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Utilization Case Manager Jobs in Meridian, ID (NOW HIRING)

Nampa West of Cascadia, LLC

Occupational Therapist

Nampa, ID · On-site

$35.75 - $47.25/hr

Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications. * Ensures punctuality and ...

Nampa West of Cascadia, LLC

Occupational Therapist

Nampa, ID · On-site

$35.75 - $47.25/hr

Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications. * Ensures punctuality and ...

Arbor Valley of Cascadia

Occupational Therapist

Boise, ID · On-site

$38.25 - $50.50/hr

Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications. * Ensures punctuality and ...

Cascadia of Boise

Occupational Therapy

Boise, ID · On-site

$38.25 - $50.50/hr

Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications. * Ensures punctuality and ...

Boise of Cascadia, LLC

Occupational Therapy

Boise, ID

$38.25 - $50.50/hr

Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications. * Ensures punctuality and ...

Boise of Cascadia, LLC

Occupational Therapy

Boise, ID · On-site

$38.25 - $50.50/hr

Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications. * Ensures punctuality and ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Meridian, ID

Utilization Case Manager information

See Meridian, ID salary details

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How much do utilization case manager jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for utilization case manager in Meridian, ID is $35.37, according to ZipRecruiter salary data. Most workers in this role earn between $28.65 and $37.31 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 job categories do people searching Utilization Case Manager jobs in Meridian, ID look for? The top searched job categories for Utilization Case Manager jobs in Meridian, ID are:
What cities near Meridian, ID are hiring for Utilization Case Manager jobs? Cities near Meridian, ID with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you

Occupational Therapist

Nampa West of Cascadia, LLC

Nampa, ID • On-site

$35.75 - $47.25/hr

Other

Re-posted 20 days ago

Job description

Description

Position Summary: 

An Occupational Therapist (OT) is responsible for the assessment of referred patients that require rehabilitation services which includes: providing direct patient care to assess their medical condition, functional capabilities, limitations and restrictions and potential for rehabilitation. Also, the OT will establish and administer a treatment program with specific goals determined according to the patient's capacity and tolerance under the direction of a physician. In addition, the OT must set realistic and achievable goals for their patients, document and record the patient's condition and educate patients and families in an appropriate occupational therapy method.


Essential Functions

  • Optimizes the functionality and skills of patients by providing, directing and/or overseeing therapy in the following: screening of all residents, assessing and treating all patients who might benefit from therapy as referred by state-approved referral source.
  • Adheres to Minimum Data Set (MDS) procedures and effective care planning.
  • Thoroughly document progress toward identified objectives and communicating patient status and needs to the patient, family, and other involved professionals. 
  • Refers patients for treatment to Certified Occupational Therapy Assistants (COTA), where appropriate. 
  • Provides consultation and clinical supervision to COTAs in the facility. 
  • Directs COTA(s) and Rehab Aide(s) in skilled tasks during group and individual treatment in a manner that promotes efficient and effective utilization of resources and facilitate the ongoing development of clinical skills in accordance with State Practice Acts, Omnibus Reconciliation Act (OBRA). 
  •  Build a strong rehabilitation practice within each facility by performing or directing and supervising occupational therapy staff in the following activities: establishing and maintaining courteous and helpful interaction patterns with staff, patients, and families which reflect sensitivity to individual needs and a problem solving approach; actively integrating therapy's role into facility and interdisciplinary treatment team.
  • Contribute to facility patient care, utilization review, case management, administrative staff/department head meetings, and family conference activities/communications. 
  •  Ensures punctuality and regular attendance for assigned shifts.

 
 

Requirements

Education:

- Must have graduated from an accredited school of occupational therapy.


Licenses/Certification:

- Current state license as an Occupational Therapist

- Current CPR certification


Experience:

- Six Months experience in a long term care environment preferred

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