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Utilization Management (UM) Case Manager Salary

Utilization Management Case Managers in the United States tend to be well-versed in their field, and over one-half have more than 10 years of experience. Average salary is expected to be around $65K annually, but may range from $44K to $87K 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 strong majority collect dental insurance. Job satisfaction for Utilization Management Case Managers is high. The data in this summary comes from the PayScale salary survey.
$46,576 - $84,176
(Median)
47K
55K
65K
74K
84K
MEDIAN: $64,656
10%
25%
50%
75%
90%

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$18.80 - $43.22
(Median)
19
25
30
36
43
MEDIAN: $30
10%
25%
50%
75%
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
$46,576 - $84,176  
   
Bonus
$0.00 - $5,781  
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).
)
$43,516 - $87,277  
Country: United States | Currency: USD | Updated: 11 Dec 2014 | Individuals Reporting: 212
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$24$48$72
Hourly Rate
$18.80 - $43.22  
   
Overtime
$0.00 - $69.80  
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 - $5,781  
   
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).
)
$43,516 - $87,277  
Country: United States | Currency: USD | Updated: 11 Dec 2014 | Individuals Reporting: 129
United States (change)

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.

Medical Case Manager Job Listings

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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 by 7 percent and 3 percent, respectively. It is not unusual for someone who knows Case Management to be familiar with Utilization Review as well.

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

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


For Utilization Management Case Managers, experience does not seem to be a major factor in determining pay. Workers in their first five years can expect to earn $57K, but people who have been around for five to 10 years earn a noticeably bigger sum of $62K. Utilization Management Case Managers bring in $67K after working for 10 to 20 years. Folks who have racked up more than 20 years in the field report incomes that aren't that much higher than less experienced individuals' earnings; the veterans make just $71K on average.

Related Job Salaries

Experience Affects Utilization Management (UM) Case Manager Salaries

Late-Career
up arrow 10%

Experienced
up arrow 4%

National Average
$64,000

Mid-Career
up arrow 3%

Entry-Level
up arrow 11%

Skills That Affect Utilization Management (UM) Case Manager Salaries


Case Management
up arrow 3%

National Average
$64,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 60 votes.

Gender

Female
92 %
Male
8 %

Years of Experience

Less than 1 year
2%
1-4 years
24%
5-9 years
20%
10-19 years
30%
20 years or more
25%

Common Health Benefits

medical benefits Medical: 85% dental benefits Dental: 80%
vision benefits Vision: 73% employee benefits None: 12%