Assistant-Case Management
Southaven, MS · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
Assistant-Case Management
Southaven, MS · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
Assistant-Case Management
Memphis, TN · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
Assistant-Case Management
Memphis, TN · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
Description & Requirements The Senior Director of Utilization and Case Management drives execution, alignment, and performance of care management programs in the acute care system, ensuring ...
Description & Requirements The Senior Director of Utilization and Case Management drives execution, alignment, and performance of care management programs in the acute care system, ensuring ...
Assistant-Case Management
Memphis, TN · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
Assistant-Case Management
Memphis, TN · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
The RN Case Manager is responsible for comprehensive coordination of care and service of individual patients and/or patient populations, promoting effective utilization of resources, and assuming a ...
The RN Case Manager is responsible for comprehensive coordination of care and service of individual patients and/or patient populations, promoting effective utilization of resources, and assuming a ...
Assistant-Case Management
Memphis, TN · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
Assistant-Case Management
Memphis, TN · On-site
Prioritizes daily activities to facilitate the utilization/case management processes. * Participates in discharge planning activities in collaboration with Case Managers/Social Workers. * Other ...
Case Manager
Staten Island, NY · On-site
$22/hr
SUMMARY: The Case Manager will work in our Transitional Independent Living Program (TIL) and be ... Care Coordination includes making referrals for services, monitoring service utilization, case ...
Case Manager
Staten Island, NY · On-site
$22/hr
SUMMARY: The Case Manager will work in our Transitional Independent Living Program (TIL) and be ... Care Coordination includes making referrals for services, monitoring service utilization, case ...
Case Manager
Staten Island, NY · On-site
$20.25 - $26.25/hr
SUMMARY: The Case Manager will work in our Transitional Independent Living Program (TIL) and be ... Care Coordination includes making referrals for services, monitoring service utilization, case ...
Case Manager
Staten Island, NY · On-site
$20.25 - $26.25/hr
SUMMARY: The Case Manager will work in our Transitional Independent Living Program (TIL) and be ... Care Coordination includes making referrals for services, monitoring service utilization, case ...
The Case Manager will facilitate the interdisciplinary plan of care with a focus on evaluating the ... Performs effective utilization review techniques to work with physicians, third party payors and ...
The Case Manager will facilitate the interdisciplinary plan of care with a focus on evaluating the ... Performs effective utilization review techniques to work with physicians, third party payors and ...
The Case Manager will facilitate the interdisciplinary plan of care with a focus on evaluating the ... Performs effective utilization review techniques to work with physicians, third party payors and ...
The Case Manager will facilitate the interdisciplinary plan of care with a focus on evaluating the ... Performs effective utilization review techniques to work with physicians, third party payors and ...
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
Directs the utilization review of patient charts and treatment plans pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager of Clinical ...
Directs the utilization review of patient charts and treatment plans pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager of Clinical ...
Experienced Case Manager - RN
Jackson, MS · On-site
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
Experienced Case Manager - RN
Jackson, MS · On-site
The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
Utilization Management/Case Manager
Champaign, IL · On-site
$90K/yr
) Accolade Healthcare Utilization Management/Case Manager About Us At Accolade Healthcare, we put an emphasis on the satisfaction of our team members, understanding that a foundation built on quality ...
Utilization Management/Case Manager
Champaign, IL · On-site
$90K/yr
) Accolade Healthcare Utilization Management/Case Manager About Us At Accolade Healthcare, we put an emphasis on the satisfaction of our team members, understanding that a foundation built on quality ...
Utilization Management/Case Manager
$75K - $90K/yr
Accolade Healthcare Utilization Management/Case Manager About Us At Accolade Healthcare, we put an emphasis on the satisfaction of our team members, understanding that a foundation built on quality ...
Quick apply
Utilization Management/Case Manager
$75K - $90K/yr
Accolade Healthcare Utilization Management/Case Manager About Us At Accolade Healthcare, we put an emphasis on the satisfaction of our team members, understanding that a foundation built on quality ...
