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Utilization Case Manager Jobs in Columbus, OH (NOW HIRING)

Our RN Case Manager in collaboration with other internal and external disciplines directs and ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Our RN Case Manager in collaboration with other internal and external disciplines directs ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

RN Case Manager - Part-time, Weekend Coverage For St. Ann's Our RN Case Manager in collaboration ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Our RN Case Manager in collaboration with other internal and external disciplines directs and ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

Our RN Case Manager in collaboration with other internal and external disciplines directs and ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...

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Utilization Case Manager information

See Columbus, OH salary details

$16

$35

$58

How much do utilization case manager jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization case manager in Columbus, OH is $35.24, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $37.16 per hour, depending on experience, location, and employer.

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.

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 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 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.

What job categories do people searching Utilization Case Manager jobs in Columbus, OH look for? The top searched job categories for Utilization Case Manager jobs in Columbus, OH are:
What cities near Columbus, OH are hiring for Utilization Case Manager jobs? Cities near Columbus, OH with the most Utilization Case Manager job openings:
Infographic showing various Utilization Case Manager job openings in Columbus, OH as of May 2026, with employment types broken down into 81% Full Time, 13% Part Time, and 6% Contract. Highlights an 87% In-person, and 13% Hybrid job distribution, with an average salary of $73,303 per year, or $35.2 per hour.
RN Case Manager

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago


Job description

RN Case Manager - Part-time, Weekend Coverage For St. Ann's

Our RN Case Manager in collaboration with other internal and external disciplines directs and coordinates the care of patients from admission to transfer or discharge. This is done with the intentions of cost effective utilization of hospital resources, minimizing out of pocket expenses for patients, providing customer support to our internal and external customers, appropriate utilization of resources and patient advocacy.

What you will do:

  • Identifies discharge needs, determines the appropriate level of care that the patient can transition to, coordinates planning, and problem solves continuity issues to ensure seamless continuum of patient care and prevent the patient from having to readmit to the hospital.
  • Assures all appropriate clinical information is provided to outside agencies. Communicates pertinent information to the appropriate members of the patient care team both effectively and professionally. Takes responsibility to identify and eliminate barriers to effective patient stay management and promotes improvements in work processes within department, hospital, and community.
  • Responsible/accountable for professional development and maintaining licensure. Takes ownership for self-education. Advocates for patient legal, social, and ethical rights while balancing patient resources and hospital financial stewardship. Refers quality issues and poor utilization of services to the appropriate sources. Coordinates/facilitates patient/family education

What we are looking for:

  • Associates degree from an accredited RN program
  • Current license to practice as registered nurse in the State of Ohio
  • Minimum of 3-5 years recent clinical experience in an acute care setting.
  • Weekend Saturday and Sunday position, 8 hour shifts

Position Highlights and Benefits:

  • Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
  • Retirement savings account with employer match starting on day one.
  • Generous paid time off programs.
  • Employee recognition programs.
  • Tuition/professional development reimbursement starting on day one.
  • RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.
  • Relocation assistance (geographic and position restrictions apply).
  • Employee Referral Rewards program.
  • Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!
  • Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information:

Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!

Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.