The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Alsip, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Alsip, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Niles, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager
Niles, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
RN Case Manager - REGISTRY
Chicago, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
RN Case Manager - REGISTRY
Chicago, IL · On-site
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external ...
Promotes effective and efficient utilization of clinical resources and mobilizes resources to ... Acute Case Manager ( primarily hospital based ) Responsibilities include all the above "Core ...
New
Promotes effective and efficient utilization of clinical resources and mobilizes resources to ... Acute Case Manager ( primarily hospital based ) Responsibilities include all the above "Core ...
New
RN - Case Management
Chicago, IL · On-site
RN Case Manager - Long-Term Acute Care The RN Case Manager coordinates management of patient care, ensuring optimum utilization of resources, service delivery, and compliance with external review ...
RN - Case Management
Chicago, IL · On-site
RN Case Manager - Long-Term Acute Care The RN Case Manager coordinates management of patient care, ensuring optimum utilization of resources, service delivery, and compliance with external review ...
Case Manager
$19.75 - $25.50/hr
... care case records on children and families served. 3. Advise and consult with foster parents to ... utilization of available resources to address the service goals of the cases assigned. 6. Submit ...
Case Manager
$19.75 - $25.50/hr
... care case records on children and families served. 3. Advise and consult with foster parents to ... utilization of available resources to address the service goals of the cases assigned. 6. Submit ...
Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team ... Certified Case Manager (CCM) preferred * Knowledge/experience in Medicare/Medicaid and HEDIS ...
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Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team ... Certified Case Manager (CCM) preferred * Knowledge/experience in Medicare/Medicaid and HEDIS ...
RN - Case Management
Chicago, IL · On-site
$2.3K/wk
... Manager coordinates management of patient care, ensuring optimum utilization of resources, service delivery, and compliance with external review agencies. This role provides ongoing support and ...
RN - Case Management
Chicago, IL · On-site
$2.3K/wk
... Manager coordinates management of patient care, ensuring optimum utilization of resources, service delivery, and compliance with external review agencies. This role provides ongoing support and ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
Case Manager / RN (PRN)
Willowbrook, IL · On-site
Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. * Understanding of pre-acute and post-acute venues of ...
Case Manager / RN (PRN)
Willowbrook, IL · On-site
Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. * Understanding of pre-acute and post-acute venues of ...
RN Case Manager - Care Ally- Plainfield
Plainfield, IL · On-site
$67 - $101/hr
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
RN Case Manager - Care Ally- Plainfield
Plainfield, IL · On-site
$67 - $101/hr
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive ...
The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides ...
The Utilization Review/Case Manager is responsible for facilitating the appropriate use of hospital resources by ensuring that the patient meets acute inpatient criteria, and anticipates and provides ...
Registered Nurse RN Case Manager Home Health
Oak Lawn, IL · On-site
$41.85 - $61.63/hr
The RN Case Manager - Home Health is responsible for identifying, assessing, planning, implementing, monitoring and evaluating clinical outcomes, service utilization, and resource management for ...
Registered Nurse RN Case Manager Home Health
Oak Lawn, IL · On-site
$41.85 - $61.63/hr
The RN Case Manager - Home Health is responsible for identifying, assessing, planning, implementing, monitoring and evaluating clinical outcomes, service utilization, and resource management for ...
PRIMARY PURPOSE: The complex care case manager will provide comprehensive and quality ... Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ...
PRIMARY PURPOSE: The complex care case manager will provide comprehensive and quality ... Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ...
Utilization Case Manager information
See Wheaton, IL salary details
$16.03 - $19.85
3% of jobs
$19.85 - $23.68
1% of jobs
$23.68 - $27.50
6% of jobs
$29.35 is the 25th percentile. Wages below this are outliers.
$27.50 - $31.32
30% of jobs
The median wage is $32.70 / hr.
$31.32 - $35.15
26% of jobs
$36.60 is the 75th percentile. Wages above this are outliers.
$35.15 - $38.97
22% of jobs
$38.97 - $42.79
3% of jobs
$42.79 - $46.61
0% of jobs
$46.61 - $50.44
5% of jobs
$50.44 - $54.26
2% of jobs
$54.26 - $58.08
1% of jobs
$16
$35
$58
How much do utilization case manager jobs pay per hour?
As of Aug 19, 2026, the average hourly pay for utilization case manager in Wheaton, IL is $35.26, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $37.16 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?
| Aspect | Utilization Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, case management certification | RN license, certification in utilization review |
| Work Environment | Case management teams, hospitals, insurance companies | Utilization review departments, hospitals, insurance providers |
| Primary Focus | Coordinating patient care, discharge planning, resource allocation | Assessing medical necessity, reviewing patient records for appropriateness |
| Common Usage | Broader case management roles, patient advocacy | Specific 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 Wheaton, IL?
For Utilization Case Manager jobs in Wheaton, IL, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Wheaton, IL look for?
The top searched job categories for Utilization Case Manager jobs in Wheaton, IL are:
What cities near Wheaton, IL are hiring for Utilization Case Manager jobs?
Cities near Wheaton, IL with the most Utilization Case Manager job openings:
Sinai Chicago rating
7.8
Based on 15 frontline employees who took The Breakroom Quiz
Job description
Summary
GENERAL SUMMARY/BASIC PURPOSE OF JOB:
The Registered Nurse (RN) Case Manager supports and provides expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Care coordination and discharge planning are accountabilities of this role. This role works closely with bed management, bed capacity issues are addressed in a timely manner and on an ongoing basis. The RN Case manager provides education to physicians and other members of the team on the issues related to utilization review including appropriateness of admission, level of care and external placements.
The RN Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually assuring quality patient care and regulatory compliance. This role is responsible for the implementation and coordination of admission, discharge, and transition of care needs under the direction of the Director of Case Management and Physician Advisor.
What Sinai Chicago employees say
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About Sinai Chicago
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Sinai Chicago is an integral part of the healthcare industry, established to provide quality and accessible healthcare for the Chicago, IL, US community. The organization operates across various healthcare sectors including teaching, research, and providing clinical care. Since its inception in 1919, Sinai Chicago has been resolute in improving the health of the people and communities it serves, with a focus on delivering value-based care to areas with pressing health needs. The core values of Sinai Chicago include respect, integrity, teamwork, accountability, and quality. The company's mission and commitment lie in nurturing healthier communities through the provision of accessible, quality healthcare.
Industry
Health care and social assistance and hospitals
Company size
5,001 - 10,000 Employees
Headquarters location
Chicago, IL, US