Utilization Management (UM) Case Manager Salary

Women account for the majority of Utilization Management Case Managers in the United States. The entire group has an average salary of $64K per year. Career length and the particular city each impact pay for this group, with the former having the largest influence. A large number enjoy medical while a fair number get dental coverage. Vision coverage is also available to a majority. The majority of workers are highly satisfied with their job. Respondents to the PayScale salary survey provided the data for this report.
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$39,852 - $88,042
$40K
$64K
$88K
MEDIAN: $64,271
10%
50%
90%

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$16.06 - $48.59
$16
$31
$49
MEDIAN: $30.74
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$31K$62K$93K
Salary
$39,852 - $88,042  
   
Bonus
$2,000  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$37,567 - $91,515  
Country: United States | Currency: USD | Updated: 25 Mar 2017 | Individuals Reporting: 106
© PayScale, Inc. @ www.payscale.com
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$32$64$96
Hourly Rate
$16.06 - $48.59  
   
Overtime
$1.53 - $93.47  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$70K$140K$210K
Bonus
$2,000  
   
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$37,567 - $91,515  
Country: United States | Currency: USD | Updated: 25 Mar 2017 | Individuals Reporting: 64
© PayScale, Inc. @ www.payscale.com

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Job Description for Utilization Management (UM) Case Manager

A utilization management case manager generally works for an insurance entity and analyzes individual medical cases to determine eligibility for medical care. The case manager will obtain pre-certification for patients and conduct reviews to determine if patients are eligible for inpatient or outpatient services or home care based on patient benefit and coverage rules. When patients are not covered for certain services, the case manager will review the cases and determine if the care is needed by analyzing medical records.

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Utilization Management (UM) Case Manager Tasks

  • Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims.
  • Compile, audit and analyze patient records to document condition and treatment and to provide data for cost control and care improvement efforts.
  • Recommend process and policies to improve quality of patient services and increase revenue.
  • Analyze information gathered by investigation; report findings and recommendations.

Common Career Paths for Utilization Management (UM) Case Manager


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For Utilization Management Case Managers, career advancements do not tend to correlate with a rise in salary. On average, lower-level Utilization Management Case Managers earn similar salaries to those in higher-end positions like Utilization Management Registered Nurse.

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Pay by Experience Level for Utilization Management (UM) Case Manager

Median of all compensation (including tips, bonus, and overtime) by years of experience.


Experience and pay tend to be weakly linked for Utilization Management Case Managers — those with more experience do not necessarily bring in higher earnings. Workers with less than five years' experience earn around $57K on average, and those who have five to 10 years under their belts see a higher median salary of $61K. Utilization Management Case Managers bring in $70K after working for 10 to 20 years. Respondents who claim more than 20 years of experience may encounter pay that doesn't quite reflect their extensive experience; these veterans report a median income of around $73K.

Related Job Salaries

Key Stats for Utilization Management (UM) Case Manager

Gender

Female
96 %
Male
4 %

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 15 votes.
Less than 1 year
4%
1-4 years
29%
5-9 years
19%
10-19 years
27%
20 years or more
21%
Location:
Years in Fields/Career:
United States (change)

Experience Affects Utilization Management (UM) Case Manager Salaries

▲14%

▲9%

National Average
$65,000

▼6%

▼11%

Skills That Affect Utilization Management (UM) Case Manager Salaries

Utilization Management (UM)
▲7%



National Average
$65,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 15 votes.

Gender

Female
96 %
Male
4 %

Years of Experience

Less than 1 year
4%
1-4 years
29%
5-9 years
19%
10-19 years
27%
20 years or more
21%

Common Health Benefits

medical benefits
Medical: 85%
dental benefits
Dental: 75%
vision benefits
Vision: 69%
dental benefits
None: 11%
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