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Utilization Case Manager Jobs in Manteca, CA (NOW HIRING)

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RN - Case Mgmt.

Lodi, CA · On-site

$2.4K - $2.7K/wk

Monitor care plans, resource utilization, and discharge planning * Act as liaison between patients ... Case management experience (Preferred) * Licensure/Certifications: * Active RN license in the state ...

Talented Medical Solutions

RN - CASE MANAGEMENT

Lodi, CA · On-site

$2.9K - $2.9K/wk

MINIMUM 1 YEAR ACUTE CARE CASE MANAGER EXPERIENCE MANDATORY*** Day Shift/8:00 am - 1830 pm/40 hours ... Discusses with physicians, the appropriateness of resource utilization, consultations, treatment ...

Tenet Health

Registered Nurse Case Manager (RN)

Manteca, CA · On-site

$54.27 - $80.91/hr

... case management services. Identifies variances and assists in the development of strategies to ... Ensures appropriate utilization of facilities and services and provides for the review of admission ...

CareOne Home Health

CLINICAL MANAGER

Salida, CA · On-site

$110K - $145K/yr

Completes initial Plan of Care review with Case Manager in a timely fashion with a focus on quality, utilization, and individualized patient care and goals. * Conducts individual caseload reviews and ...

Sutter Health

Care Manager II, Acute

Modesto, CA

$82.48 - $115.46/hr

A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness ...

Sutter Health

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness ...

Sutter Health

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness ...

Sutter Health

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness ...

Sutter Health

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness ...

Sutter Health

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness ...

Independent Living Systems

Care Manager - CA

Modesto, CA · On-site

$26 - $43.81/hr

... optimize resource utilization within the care continuum. Minimum Qualifications: * Bachelor ... Certified Case Manager (CCM) credential or equivalent certification. * Experience working with ...

Independent Living Systems

Care Manager - CA

Stockton, CA · On-site

$26 - $43.81/hr

... optimize resource utilization within the care continuum. Minimum Qualifications: * Bachelor ... Certified Case Manager (CCM) credential or equivalent certification. * Experience working with ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Manteca, CA

Utilization Case Manager information

See Manteca, CA salary details

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$38

$63

How much do utilization case manager jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for utilization case manager in Manteca, CA is $38.42, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $40.48 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 Manteca, CA look for?

The top searched job categories for Utilization Case Manager jobs in Manteca, CA are:

What cities near Manteca, CA are hiring for Utilization Case Manager jobs?

Cities near Manteca, CA with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you

Travel Registered Nurse (RN) - Case Management

Talented Medical Solutions

Lodi, CA • On-site

$2.8K - $2.8K/wk

Full-time

Re-posted 7 days ago

Job description

  • Job Title: Registered Nurse (RN) – Case Management

    Location: Lodi, California

  • Duration : 13 weeks
    Assignment Type: (Temporary Contract)
    Schedule: Schedule: Day Shift | 4x10s (8:00 AM – 6:30 PM) | 40 hrs/week | Variable days including weekends | No Call

Position Summary

We are seeking an experienced dedicated and skilled RN – Case Manager to help guide patients through their healthcare journey—from admission to post-discharge—ensuring optimal outcomes and seamless care transitions. As an RN Case Manager, you will:

  • Coordinate and oversee patient care across the continuum

  • Collaborate with physicians, nurses, and multidisciplinary teams

  • Serve as a liaison between patients, families, and healthcare providers

  • Ensure efficient, high-quality, and cost-effective care delivery

  • Support discharge planning and post-acute transitions

You’ll play a key role in optimizing patient outcomes while navigating complex cases with professionalism and empathy.

Key Responsibilities

  • Lead interdisciplinary care coordination and monitor care progression

  • Align care plans with patient needs, treatments, and covered services

  • Collaborate with physicians on resource utilization and discharge planning

  • Manage complex patient populations (e.g., chronic conditions, frequent ED visits)

  • Coordinate transfers to tertiary care centers

  • Ensure compliance with regulatory and accreditation standards

  • Analyze data and trends for quality improvement initiatives

Qualifications

Required:

  • Active Registered Nurse (RN) license (California)

  • Minimum 1 year of acute care case management experience

Preferred:

  • Bachelor of Science in Nursing (BSN)

  • Case Management Certification