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Utilization Management (UM) Case Manager Salary (United States)

Utilization Management Case Managers who are practiced in their profession and carry more than 10 years of experience make up a little over a half of Utilization Management Case Managers. Pay fluctuates from $44K to $85K per year, but expected earnings average $64K annually. Experience level is the biggest factor affecting pay for this group, followed by geography. A strong majority enjoy medical while most get dental coverage. Vision coverage is also available to a fair portion. The majority of workers are highly satisfied with their job. The information for this snapshot was generated by responses to the PayScale salary survey.
Utilization Management (UM) Case Manager Salary (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$47,055 - $81,165
(Median)
47K
55K
64K
72K
81K
MEDIAN: $63,627
10%
25%
50%
75%
90%
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Utilization Management (UM) Case Manager Salary (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$19.23 - $44.38
(Median)
19
25
30
36
44
MEDIAN: $30
10%
25%
50%
75%
90%
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National Salary Data

 (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$29K$58K$87K
Salary
$47,055 - $81,165  
   
Bonus
$0.00 - $5,781  
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).
)
$44,282 - $85,164  
Country: United States | Currency: USD | Updated: 3 Sep 2014 | Individuals Reporting: 212
National Hourly Rate Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$24$48$72
Hourly Rate
$19.23 - $44.38  
   
Overtime
$0.00 - $70.04  
National Annualized Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$50K$100K$150K
Bonus
$0.00 - $5,781  
   
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).
)
$44,282 - $85,164  
Country: United States | Currency: USD | Updated: 3 Sep 2014 | Individuals Reporting: 123
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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
  • Recommend process and policies to improve quality of patient services and increase revenue.
  • Analyze information gathered by investigation; report findings and recommendations.
  • 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.

Medical Case Manager Job Listings

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Survey takers who work as Utilization Management Case Managers report a focused set of job skills. Utilization Review and Case Management are considered valuable skills and can increase employee pay by 6 percent and 4 percent respectively. Case Management and Utilization Review are also commonly seen together.

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

Median of all compensation (including tips, bonus, and overtime) by years of experience.
For Utilization Management Case Managers, more experience in the field does not usually mean bigger paychecks. The average beginner in this position makes around $57K, but folks who have been around for five to 10 years see a markedly higher median salary of $62K. On average, Utilization Management Case Managers make $66K following one to two decades on the job. Individuals who have achieved more than 20 years of experience don't seem to earn much more than people who have 10 to 20 years under their belts; the more senior group reports an average income of $70K. The largest share of Utilization Management Case Managers have one to 10 years of experience, followed by those with 10 to 20 years. Workers who have been working for more than 20 years are the least common.

Pay Difference By Location

National Average
$64,000
Dallas
up arrow 1%
Atlanta
up arrow 4%
Columbus
up arrow 9%
Larger circles over a city indicate a job is popular in that location.
With compensation 9 percent below the national average, Columbus is not known for hefty paychecks and actually represents the lowest-paying market. Workers in Atlanta and Dallas earn salaries that trail the national average for those in this profession (4 percent less and 1 percent less, respectively).

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Experience Affects Utilization Management (UM) Case Manager Salaries

Late-Career
up arrow 11%
Experienced
up arrow 4%
National Average
$64,000
Mid-Career
up arrow 3%
Entry-Level
up arrow 11%

Skills That Affect Utilization Management (UM) Case Manager Salaries

Case Management
up arrow 4%
National Average
$64,000

Job Satisfaction

Extremely satisfied Image
Extremely satisfied
Rated 5 out of 5 based on 69 votes.

Gender

Female
92%
female alumni
 
Male
8%
male alumni

Years of Experience

Less than 1 year
1%
1-4 years
22%
5-9 years
22%
10-19 years
30%
20 years or more
25%

Common Health Benefits

medical benefits Medical: 85% dental benefits Dental: 80%
vision benefits Vision: 73% employee benefits None: 12%