Case Manager 1 The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a ...
Case Manager 1 The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a ...
The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific ...
Utilization Case Manager information
See salary details
$16.59 - $20.54
3% of jobs
$20.54 - $24.50
1% of jobs
$24.50 - $28.45
6% of jobs
$30.36 is the 25th percentile. Wages below this are outliers.
$28.45 - $32.41
30% of jobs
The median wage is $33.83 / hr.
$32.41 - $36.36
26% of jobs
$37.87 is the 75th percentile. Wages above this are outliers.
$36.36 - $40.32
22% of jobs
$40.32 - $44.27
3% of jobs
$44.27 - $48.23
0% of jobs
$48.23 - $52.19
5% of jobs
$52.19 - $56.14
2% of jobs
$56.14 - $60.10
1% of jobs
$16
$36
$60
How much do utilization case manager jobs pay per hour?
As of May 31, 2026, the average hourly pay for utilization case manager in the United States is $36.49, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $38.46 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?
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 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 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.
More about Utilization Case Manager jobs
What cities are hiring for Utilization Case Manager jobs? Cities with the most Utilization Case Manager job openings:
What states have the most Utilization Case Manager jobs? States with the most job openings for Utilization Case Manager jobs include:
What job categories do people searching Utilization Case Manager jobs look for? The top searched job categories for Utilization Case Manager jobs are:
Full-time
Posted 9 days ago
Baptist Memorial Health Care rating
7.3
Based on 110 frontline employees who took The Breakroom Quiz
289th of 864 rated healthcare providers
Job description
Overview
Job Summary
Provides assistance to the case management and social work staff on an ongoing basis. Communicates, coordinates, disseminates information with team members for care coordination. Performs other duties as assigned.
Responsibilities
Specifications
Experience
Minimum Required
Preferred/Desired
Education
Minimum Required
Preferred/Desired
Training
Minimum Required
Preferred/Desired
Special Skills
Minimum Required
Preferred/Desired
Licensure
Minimum Required
Preferred/Desired
Job Summary
Provides assistance to the case management and social work staff on an ongoing basis. Communicates, coordinates, disseminates information with team members for care coordination. Performs other duties as assigned.
Responsibilities
- Communicates with Case Managers and Social Workers to optimize the utilization/case management processes.
- Prioritizes daily activities to facilitate the utilization/case management processes.
- Participates in discharge planning activities in collaboration with Case Managers/Social Workers.
- Other duties as assigned.
- Completes assigned goals.
Specifications
Experience
Minimum Required
Preferred/Desired
- Two (2) to five (5) years experience in utilization management; medical office or other hospital department.
Education
- High School Diploma Skill in communicating clearly and effectively using standard English language (verbal and written) to achieve high productivity, efficiency, and accuracy to complete job requirements.
Minimum Required
- High School Diploma Skill in communicating clearly and effectively using standard English language (verbal and written) to achieve high productivity, efficiency, and accuracy to complete job requirements.
Preferred/Desired
- Based on hospital complexity a LPN or BSW could serve in role. Skill in communicating clearly and effectively using standard English language (verbal and written) to achieve high productivity, efficiency, and accuracy to complete job requirements.
Training
Minimum Required
Preferred/Desired
Special Skills
- Ability to be organized and prioritize workload. Efficiencies in Microsoft Office Software. Ability to work well with teams.
Minimum Required
- Ability to be organized and prioritize workload. Efficiencies in Microsoft Office Software. Ability to work well with teams.
Preferred/Desired
- Ability to be organized and prioritize workload. Efficiencies in Microsoft Office Software. Ability to work well with teams.
Licensure
Minimum Required
Preferred/Desired
What Baptist Memorial Health Care employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Baptist Memorial
Sourced by ZipRecruiter
Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Memphis, TN, US