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Utilization Case Manager Jobs in Hartford, CT (NOW HIRING)

Baystate Health

RN Case Manager

Springfield, MA · On-site

Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate * Collaborates with community case managers and other health care advisors to ...

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Utilization Case Manager information

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$16

$36

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How much do utilization case manager jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for utilization case manager in Hartford, CT is $36.80, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $38.80 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 Hartford, CT?

For Utilization Case Manager jobs in Hartford, CT, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Hartford, CT look for?

The top searched job categories for Utilization Case Manager jobs in Hartford, CT are:

What cities near Hartford, CT are hiring for Utilization Case Manager jobs?

Cities near Hartford, CT with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in Hartford, CT as of August 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $76,553 per year, or $36.8 per hour.

RN Clinical Case Manager

Uconn Health Center

Farmington, CT • On-site

$80 - $100/hr

Other

Posted 5 days ago

Job description

The University of Connecticut Health Center is an affirmative action employer, in addition to an EEO and M/F/V/PWD/PV employer.

All employees are subject to adherence to the State Code of Ethics which may be found at www.ethics.state.ct.us .

UConn Health is looking for a highly skilled RN Clinical Case Manager with experience in acute healthcare and a passion for patient experience. This highly desirable position is located at the John Dempsey Hospital.

SCHEDULE: Full tme fourty hours per week, Monday-Friday, 8:0 a.m. to 4:30 p.m rotating weekends and holidays. 30 minute unpaid meal break.

MINIMUM QUALIFICATIONS, KNOWLEDGE, SKILLS, ABILITIES:
  • Knowledge of the principles and practices of case management.
  • Knowledge of: various disease modalities and expected and adverse outcomes of therapeutic interventions.
  • Knowledge of standards of practice for interdisciplinary delivery of patient care,
  • Excellent interpersonal and oral and written communication skills.
  • Problem solving skills and the ability to establish priorities and manage effectively;
  • Ability to elicit relevant information and cooperation of patients and staff, and to adapt teaching methods to individual needs.
  • Supervisory ability.
EXPERIENCE AND TRAINING
  • GENERAL EXPERIENCE: Master's degree in Nursing
  • SUBSTITUITION ALLOWED: Bachelor's degree in nursing with three years' experience in an inpatient hospital setting or Case Management experience.
  • SPECIAL REQUIREMENTS: Incumbents in this class must maintain licensure as a registered nurse
  • PREFERRED QUALIFICATIONS: Minimum 2 years case management experience.
EXAMPLES OF DUTIES:
  • Assess patient/family clinical status needs related to medical diagnosis, treatment plan, treatment providers, treatment options, financial resources and discharge planning needs.
  • Facilitates and secures all post-acute care referrals for homecare, DME, LTACH, Hospice and skilled nursing facilities.
  • Facilitates transitions within the hospital as well as direct admissions and transfers from other facilities as it relates to clinical bed management.
  • Interprets critical data and makes recommendations to effect improvement in outcomes based on trends in inappropriate, inefficient or costly utilization.
  • Intervenes to suggest creative options for inappropriate admissions; documents case manager intervention and comparison to established criteria for medical necessity.
  • Establishes ongoing dialogue with patient/family to determine if patient's needs are being met.
  • Monitors critical aspects of care affecting reimbursement.
  • Provides point of contact for community physicians, staff, payers and patient regarding plan of care and questions related to discharge and resource utilization.
  • Develops collaborative relationships with home care agencies or post-acute facilities to provide appropriate clinical documentation (e.g., PPS) and to support quality patient care.
  • Performs other related duties as required.
  • Performs a full range of tasks related to discharge planning and utilization review.
  • Collects data and performs audits related to discharge planning and utilization review.
WHY UCONN HEALTH

UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow.

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