ZipRecruiter

Log In

1

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

TH Medical

Group Director - Utilization Review

Detroit, MI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.

TH Medical

Group Director - Utilization Review

Detroit, MI · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Leaders relating to Case Management scope of services, including utilization management, transition management promoting appropriate length of stay, readmission prevention and patient satisfaction.

Detroit Medical Center

RN - Case Management

Detroit, MI · On-site

$2.1K/wk

... Case Manager - Utilization Review Nurse Schedule: Shift: 08:00 - 16:30 Assignment Details ... Contract Length: 12 weeks - Guaranteed Hours: 40 hours per week Requirements: - Active nursing ...

previous pagenext page

Showing results 21-40

All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Detroit, MI

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 14, 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 job categories do people searching Utilization Case Manager jobs in Detroit, MI look for?

The top searched job categories for Utilization Case Manager jobs in Detroit, MI 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:

Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in Detroit, MI as of August 2026, with employment types broken down into 90% Full Time, and 10% Contract. Highlights an 100% In-person job distribution, with an average salary of $75,129 per year, or $36.1 per hour.

Case Manager-Social Worker

Henry Ford Hospital - Detroit Main Campus

Detroit, MI • On-site

$21.50 - $28.25/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

FULL TIME 40 HOURS, DAYS 8:00AM TO 4:30PM 

GENERAL SUMMARY: 

The Case Manager SW provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, integrated, and uninterrupted care in the hospital and to facilitate continuity of care in the community. Demonstrates positive interpersonal communication with patients, families, visitors, and co-workers in accordance with organization and departmental policies and procedures.

EDUCATION/EXPERIENCE REQUIRED:

Master's degree in Social Work required. Three (3) years of clinical experience. Knowledge of social work practices, individuals, case recording, chart documentation, community referrals, and effective networking techniques to coordinate services for patient outside of the hospital is required. Familiarity with general medicine psychiatry, psychology and sociology and how social, familial, economic, and individual factors affect how an individual functions required. Knowledge of child and adult protection laws, state Medicaid guidelines, NASW code of ethics (professional standards), and confidentiality and privacy, as applicable to the area of specialty is desired. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age-specific needs. Ability to make independent decision regarding clinical, psycho-social patient are and to provide input regarding the organization and functioning of the hospital unit required. Highly effective verbal and written communication skills are necessary to conduct successful counseling, social services, supervision of students, consultation with colleagues and documentation of patient counseling session. Strong collaboration, communication, and interpersonal skills. Excellent organization and time management skills. 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 and other hospital-based interdisciplinary teams. Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired. Excellent written/verbal communication skills, critical thinking skills, creative problem-solving skills, good organization, and planning skills. Must be self-directed, have the ability tolerate frequent interruption and work in a fast-paced work environment.

CERTIFICATIONS/LICENSURES REQUIRED:

Licensed Social Worker (LMSW) with a valid, unrestricted State of Michigan license. Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred.

Additional Information
  • Organization: Henry Ford Hospital - Detroit Main Campus
  • Department: Inpatient Case Management
  • Shift: Day Job
  • Union Code: Not Applicable

Apply