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Utilization Case Manager Jobs in Detroit, MI (NOW HIRING)

Case Manager

Detroit, MI · On-site

$55 - $60/hr

MANAGER IS VERY STRICT ON THE RECENT INPATIENT CASE MANAGEMENT EXPERIENCE - TELEPHONIC, UTILIZATION REVIEW, PSYCHOLOGICAL EXPERIENCE DOES NOT APPLY TO THIS REQUIREMENT.

Case Manager

Detroit, MI · On-site

$58 - $60/hr

MANAGER IS VERY STRICT ON THE RECENT INPATIENT CASE MANAGEMENT EXPERIENCE - TELEPHONIC, UTILIZATION REVIEW, PSYCHOLOGICAL EXPERIENCE DOES NOT APPLY TO THIS REQUIREMENT.

Case Manager

Livonia, MI · On-site

$18.75 - $24/hr

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. Current knowledge of third party payor ...

Case Manager

Livonia, MI

$18.75 - $24/hr

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. Current knowledge of third party payor ...

Case Manager

Livonia, MI · On-site

$18.75 - $24/hr

Five years of clinical experience in nursing and recent (within 2 year) experience in utilization review/management/discharge planning or case management. • Current knowledge of third party payor ...

Case Manager

Ferndale, MI · On-site

$55K/yr

... service utilization eliminating any gaps in care. The Case Manager works closely with the patient's medical provider to understand what the patient's medical needs are in addition to their ...

... service utilization eliminating any gaps in care. The Case Manager works closely with the patient's medical provider to understand what the patient's medical needs are in addition to their ...

RN Case Manager

Pontiac, MI · On-site

$2.1K - $2.2K/wk

Requirement Description: 2+ Years Case Management - Required 3 years acute hospital care experience ... starting Utilization Review - Preferred Insurance Authorization experience - Preferred CCM ...

RN- Case Manager

Pontiac, MI · On-site

$2.1K - $2.2K/wk

Description: 2+ Years Case Management - Required 3 years acute hospital care experience - Required ... starting Utilization Review - Preferred Insurance Authorization experience - Preferred CCM ...

An Opportunity to Join our Remarkable Care as a Case Manager awaits YOU!!!! Trinity Health Livonia ... Five years of clinical experience in nursing and recent (within 2 year) experience in utilization ...

Case Manager-SW Afternoons

Detroit, MI · On-site

$19.75 - $25.50/hr

Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems. Desire to work collaboratively and proactively with healthcare teams ...

New

The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...

The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...

The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...

The Utilization Management Case Manager has a responsibility for organizing and conducting the manager care process. These duties shall be directed toward supporting the hospital's mission in the ...

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Showing results 1-20

Utilization Case Manager information

See Detroit, MI salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for utilization case manager in Detroit, MI is $36.12, according to ZipRecruiter salary data. Most workers in this role earn between $29.28 and $38.08 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 are popular job titles related to Utilization Case Manager jobs in Detroit, MI? For Utilization Case Manager jobs in Detroit, MI, the most frequently searched job titles are:
What cities near Detroit, MI are hiring for Utilization Case Manager jobs? Cities near Detroit, MI with the most Utilization Case Manager job openings:
Infographic showing various Utilization Case Manager job openings in Detroit, MI as of July 2026, with employment types broken down into 7% As Needed, and 93% Full Time. Highlights an 100% In-person job distribution, with an average salary of $75,129 per year, or $36.1 per hour.

Case Manager

TEEMA

Detroit, MI • On-site

$55 - $60/hr

Contractor

Re-posted 13 days ago


Job description


  • 13 week contract

  • REQUIRED: 5+ years case management experience with 2+ years recent acute inpatient case management experience

  • BSN or MSW, Current MI RN licensure or LMSW, Discharge planning experience.

  • There will be limited training on site - candidates will need to be able to adapt quickly.

  • Manager will be reaching out to candidates directly for interview

  •  MANAGER IS VERY STRICT ON THE RECENT INPATIENT CASE MANAGEMENT EXPERIENCE - TELEPHONIC, UTILIZATION REVIEW, PSYCHOLOGICAL EXPERIENCE DOES NOT APPLY TO THIS REQUIREMENT.



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About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

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