Avg. Base Salary (USD)
The average salary for a Utilization Management (UM) Case Manager is $73,450
What Do Utilization Management (UM) Case Managers Do?
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 …Read more