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Utilization Case Manager Jobs (NOW HIRING)

Focus Staff

Travel RN Case Manager

Anchorage, AK · On-site

Minimum of three years hospital based nursing practice with experience in utilization/case management. * BLS for Healthcare Providers required within 30 days of hire Work Experience: At least 2 years ...

Focus Staff

Travel RN Case Manager

Mission Viejo, CA

Minimum of three years hospital based nursing practice with experience in utilization/case management. * BLS for Healthcare Providers required within 30 days of hire Work Experience: At least 2 years ...

Focus Staff

Travel RN Case Manager

Apple Valley, CA

Minimum of three years hospital based nursing practice with experience in utilization/case management. * BLS for Healthcare Providers required within 30 days of hire Work Experience: At least 2 years ...

UHS

Utilization Review Case Manager

Olive Branch, MS · On-site

Flexible Hours The Case Manager provides utilization review services in a manner consistent with the philosophy and objectives of the facility. The Case Manager evaluates patient medical records to ...

UHS

Utilization Review Case Manager

Olive Branch, MS

Flexible Hours The Case Manager provides utilization review services in a manner consistent with the philosophy and objectives of the facility. The Case Manager evaluates patient medical records to ...

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Utilization Case Manager information

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How much do utilization case manager jobs pay per hour?

As of Jun 21, 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 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 does a utilization case manager do?

A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with medical providers and insurance companies. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and clinical knowledge. Their goal is to optimize resource use while maintaining quality patient care.

What jobs pay 10,000 a month without a degree?

Utilization Case Managers typically do not earn $10,000 a month without specialized experience or certifications; most roles in this field pay lower salaries. High-paying jobs that can reach this level without a degree include sales, real estate, or entrepreneurship, often requiring strong skills, networking, and industry knowledge. Some trades, like certain construction or technical roles, may also offer high earnings with experience and certifications rather than formal degrees.

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 jobs pay 2000 a day?

Utilization Case Managers typically do not earn $2,000 a day; such high daily earnings are more common in specialized roles like senior executives, certain consulting positions, or high-level medical professionals. Most jobs with high daily pay require advanced skills, certifications, or extensive experience, and earnings can vary based on industry, location, and workload.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative skills, familiarity with medical terminology, and sometimes certification. It provides experience in healthcare settings and can serve as a stepping stone to more advanced medical roles, but it may have limited responsibilities compared to specialized positions.

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.

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.

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:
Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 78% Full Time, 11% Part Time, and 7% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $75,891 per year, or $36.5 per hour.
Travel RN Case Manager

Travel RN Case Manager

Focus Staff

Anchorage, AK • On-site

Contractor

Medical, Retirement

Posted 4 days ago

Job description

Focus Staff is seeking a travel nurse RN Care Manager for a travel nursing job in Anchorage, Alaska.

Job Description & Requirements
  • Specialty: Care Manager
  • Discipline: RN
  • Start Date: 07/20/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

We currently have a client in Anchorage, AK looking for a Registered Nurse RN Case Manager!

Focus Staff is seeking a traveling RN Case Manager for our client in Anchorage, AK .
Contract Assignment – 13 Weeks (Temporary)
Shift: 5x8 Days
Rewards: (RN Case Manager Benefits)

  • Pay depends on location and experience.
  • Health Insurance Coverage
  • 401K matching
  • New licensing reimbursement
  • Job staffing in all 50 states
You must be highly motivated and energetic. Candidates must be willing to support a friendly, positive and professional environment. Candidates need to possess phenomenal efficiency and attention to detail with a strong knowledge of procedures and patient safety. Being Compassionate and sensitive is a prerequisite for the profession. The ideal Candidates goes a step further by being a critical thinker and fast to act with emergencies.

Requirements:

  • Current state license required
  • B.S. In Nursing or related health field preferred but not required.
  • Minimum of three years hospital based nursing practice with experience in utilization/case management.
  • BLS for Healthcare Providers required within 30 days of hire
Work Experience: At least 2 years of experience
If you are seeking a Registered Nurse RN Case Manager position and would like to work with an agency that will listen to your needs and career goals, then Focus Staff is the right place to be. We are proud of our ability to build relationships with all our healthcare professionals, whether you are seeking Travel assignments, PRN work or Permanent Placed positions.

Responsibilities:

  • Provides case management services to patients according to policy and procedure.
  • Ability to take direction from others and follow through in a concise manner, which also promotes efficiency.
  • Ability to communicate well with patients, families, co-workers, etc.
  • Ability to set priorities.
  • Acts to protect and advance patient’ s best interest.
  • Maintains knowledge of billing, pay or contracts, agreements and reimbursement issues.
  • Satisfactorily demonstrates the knowledge, skills and abilities to perform the duties outlined in this job description as well as continually demonstrates competency in performing the job duties.
Job Type: Contract/Temporary/Travel
Location: Anchorage, AK

If You have the Passion to be a RN Case Manager, Apply Today and a Recruiter will guide you through the Process!
Join our VIP team of Traveling Professionals!

RN - Case Manager, Traveling Case Manager RN, Part-Time, Contract, Travel, Temporary , 13 Weeks, Temp. Tier3, Registered Nurse RN Case Manager

Focus Staff Job ID #a0xVt00000PIw8nIAD. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel Case Manager RN Registered Nurse

About Focus Staff

Your Journey, Our Focus. Travel Confidently, Care Boldly with Focus Staff.

At Focus Staff, we’re here to make your travel healthcare career rewarding, seamless, and stress-free.

Whether you’re a travel nurse, therapist, or allied health professional, we take care of the details so you can focus on what you do best — caring for others. Our mission is simple: to help healthcare heroes like you thrive, no matter where your journey takes you.

With thousands of job opportunities across all 50 states, our dedicated recruiters work closely with you to match you to the right assignment, based on what matters most to you — pay, location, benefits, or career growth.

From day one, you’ll enjoy premium benefits like medical coverage that bridges between assignments, 401K matching, travel and licensing reimbursements, and personalized housing support. Plus, our team is here for you 24/7, with clinical support available whenever you need guidance or backup.

At Focus Staff, we believe in making every assignment a smooth, comfortable, and empowering experience. Let’s make your next adventure your best one yet.


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About Focus Staff

Sourced by ZipRecruiter

Focus Staff is a travel healthcare professional staffing agency. We place awesome people in awesome places across every state in the U.S. and the Virgin Islands. If you're an adventurer or a facility that needs high-quality staff, give us a shot. One promise we can unequivocally make: we'll always be totally honest and transparent. Period.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Dallas, TX, US

Year founded

2008

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