Suzanne Jacobs, an RN with an MSN from Indiana University says on Quora that there are differences between the roles: A utilization review nurse concurrently reviews a patient chart to make sure that insurance requirements are met for their inpatient stay. A case manager handles discharge planning, arranging for home health equipment, skilled nursing in a long-term care facility and home health needs. But depending upon the hospital or facility and its size and budget, the roles may be integrated into one, or parts of each job may be combined or they may be kept entirely as two functions.