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Utilization Management (UM) Case Manager Salary

The average pay for a Utilization Management (UM) Case Manager is $65,891 per year.
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$47,764 - $86,031
(Median)
$48K
$66K
$86K
MEDIAN: $65,891
10%
50%
90%

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$18.76 - $41.95
(Median)
$19
$31
$42
MEDIAN: $30
10%
50%
90%

Add this chart to your site: 640px    300px

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
$47,764 - $86,031  
   
Bonus
$0.00 - $5,987  
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).
)
$43,580 - $87,947  
Country: United States | Currency: USD | Updated: 16 May 2015 | Individuals Reporting: 216
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
$18.76 - $41.95  
   
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 - $5,987  
   
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).
)
$43,580 - $87,947  
Country: United States | Currency: USD | Updated: 16 May 2015 | Individuals Reporting: 127
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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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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 12%

Experienced
up arrow 3%

National Average
$66,000

Mid-Career
up arrow 6%

Entry-Level
up arrow 11%

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 54 votes.

Gender

Female
92 %
Male
8 %

Years of Experience

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

Common Health Benefits

medical benefits Medical: 87% dental benefits Dental: 80%
vision benefits Vision: 72% employee benefits None: 11%
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