Utilization Management (UM) Case Manager Salary

Utilization Management Case Managers in the United States with more than 10 years of experience in their profession represent just below three-fifths of Utilization Management Case Managers. Salaries average out to around $66K annually and spread from $44K to $89K per year. Experience level is the biggest factor affecting pay for this group, followed by geography. Most report receiving medical coverage from their employers and a large number collect dental insurance. Work is enjoyable for Utilization Management Case Managers, who typically claim high levels of job satisfaction. The data in this summary comes from the PayScale salary survey.
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$47,837 - $86,925
(Median)
$48K
$66K
$87K
MEDIAN: $66,113
10%
50%
90%

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$18.69 - $44.04
(Median)
$19
$31
$44
MEDIAN: $30
10%
50%
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$30K$60K$90K
Salary
$47,837 - $86,925  
   
Bonus
$0.00 - $5,973  
Profit Sharing
$150.00 - $3,000  
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).
)
$43,505 - $89,010  
Country: United States | Currency: USD | Updated: 20 Jun 2015 | Individuals Reporting: 217
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$21$42$63
Hourly Rate
$18.69 - $44.04  
   
Overtime
$0.00 - $60.82  
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 - $5,973  
   
Profit Sharing
$150.00 - $3,000  
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).
)
$43,505 - $89,010  
Country: United States | Currency: USD | Updated: 20 Jun 2015 | Individuals Reporting: 134
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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.

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Professional skills reported by Utilization Management Case Managers are few in number. Utilization Review and Case Management are considered valuable skills and can increase employee pay. Case Management and Utilization Review are correlating skills — those who know the former usually know the latter.

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

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


Experience does not seem to be a strong driver of pay increase in this role. Someone who has worked for fewer than five years earns around $58K on average. Individuals with five to 10 years of experience don't get much more, though; the average income in this group is $61K. After working for 10 to 20 years, Utilization Management Case Managers make a median salary of $68K. Ultimately, more time spent in the workforce does seem to translate to bigger paychecks; seasoned veterans with more than 20 years of experience report a median income of $75K.

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Experience Affects Utilization Management (UM) Case Manager Salaries

Late-Career
up arrow 14%

Experienced
up arrow 3%

National Average
$66,000

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
0%

National Average
$66,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 53 votes.

Gender

Female
93 %
Male
7 %

Years of Experience

Less than 1 year
1%
1-4 years
22%
5-9 years
18%
10-19 years
32%
20 years or more
26%

Common Health Benefits

medical benefits Medical: 87% dental benefits Dental: 81%
vision benefits Vision: 73% employee benefits None: 10%
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