-site +1

$33.11 - $53.88/hr

... utilization. Conduct holistic health care assessment including health risk assessment, patient ... Certified Case Manager within 2 years - Commission for Case Manager Certification (CCMC), Education:

Memorial Health

RN - New Graduate

Lincoln, IL · On-site

$30.23 - $48.37/hr

The New Graduate Registered Nurse will receive support from their Nurse Manager, Preceptor, Mentor ... through utilization of the nursing process. They will provide age-appropriate care and will ...

Memorial Health

RN - New Graduate

Lincoln, IL · On-site

$30.23 - $48.37/hr

The New Graduate Registered Nurse will receive support from their Nurse Manager, Preceptor, Mentor ... through utilization of the nursing process. They will provide age-appropriate care and will ...

Memorial Health

RN - New Graduate

Lincoln, IL

$30.23 - $48.37/hr

The New Graduate Registered Nurse will receive support from their Nurse Manager, Preceptor, Mentor ... through utilization of the nursing process. They will provide age-appropriate care and will ...

next page

Showing results 1-20

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

Utilization Case Manager information

See Danvers, IL salary details

$15

$35

$57

How much do utilization case manager jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for utilization case manager in Danvers, IL is $35.01, according to ZipRecruiter salary data. Most workers in this role earn between $28.37 and $36.92 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 job categories do people searching Utilization Case Manager jobs in Danvers, IL look for?

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

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

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

Utilization Case Manager jobs near you

Registered Nurse RN Case Manager Home Health

OSF HealthCare

Peoria, IL • On-site

$37.05 - $54.54/hr

Other

PTO

Re-posted 10 days ago

Job description

Total Rewards
OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF.
Pay range for this position is $37.05 - $54.54/hour. Actual pay is based on years of licensure. This is an Hourly position.
OSF will invest in you day 1! External candidates with 5+ years of direct experience will receive a bonus of 24 hours of Vacation/Holiday time frontloaded on day 1. This is in addition to our generous Paid Time Off plans!
**$3.25 Weekend Differential**
Overview
POSITION SUMMARY: The RN Case Manager - Home Health is responsible for identifying, assessing, planning, implementing, monitoring and evaluating clinical outcomes, service utilization, and resource management for patients on their caseload. The Case Manager is responsible for a scope of care that encompasses all ages from infancy through geriatric and demonstrates the knowledge and skills necessary to provide patient care that is appropriate to the ages of the patients served. The Case Manager collaborates with the provider to coordinate inter-disciplinary services which may include nursing, therapy, social work, home care aide, respiratory therapy, home medical equipment and home infusion services. The Case Manager is accountable for attaining the best possible patient outcomes including identification and focused oversight of patients at high risk for hospitalization. The Case Manager provides evidence-based, patient-centered care at the patient's place of residence, using critical thinking and decision-making skills. The Case Manager has a thorough understanding of OASIS documentation and plan of care development, and their impact on 5 Star Agency Performance and Value Based Purchasing performance.
Qualifications
REQUIRED QUALIFICATIONS:
Education: Completion of nursing program
Experience: Experience as RN in a healthcare environment for two years or more.
Licensure/ Certification: RN License in IL or MI depending on state they are working in.
Current American Heart Association HealthCare Provider BLS is required prior to start date of employment.
Valid State Driver's License with proof of active auto insurance.
Other Skills/ Knowledge: Excellent interpersonal and communication skills.
Solid computer skills, including proficiency with Microsoft software.
Strong analytical and problem-solving skills, with the ability to be detail oriented.
Provides own transportation and auto insurance and abides by all laws, rules and recommendations for safe driving while on duty.
Maintains a valid driver's license.
PREFERRED QUALIFICATIONS:
Education: BSN
Experience: Experience as an RN in Home Health, OASIS and Case Management experience.
Licensure/ Certification: OASIS Certification
Other Skills/ Knowledge: Electronic Medical Record and Microsoft application basic proficiency
OSF HealthCare is an Equal Opportunity Employer.

Apply