Utilization Management (UM) Case Manager Salary

The average pay for a Utilization Management (UM) Case Manager is $66,428 per year.
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$48,119 - $87,614
(Median)
$48K
$66K
$88K
MEDIAN: $66,428
10%
50%
90%

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$18.70 - $43.83
(Median)
$19
$30
$44
MEDIAN: $30
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$30K$60K$90K
Salary
$48,119 - $87,614  
   
Bonus
$0.00 - $5,872  
Profit Sharing
$2,457  
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).
)
$44,149 - $89,537  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 241
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$28$56$84
Hourly Rate
$18.70 - $43.83  
   
Overtime
$0.39 - $81.44  
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$60K$120K$180K
Bonus
$0.00 - $5,872  
   
Profit Sharing
$2,457  
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).
)
$44,149 - $89,537  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 144
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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.

Common Career Paths for Utilization Management (UM) Case Manager


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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.

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Experience Affects Utilization Management (UM) Case Manager Salaries

Late-Career
up arrow 16%

Experienced
up arrow 3%

National Average
$65,000

Mid-Career
up arrow 7%

Entry-Level
up arrow 12%

Skills That Affect Utilization Management (UM) Case Manager Salaries

Utilization Review (UR)
up arrow 4%

Case Management
up arrow 1%

National Average
$65,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 52 votes.

Gender

Female
93 %
Male
7 %

Years of Experience

Less than 1 year
2%
1-4 years
25%
5-9 years
17%
10-19 years
30%
20 years or more
27%

Common Health Benefits

medical benefits
Medical: 85%
dental benefits
Dental: 78%
medical benefits
Vision: 71%
dental benefits
None: 13%
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