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Utilization Management Case Manager Rn Jobs in Memphis, TN

... of case management and utilization review practices. * Responds to problems/opportunities to ... Master's Degree in Nursing or Public Health - preferred. * Education, training, or experience to ...

Utilization Review * Discharge planning * Readmission Reduction Participation * Payer Communication ... Management experience in a hospital or payer setting Education Minimum Required * Diploma or ...

... case management and utilization review practices. Responds to problems/opportunities to improve ... in Nursing Required and Master's Degree in Nursing or Public Health Preferred and Education ...

Showing results 21-40

Utilization Management Case Manager Rn information

See Memphis, TN salary details

$18

$46

$77

How much do utilization management case manager rn jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for utilization management case manager rn in Memphis, TN is $46.18, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $55.82 per hour, depending on experience, location, and employer.

What is the difference between Utilization Management Case Manager Rn vs Utilization Review Nurse?

AspectUtilization Management Case Manager RnUtilization Review Nurse
CredentialsRN license, certification in case management (e.g., CCM)RN license, often with certification in utilization review
Work EnvironmentInsurance companies, healthcare facilities, case management teamsHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing cases, ensuring appropriate utilizationReviewing medical necessity, approving or denying services
Common TasksAssessing patient needs, developing care plans, liaising with providersEvaluating medical records, making utilization decisions, ensuring compliance

The main difference is that the Utilization Management Case Manager Rn focuses on coordinating patient care and managing cases, while the Utilization Review Nurse primarily reviews medical records to approve or deny services. Both roles require RN licensure and related certifications, but their daily responsibilities and work environments differ slightly.

Are utilization management case managers in demand?

Utilization management case managers are in demand due to the growing need for healthcare cost control and efficient patient care coordination. Employers in healthcare organizations, insurance companies, and managed care plans seek professionals with strong clinical knowledge, certification, and experience in utilization review processes. The role offers stable employment opportunities as healthcare systems focus on cost-effective treatment management.
Infographic showing various Utilization Management Case Manager Rn job openings in Memphis, TN as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $96,047 per year, or $46.2 per hour.

RN-Acute Care Case Manager

Memphis, TN • On-site

Baptist Memorial Health Care Corporation
Hospitals • 10K+ employees

Full-time

Re-posted 22 days ago


Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 115 frontline employees who took The Breakroom Quiz


Job description


Job Summary
Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life situation. Performs other duties as assigned.
Responsibilities
  • Utilization Review
  • Discharge planning
  • Readmission Reduction Participation
  • Payer Communication and denial reduction
  • Completes assigned goals.

Specifications
Experience
Minimum Required
  • RN with at least one (1) year of clinical experience

Preferred/Desired
  • RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting

Education
Minimum Required
  • Diploma or Associate Degree in Nursing

Preferred/Desired
  • BSN or MSN

Training
Minimum Required
Preferred/Desired
  • Certified Case Manager

Special Skills
  • .

Minimum Required
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Problem solving; and governmental regulations.

Preferred/Desired
  • Critical thinking skills, communication, organization, interpersonal and computer skills. Knowledge of payer requirements; problem solving; and governmental regulations.

Licensure
  • RN

Minimum Required
  • RN

Preferred/Desired
  • RN;CCM;ACM

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Baptist Memorial logo

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