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Utilization Case Manager Jobs in Fargo, ND (NOW HIRING)

Patient Access Specialist

Fargo, ND · On-site

$17 - $22.50/hr

Collaborates with case management, social work, utilization management, and other cross-functional teams across the enterprise. Assists with the design and management of data including the ...

New

RN Clinical Documentation Specialist

Fargo, ND · On-site

$34 - $46/hr

Experience in case management, utilization management, and/or coding preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring ...

Showing results 21-40

Utilization Case Manager information

See Fargo, ND salary details

$16

$35

$59

How much do utilization case manager jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization case manager in Fargo, ND is $35.82, according to ZipRecruiter salary data. Most workers in this role earn between $29.04 and $37.74 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 Fargo, ND?

For Utilization Case Manager jobs in Fargo, ND, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Fargo, ND look for?

The top searched job categories for Utilization Case Manager jobs in Fargo, ND are:

Infographic showing various Utilization Case Manager job openings in Fargo, ND as of August 2026, with employment types broken down into 82% Full Time, 17% Part Time, and 1% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $74,512 per year, or $35.8 per hour.

Registered Nurse (RN) - Case Manager - Full Time

Essentia Health

Fargo, ND • On-site

$74K - $112K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 9 days ago


Essentia Health rating

7.0

Company rating: 7.0 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

415th of 891 rated healthcare providers


Job description

Building Location:32nd Avenue BuildingDepartment:3015320 CASE MGMT-SOCIAL SERVICES - 32ND HOSPJob Description:Responsible for organizing and providing care to patients through the process of assessment, planning, intervention, and evaluation. Supports the physician and interdisciplinary team to assure patient progress through the continuum of care to discharge, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This role is accountable for planning effectively in order to meet patient needs, manage length of stay, and promote efficient utilization of resources for a designated caseload.Education Qualifications:

This position requires the ability to work the following schedule:

  • Salaried Position
  • Monday-Friday 8am-4:30pm
  • Limited weekends
  • Holiday rotation
    Licensure/CertificationQualifications:

    Certification/Licensure Required:

    • Preferred experience in Case Manager or Acute Care Nursing (2-4 years of experience is ideal).
    • BSN or ADN degree from an accredited school or college of nursing
    • Current RN licensure in appropriate state(s) of employment
    • Fargo: Basic Cardiac Life Support (BCLS) not required

    ***

    Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, and North Dakota.

    Headquartered in Duluth, Minnesota, Essentia Healthcombines the strengths and talents of more than 15,000 employees, including more than 2,200 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives.

    Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship, and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, 7 ambulance services, 27 retail pharmacies, and one research institute.

    FTE:1

    Possible Remote/Hybrid Option:

    Shift Rotation:Day Rotation (United States of America)Shift Start Time:8amShift End Time:4:30pmWeekends:LimitedHolidays:YesCall Obligation:NoUnion:Union Posting Deadline:

    Compensation Range:

    $74,900.80 - $112,361.60Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

    What Essentia Health employees say

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    Benefits

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    Workplace

    Get the full story on Breakroom


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    About Essentia Health

    Sourced by ZipRecruiter

    Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 13,500 employees, including 3,500 registered nurses & licensed practical nurses, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 70 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services and one research institute.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Duluth, MN, US

    Year founded

    2004