Utilization Management (UM) Case Manager Salary

Most Utilization Management Case Managers in the United States are women. The median pay for people in this role is approximately $65K per year. Career length and the particular city each impact pay for this group, with the former having the largest influence. Most workers in this position report high levels of job satisfaction. A large number enjoy medical while a fair number get dental coverage. Vision coverage is also available to the greater part. The data for this snapshot was collected from individuals who took PayScale's salary survey.
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$38,666 - $82,662
$39K
$65K
$83K
MEDIAN: $65,306
10%
50%
90%

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$15.54 - $41.46
$16
$31
$41
MEDIAN: $31.17
10%
50%
90%

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$0$85K
Salary $38,666 - $82,662
Bonus $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).
)
$33,880 - $85,014
  • Country: United States
  • Currency: USD
  • Updated: 14 Oct 2017
  • Individuals Reporting: 73
Hourly Data $0$50
Hourly Rate $15.54 - $41.46
Overtime $46.50
Annual Data $0$85K
Bonus $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).
)
$33,880 - $85,014
  • Country: United States
  • Currency: USD
  • Updated: 14 Oct 2017
  • Individuals Reporting: 46

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

  • 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.
  • Recommend process and policies to improve quality of patient services and increase revenue.
  • Analyze information gathered by investigation; report findings and recommendations.

Common Career Paths for Utilization Management (UM) Case Manager


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For Utilization Management Case Managers, career advancements do not tend to correlate with a rise in salary. On average, lower-level Utilization Management Case Managers earn similar salaries to those in higher-end positions like Utilization Management Registered Nurse.

Utilization Management (UM) Case Manager Job Listings

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

Pay by Experience for a Utilization Management (UM) Case Manager has a positive trend. An entry-level Utilization Management (UM) Case Manager with less than 5 years of experience can expect to earn an average total compensation of $57,000 based on 70 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Utilization Management (UM) Case Manager with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $61,000 based on 43 salaries. An experienced Utilization Management (UM) Case Manager which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $70,000 based on 55 salaries. A Utilization Management (UM) Case Manager with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $73,000 based on 36 salaries.

Related Job Salaries

Key Stats for Utilization Management (UM) Case Manager

Gender

Female
91 %
Male
9 %

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 14 votes.
Less than 1 year
5%
1-4 years
31%
5-9 years
17%
10-19 years
32%
20 years or more
15%

Experience Affects Utilization Management (UM) Case Manager Salaries

▲12%

▲8%

National Average
$65,000

▼7%

▼12%

Skills That Affect Utilization Management (UM) Case Manager Salaries

Utilization Management (UM)
▲6%



National Average
$65,000

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 14 votes.

Gender

Female
91 %
Male
9 %

Years of Experience

Less than 1 year
5%
1-4 years
31%
5-9 years
17%
10-19 years
32%
20 years or more
15%

Common Health Benefits

medical benefits
Medical: 87%
dental benefits
Dental: 81%
vision benefits
Vision: 71%
no benefits
None: 9%