Utilization Management (UM) Case Manager Salary

Utilization Management Case Managers who are practiced in their profession and carry more than 10 years of experience make up just under three-fifths of Utilization Management Case Managers. Pay fluctuates from $45K to $89K per year, but expected earnings average $66K annually. Career duration is the biggest factor affecting pay for this group, followed by geography. Medical benefits are awarded to most, and a large number earn dental coverage. Job satisfaction is high and work is enjoyable for most Utilization Management Case Managers. Figures cited in this summary are based on replies to PayScale's salary questionnaire.
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$47,682 - $86,833

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$19.07 - $44.36

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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$30K$60K$90K
Salary
$47,682 - $86,833  
   
Bonus
$0.00 - $6,000  
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).
)
$44,547 - $89,010  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 219
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$21$42$63
Hourly Rate
$19.07 - $44.36  
   
Overtime
$0.00 - $61.28  
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$50K$100K$150K
Bonus
$0.00 - $6,000  
   
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).
)
$44,547 - $89,010  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 132
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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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Utilization Management Case Managers usually report a few specific skills. Utilization Review and Case Management are considered valuable skills and can increase employee pay. Experience with Case Management is often linked with 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.


Utilization Management Case Managers with a lot of experience do not necessarily enjoy more money. In this position, someone who has worked for fewer than five years can expect a median salary of $58K. The median for people with five to 10 years of experience is only a little bit higher at $61K. After working for 10 to 20 years, Utilization Management Case Managers make a median salary of $68K. In the end, more experience does seem to mean larger paychecks; seasoned Utilization Management Case Managers with more than 20 years of experience earn a predictably higher median salary of $75K.

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Experience Affects Utilization Management (UM) Case Manager Salaries

Late-Career
up arrow 14%

Experienced
up arrow 3%

National Average
$66,000

Mid-Career
up arrow 7%

Entry-Level
up arrow 12%

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 52 votes.

Gender

Female
93 %
Male
7 %

Years of Experience

Less than 1 year
1%
1-4 years
23%
5-9 years
18%
10-19 years
32%
20 years or more
25%

Common Health Benefits

medical benefits Medical: 88% dental benefits Dental: 80%
vision benefits Vision: 72% employee benefits None: 10%
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