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Utilization Review Case Manager Jobs in Utah (NOW HIRING)

RN Case Manager

Ogden, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. Benefits Ogden Regional Medical Center, offers a total rewards package that supports the health ...

RN Case Manager

Ogden, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. Ogden Regional Medical Center, offers a total rewards package that supports the health, life ...

RN Case Manager PRN

Bountiful, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. * 2+ years of experience in case management, 3+ years of experience in acute clinical nursing ...

New

RN Case Manager PRN

Bountiful, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. * 2+ years of experience in case management, 3+ years of experience in acute clinical nursing ...

New

RN Case Manager in Ogden, UT

Ogden, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. Benefits Ogden Regional Medical Center, offers a total rewards package that supports the health ...

RN Case Manager PRN

Bountiful, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. * 2+ years of experience in case management, 3+ years of experience in acute clinical nursing ...

RN Case Manager PRN

Bountiful, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. * 2+ years of experience in case management, 3+ years of experience in acute clinical nursing ...

RN Case Manager PRN

Bountiful, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. * 2+ years of experience in case management, 3+ years of experience in acute clinical nursing ...

RN Case Manager PRN

Bountiful, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. * 2+ years of experience in case management, 3+ years of experience in acute clinical nursing ...

RN Case Manager PRN

Bountiful, UT ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review preferred. * InterQual experience preferred. * 2+ years of experience in case management, 3+ years of experience in acute clinical nursing ...

Showing results 41-60

Utilization Review Case Manager information

See Utah salary details

$15

$33

$54

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

As of Aug 13, 2026, the average hourly pay for utilization review case manager in Utah is $33.22, according to ZipRecruiter salary data. Most workers in this role earn between $26.92 and $35.00 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 Utah?

For Utilization Review Case Manager jobs in Utah, the most frequently searched job titles are:

What cities in Utah are hiring for Utilization Review Case Manager jobs?

Cities in Utah with the most Utilization Review Case Manager job openings:

Infographic showing various Utilization Review Case Manager job openings in Utah as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 13% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $69,089 per year, or $33.2 per hour.

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago


Job description

Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at Ogden Regional Medical Center, youโ€™ll have all the staffing support, technology and resources you need to deliver safe, high-quality careโ€”so you can focus on what you do best.

Job Summary and Qualifications

The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to ensure optimum outcomes. The CM provides, coordinates, and directs care specific to the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts within the Rehabilitation team.

What you will do in this role:

  • You will provide program orientation to patients/families/caregivers. Orientation will include the case manager's role, Rehab philosophy, and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights and responsibilities.
  • You will act as the coordinator of patient/family/caregiver education. You will promote the participation of the patient/family/caregiver in team discussions related to plans, goals, and status. This will be conducted through Family Conferences and other interactions.
  • You will ensure the implementation of the patient's treatment plan that supports the patient's strengths, abilities, needs, and preferences. You will facilitate the involvement of the patient throughout the rehabilitation process.
  • You will document the findings of the Discharge Planning Evaluation (DPE) and psychosocial assessments. You will communicate the social, financial, or discharge needs and preferences of the patient/family/caregiver.
  • You will assume accountability for promoting consistent, positive patient interactions that advance the agenda of unparalleled patient service.

What qualifications you will need:

  • Current licensure as a Registered Nurse in the State of Alaska or RN compact license from participating compact states.
  • Associate Degree in Nursing required; BSN preferred.
  • 2+ years of experience in case management or 3+ years of experience in clinical nursing required.
  • American Red Cross or American Heart Association Basic Life Support Course (BLS or BCLS) and Certification.
  • Certification in case management or utilization review preferred.
  • InterQual experience preferred.
Benefits

Ogden Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location

Ogden Regional Medical Center has been delivering exceptional care for over 75 years. Our 230 plus bed hospital offers a full array of medical services. We are dedicated to providing high-quality healthcare. Ogden Regional is a certified Level II Trauma Center, Stroke Center, and Joint Center.

Affiliated with our hospital is Pleasant View Emergency Center. This fully equipped, freestanding facility features board-certified physicians. Our nurses and technicians are specially trained in emergency medical care and available on a 24/7 basis.

Located 10 miles north of our main hospital, PVER features 10 plus treatment rooms, comprehensive imaging technology and a medical laboratory onsite, which help to ensure accurate and prompt care.

Ogden Regional Medical Center and Pleasant View Emergency Center sit at the heart of the Wasatch Mountain range. The area has abundant outdoor recreation including hiking, biking, rock climbing, watersports and three ski resorts within a half-hour drive; Ogden offers the lure of outdoor living and the culture of city life.

HCA Healthcare has been recognized as one of the World Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursingโ€™s future."

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

If growth and continued learning is important to you, we encourage you to apply for our RN Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.