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Utilization Review Case Manager Jobs in Utah (NOW HIRING)

Case Manager

Salt Lake City, UT ยท On-site

$39K/yr

Description Odyssey House is looking for a Full-Time Case Manager for our Outpatient Facility in ... Roles requiring driving are subject to a Motor Vehicle Record (MVR) review and valid Utah driver ...

Case Management ServicesCollaborate with residents to identify needs and develop individualized service plansMeet regularly with residents to review goals, progress, and evolving needsSupport ...

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Utilization Review Case Manager information

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$15

$33

$54

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

As of Sep 4, 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 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 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 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 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 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 56% Full Time, and 44% Contract. Highlights an 100% In-person job distribution, with an average salary of $69,089 per year, or $33.2 per hour.

Case Manager

Odyssey House Inc.

Salt Lake City, UT โ€ข On-site

$39K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago


Job description

Description


Odyssey House is looking for a Full-Time Case Manager for our Outpatient Facility in Sugarhouse!


Summary: You can make a difference in people's lives and our community! Odyssey House, a 501(c)3 non-profit, is recognized as the best mental health and addiction treatment center in Utah. If you want to expand your experience in the social work and addiction field, we can help! We provide you with opportunities to learn and start a career with flexible schedules to accommodate school and family life. This role is critical to the client and the organization. Odyssey is a large and growing agency, and we are BIG on promoting from within. It is common for people who start here to get promoted to full-time or leadership roles. So come work with the people in our care; it is deeply rewarding!


Job Location: Salt Lake City


Compensation: $39,520 salary

Full-Time Benefits Include:

  • $9,000/year tuition eligibility
  • Paid continuing education/training opportunities
  • Monthly incentives and awards
  • Casual dress and atmosphere
  • Health insurance: medical, dental, vision, FSA, long & short-term disability
  • Competitive 403b match after 1 yearย 
  • Accrue up to 34 paid days off annuallyย 
  • Wellness perk: convert of unused sick time to vacation at year-end
  • Sabbatical program after 5 years of service (we pay you to take a vacation!)
  • On-demand pay - access earned wages early (conditions apply)
  • Extra time off & gift packages for employees after 90 days
  • 24/7 Employee Assistance Program (EAP) for mental health and more ย 

Core Responsibilities: As a member of our team, you will be trained in the skills required to effectively assess clients' needs, connect them with appropriate resources, accurately document services, maintain healthy boundaries, and ensure client safety. You will work closely with our clinical staff, coordinating care and providing direct support to our clients. Additionally, you will have the opportunity to accompany clients on recreational outings.


Day in the Life: You will build meaningful relationships with clients, providing them with individualized attention and support to facilitate positive life changes. This will involve connecting clients with essential resources, communicating with their support systems, and developing therapeutic interventions to help them achieve their goals. You will also hold clients accountable for their progress and provide positive reinforcement for their successes. Overall, you will play a vital role in ensuring the long-term success of our clients.ย 


Job Description

  • Interview and assess client needs and resources on case management caseload.
  • Coordinate with licensed therapists in developing treatment plans and goals consistent with client needs.
  • Monitor outcome and client compliance.
  • Maintain client records to ensure all paperwork is completed as required.
  • Verify funding eligibility for Medicaid and manage Medicaid status during treatment episodes.
  • Submit reports to supervisor, as requested.
  • Assist in arranging client appointments/paperwork with community resources, follow up to ensure client progress, and chart all relevant activities.
  • Complete service documentation within the appropriate client management system within 24 hours.
  • Accurately document services using ASAM (American Society of Addiction Medicine) Dimensional Analysis format, including all required elements.
  • Proactively involve and communicate with collateral supports, including family, significant others, probation officers, judges, caseworkers, and others.
  • Document all incidents immediately and report as required.
  • Complete accurate and thorough client reports in required timeframes, such as court reports.
  • Other duties as assigned.ย 

Requirements


Licensure / Education / Prior Experience Required:


Bachelor's degree in a related field, two years of related employment, and/or program graduate recommended by staff for employment in pursuit of licensure preferred.

  • Willingness and ability to pass a criminal background check
  • First Aid and CPR Certification (available at Odyssey House)
  • Must comply with annual TB tests, Flu, and other immunizations as required
  • Must meet employment eligibility
  • Must be able to work variable shifts as needed


Employment offers are contingent upon successful completion of required pre-employment screenings, which may include background checks, fingerprinting, applicable sex offender registry screenings for Adult Residential roles, and other position-related verifications. Roles requiring driving are subject to a Motor Vehicle Record (MVR) review and valid Utah driver's license.


All employees of Odyssey House are required to adhere to: Odyssey House mission, philosophy, and scope of service; Division of Human Services Code of Conduct and all other relevant service contract requirement standards; ensuring a safe environment for all clients and staff; providing exemplary customer service to both internal and external customers; fostering a positive work environment; ensuring high-quality client care within the scope of the assigned position.


Each employee is expected to clearly understand roles and responsibilities regarding the following: Specific job position, time management, personnel file requirements, client record system, incident reporting, mandatory training requirements, maintaining proper client boundaries, and individual rights of clients and staff.


Physical Demands of the Job: Ability to lift up to 15 lbs., drive (or adequate alternate transportation), sit for prolonged periods, and perform light to moderate physical activity at times.ย ย 


EEOC Statement: Odyssey House is an equal-opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.