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Utilization Review Case Manager Jobs in Minnesota

Medica

Utilization Management RN III

Minnetonka, MN · On-site

$70K - $120K/yr

The Utilization Review RN will review and document member case history in compliance with policies ... Utilization Management experience * Knowledge surrounding regulatory requirements (i.e. CMS and ...

GQR

RN - Case Manager

Minneapolis, MN · On-site

$2.9K - $3.0K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Minneapolis, Minnesota Start Date: August 10, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

HealthPartners

RN Case Manager

Bloomington, MN · On-site

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

HealthPartners

RN Case Manager

Bloomington, MN · On-site

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

HealthPartners

RN Case Manager

Bloomington, MN · On-site

$36.37 - $54.55/hr

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

HealthPartners

RN Case Manager

Minneapolis, MN · On-site

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

HealthPartners

RN Case Manager

Bloomington, MN

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

HealthPartners

RN Case Manager

Bloomington, MN · On-site

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

HealthPartners

RN Case Manager

Bloomington, MN · On-site

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

HealthPartners

RN Case Manager

Bloomington, MN · On-site

$36.37 - $54.55/hr

Minimum of 3 years clinical practice experience in an acute care setting; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical ...

UnitiMed

RN Case Manager

Minneapolis, MN · On-site

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

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All JobsUtilization Review Case JobsUtilization Review Case Manager JobsUtilization Review Case Manager Jobs in Minnesota

Utilization Review Case Manager information

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How much do utilization review case manager jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for utilization review case manager in Minnesota is $35.74, according to ZipRecruiter salary data. Most workers in this role earn between $28.94 and $37.69 per hour, depending on experience, location, and employer.

What are some common challenges utilization review case managers face when coordinating care across multiple departments?

Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.

What is a utilization review case manager?

A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.

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

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing medical records, clinical review, patient care evaluation

Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.

What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?

To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What are popular job titles related to Utilization Review Case Manager jobs in Minnesota? For Utilization Review Case Manager jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Utilization Review Case Manager jobs in Minnesota look for? The top searched job categories for Utilization Review Case Manager jobs in Minnesota are:
What cities in Minnesota are hiring for Utilization Review Case Manager jobs? Cities in Minnesota with the most Utilization Review Case Manager job openings:
Utilization Review Case Manager jobs near you
Infographic showing various Utilization Review Case Manager job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 10% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $74,329 per year, or $35.7 per hour.

Travel Nurse RN - Case Manager, Utilization Review

AMN Healthcare Revenue Cycle

Minneapolis, MN • On-site

$1.8K - $2.7K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Minneapolis, Minnesota.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Care Coordinator
StartDate: ASAP Pay Rate: $1800.00 - $2700.00
POSITION SUMMARY RN Case Manager supporting colorectal surgery patients through pre-op and post-op care coordination.
POSITION DUTIES 

  • Coordinate pre-op and post-op patient care
  • Schedule surgeries, imaging, and follow-up appointments
  • Collaborate with providers and care teams
  • Document care in Epic

    • MINIMUM REQUIRED QUALIFICATIONS 
  • Active RN license (MN required)
  • 5+ years of RN experience
  • Previous RN CM Experience 
  • Epic experience required

    • PREFERRED QUALIFICATIONS 
  • Surgical experience preferred
  • Med-Surg background preferred
  • Colorectal surgery experience a plus

    • LENGTH OF ASSIGNMENT 12–20 Weeks
    SHIFT / HOURS PER WEEK Monday–Friday, Onsite
    40 Hours per Week
    SYSTEMS EPIC
    START DATE ASAP
    Facility Location
    Straddling the Mississippi River, this gleaming metropolis offers all the sophistication of a major urban center with four distinct, vibrant seasons. Named the “Most Fun City in America” by Money Magazine, Minneapolis boasts the largest indoor shopping mall in the nation, a thriving art and music scene, energetic neighborhoods and a variety of great restaurants and entertainment
    Job Benefits
    Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
    • Medical, dental and vision benefits
    • Earned time off and paid holidays
    • Paid continuing education time
    • 401(K) retirement planning
    • Short-term disability, life insurance, paid jury duty
    • Access to the largest network of facilities and providers in the country
    • Industry experienced workforce management team
    • Licensure and certification reimbursement

    About the Company
    At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

    AMN Healthcare Revenue Cycle Job ID #3544147. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Care Coordinator

    About AMN Healthcare Revenue Cycle

    AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

    Benefits
    • Medical benefits
    • Dental benefits
    • Company provided housing options
    • Continuing Education

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