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Utilization Management (UM) Case Manager Salary

Slightly less than three-fifths of Utilization Management Case Managers in the United States have been in the field for more than 10 years. Pay can fall anywhere from $44K to $89K per year, but median earnings come to around $66K annually. Career length is the biggest factor affecting pay for this group, followed by geography. Most enjoy medical while a large number get dental coverage. Vision coverage is also available to a strong majority. Work is enjoyable for Utilization Management Case Managers, who typically claim high levels of job satisfaction. The data for this synopsis comes from respondents who took the PayScale salary survey.
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$48,664 - $85,860
(Median)
$49K
$66K
$86K
MEDIAN: $66,247
10%
50%
90%

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$18.76 - $44.76
(Median)
$19
$31
$45
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
$48,664 - $85,860  
   
Bonus
$0.00 - $5,896  
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).
)
$44,453 - $88,721  
Country: United States | Currency: USD | Updated: 31 Mar 2015 | Individuals Reporting: 210
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
$18.76 - $44.76  
   
Overtime
$0.00 - $70.78  
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 - $5,896  
   
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).
)
$44,453 - $88,721  
Country: United States | Currency: USD | Updated: 31 Mar 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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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. Competency in Case Management frequently indicates knowledge of Utilization Review.

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

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


Experience and pay tend to be weakly linked for Utilization Management Case Managers — those with more experience do not necessarily bring in higher earnings. Folks with fewer than five years of experience take home $57K on average, and those who have worked for five to 10 years see a bigger median salary of $62K. The average pay reported by folks with 10 to 20 years of experience is around $68K. Utilization Management Case Managers with more than 20 years of experience report incomes that are only modestly higher; the median for these old hands hovers around $74K.

Related Job Salaries

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Experience Affects Utilization Management (UM) Case Manager Salaries

Late-Career
up arrow 12%

Experienced
up arrow 4%

National Average
$66,000

Mid-Career
up arrow 6%

Entry-Level
up arrow 13%

Skills That Affect Utilization Management (UM) Case Manager Salaries

Utilization Review (UR)
up arrow 3%

Case Management
0%

National Average
$66,000

Job Satisfaction

Extremely satisfied
Rated 5 out of 5
based on 55 votes.

Gender

Female
92 %
Male
8 %

Years of Experience

Less than 1 year
2%
1-4 years
22%
5-9 years
20%
10-19 years
31%
20 years or more
25%

Common Health Benefits

medical benefits Medical: 86% dental benefits Dental: 81%
vision benefits Vision: 72% employee benefits None: 12%