The average pay for a Utilization Management (UM) Case Manager is $65,227 per year.
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$40,825 - $88,629
$41K
$65K
$89K
MEDIAN: $65,226
10%
50%
90%

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$16.11 - $48.06
$16
$31
$48
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$31K$62K$93K
Salary
$40,825 - $88,629  
   
Bonus
$2,600  
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).
)
$38,150 - $90,909  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 119
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
$16.11 - $48.06  
   
Overtime
$1.52 - $94.19  
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
$2,600  
   
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).
)
$38,150 - $90,909  
Country: United States | Currency: USD | Updated: 18 Jan 2017 | Individuals Reporting: 68

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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.

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 14 votes.
Less than 1 year
4%
1-4 years
28%
5-9 years
17%
10-19 years
28%
20 years or more
23%
Location:
Years in Fields/Career:
United States (change)

Experience Affects Utilization Management (UM) Case Manager Salaries

Late-Career
up arrow 16%

Experienced
up arrow 8%

National Average
$65,000

Mid-Career
up arrow 6%

Entry-Level
up arrow 9%

Skills That Affect Utilization Management (UM) Case Manager Salaries

Utilization Management (UM)
up arrow 6%



National Average
$65,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 14 votes.

Gender

Female
96 %
Male
4 %

Years of Experience

Less than 1 year
4%
1-4 years
28%
5-9 years
17%
10-19 years
28%
20 years or more
23%

Common Health Benefits

medical benefits
Medical: 85%
dental benefits
Dental: 76%
vision benefits
Vision: 69%
dental benefits
None: 11%
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