Utilization Management (UM) Case Manager Salary

Women make up the vast majority of Utilization Management Case Managers in the United States. The average pay in this industry is approximately $64K annually. Career length is the biggest factor affecting pay for this group, followed by geography. Medical benefits are awarded to most, and a strong majority earn dental coverage. Job satisfaction is reported as high by the vast majority of workers. Figures cited in this summary are based on replies to PayScale's salary questionnaire.
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$39,123 - $88,700
$39K
$64K
$89K
MEDIAN: $64,496
10%
50%
90%

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$15.75 - $45.31
$16
$30
$45
MEDIAN: $29.83
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
$39,123 - $88,700  
   
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).
)
$35,171 - $91,039  
Country: United States | Currency: USD | Updated: 4 May 2017 | Individuals Reporting: 103
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$31$62$93
Hourly Rate
$15.75 - $45.31  
   
Overtime
$1.55 - $92.59  
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).
)
$35,171 - $91,039  
Country: United States | Currency: USD | Updated: 4 May 2017 | Individuals Reporting: 63

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United States (change)

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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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Utilization Management Case Managers who transition into an upper level Utilization Management Registered Nurse position will not necessarily make much more than they do in their current role. The average Utilization Management Registered Nurse makes $67K a year.

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

Pay by Experience for a Utilization Management (UM) Case Manager has a positive trend. An entry-level Utilization Management (UM) Case Manager with less than 5 years of experience can expect to earn an average total compensation of $57,000 based on 70 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Utilization Management (UM) Case Manager with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $61,000 based on 43 salaries. An experienced Utilization Management (UM) Case Manager which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $70,000 based on 55 salaries. A Utilization Management (UM) Case Manager with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $73,000 based on 36 salaries.

Related Job Salaries

Key Stats for Utilization Management (UM) Case Manager

Gender

Female
95 %
Male
5 %

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 17 votes.
Less than 1 year
4%
1-4 years
30%
5-9 years
19%
10-19 years
27%
20 years or more
20%
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Location:
Years in Fields/Career:
United States (change)

Experience Affects Utilization Management (UM) Case Manager Salaries

▲14%

▲9%

National Average
$64,000

▼5%

▼11%

Skills That Affect Utilization Management (UM) Case Manager Salaries

Utilization Management (UM)
▲8%



National Average
$64,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 17 votes.

Gender

Female
95 %
Male
5 %

Years of Experience

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

Common Health Benefits

medical benefits
Medical: 84%
dental benefits
Dental: 76%
vision benefits
Vision: 72%
no benefits
None: 12%
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