Utilization Management (UM) Case Manager Salary

The average salary for a Utilization Management (UM) Case Manager is $66,359.

10%

50%

90%

MEDIAN $66,359

Salary

$44k - $85k

Bonus

$511 - $5k

Total Pay

$39k - $89k

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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 b…Read more

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.

Popular Employer Salaries for Utilization Management (UM) Case Manager

Centene Corporation

$70k

UnitedHealth Group

$74k

Career Paths

Explore the most common career paths for Utilization Management (UM) Case Manager. Thickness and color of lines indicates popularity of movement from one job to the next. Visit our career path planner to research other job paths.

Utilization Management (UM) Case Manager

Registered Nurse (RN), Utilization Revie...

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Licensed Practical Nurse (LPN)

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Nurse Case Manager

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More common (> 20%)

Somewhat common (8 - 20%)

Less common (< 8%)

Utilization Management (UM) Case Manager Job Listings

Popular Skills for Utilization Management (UM) Case Manager

Utilization Review (UR)

$67,510

116 responses

Case Management

$69,240

101 responses

Utilization Management (UM)

$72,052

41 responses

Patient Counseling

$50,000

7 responses

Microsoft Office

$73,140

7 responses

Skills in Utilization Review (UR), Case Management, Utilization Management (UM) and Microsoft Office are correlated to pay that is above average. Skills that pay less than market rate include Patient Counseling.

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

An entry-level Utilization Management (UM) Case Manager with less than 1 year experience can expect to earn an average total compensation (includes tips, bonus, and overtime pay) of $61,984 based on 10 salaries. An early career Utilization Management (UM) Case Manager with 1-4 years of experience earns an average total compensation of $63,540 based on 65 salaries. A mid-career Utilization Management (UM) Case Manager with 5-9 years of experience earns an average total compensation of $63,924 based on 47 salaries. An experienced Utilization Management (UM) Case Manager with 10-19 years of experience earns an average total compensation of $68,979 based on 58 salaries. In their late career (20 years and higher), employees earn an average total compensation of $75,164.

Pay Difference by Location

Learn more about cost of living by city.

Los Angeles, California

▲2%

Tampa, Florida

▼0%

Atlanta, Georgia

▼3%

Pittsburgh, Pennsylvania

▼4%

Dallas, Texas

▼5%

Miami, Florida

▼25%

Employees with Utilization Management (UM) Case Manager in their job title in Los Angeles, California earn an average of 1.9% more than the national average. These job titles also find higher than average salaries in Tampa, Florida (0.5% more). The lowest salaries can be found in Miami, Florida (24.7% less), Dallas, Texas (4.8% less) and Pittsburgh, Pennsylvania (4.3% less).