The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
Central Utilization Mgt * Shift: Day Job * Union Code: Not Applicable
Central Utilization Mgt * Shift: Day Job * Union Code: Not Applicable
Utilization Review Supervisor (PCN 1547)
Troy, MI ยท On-site
$70K - $87K/yr
... coordination, and discharge planning. The UR Supervisor collaborates with providers, hospitals ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
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Utilization Review Supervisor (PCN 1547)
Troy, MI ยท On-site
$70K - $87K/yr
... coordination, and discharge planning. The UR Supervisor collaborates with providers, hospitals ... Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure ...
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required.
Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: * RHIT, RHIA, or related coding certification required.
Utilization Management Clinical Analyst - Substance Use Disorder (SUD) The Utilization Management ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
Utilization Management Clinical Analyst - Substance Use Disorder (SUD) The Utilization Management ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
Coordinates bed utilization within inpatient hospital patient care units. What You'll Do * Provide real-time clinical leadership and support across inpatient units * Assist with admissions ...
Coordinates bed utilization within inpatient hospital patient care units. What You'll Do * Provide real-time clinical leadership and support across inpatient units * Assist with admissions ...
Utilization Management Clinical Analyst HYBRID (PCN 1534)
Troy, MI ยท On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
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Utilization Management Clinical Analyst HYBRID (PCN 1534)
Troy, MI ยท On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
Coordinates bed utilization within inpatient hospital patient care units. What You'll Do * Provide real-time clinical leadership and support across inpatient units * Assist with admissions ...
Coordinates bed utilization within inpatient hospital patient care units. What You'll Do * Provide real-time clinical leadership and support across inpatient units * Assist with admissions ...
Inventory Coordinator
$17 - $22.50/hr
Manages load utilization. Coordinates common carrier activities. Updates information for each customer. * Maintains customer delivery time windows. Maintains customer data base network system.
Inventory Coordinator
$17 - $22.50/hr
Manages load utilization. Coordinates common carrier activities. Updates information for each customer. * Maintains customer delivery time windows. Maintains customer data base network system.
MI ยท On-site
$26.01 - $68.55/hr
Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. * Typical office working environment ...
MI ยท On-site
$26.01 - $68.55/hr
Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. * Typical office working environment ...
Inventory Coordinator
$17 - $22.50/hr
Manages load utilization. Coordinates common carrier activities. Updates information for each customer. * Maintains customer delivery time windows. Maintains customer data base network system.
Inventory Coordinator
$17 - $22.50/hr
Manages load utilization. Coordinates common carrier activities. Updates information for each customer. * Maintains customer delivery time windows. Maintains customer data base network system.
Utilization Management Clinical Analyst - SUD HYBRID (PCN 1543)
Troy, MI ยท On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst - Substance Use Disorder (SUD) conducts ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
Quick apply
Utilization Management Clinical Analyst - SUD HYBRID (PCN 1543)
Troy, MI ยท On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst - Substance Use Disorder (SUD) conducts ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal ...
This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal ...
Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI ยท On-site
$56K - $70K/yr
Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews ... ensuring efficient coordination, execution, and successful delivery of initiatives. Oakland ...
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Utilization Review Analyst HYBRID (PCN 1542)
Troy, MI ยท On-site
$56K - $70K/yr
Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews ... ensuring efficient coordination, execution, and successful delivery of initiatives. Oakland ...
This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal ...
This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal ...
This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal ...
This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal ...
Utilization Coordinator information
See Michigan salary details
$13.41 - $16.67
21% of jobs
$17.14 is the 25th percentile. Wages below this are outliers.
$16.67 - $19.92
27% of jobs
The median wage is $20.37 / hr.
$19.92 - $23.18
12% of jobs
$26.08 is the 75th percentile. Wages above this are outliers.
$23.18 - $26.44
17% of jobs
$26.44 - $29.69
14% of jobs
$29.69 - $32.95
5% of jobs
$32.95 - $36.21
0% of jobs
$36.21 - $39.47
0% of jobs
$39.47 - $42.72
1% of jobs
$42.72 - $45.98
2% of jobs
$45.98 - $49.24
1% of jobs
$13
$24
$49
How much do utilization coordinator jobs pay per hour?
How does a utilization coordinator typically interact with clinical and administrative teams in a healthcare setting?
What are the key skills and qualifications needed to thrive as a utilization coordinator, and why are they important?
What is the difference between Utilization Coordinator vs Utilization Review Specialist?
| Aspect | Utilization Coordinator | Utilization Review Specialist |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications or licenses, such as a Registered Nurse (RN) or healthcare administration background | Often requires similar healthcare credentials, including RN, licensed practical nurse (LPN), or medical reviewer certifications |
| Work Environment | Works in hospitals, clinics, or insurance companies, coordinating patient services and resource allocation | Works mainly in insurance companies or healthcare facilities, reviewing medical necessity and treatment plans |
| Employer & Industry Usage | Commonly employed by healthcare providers and insurance companies to optimize resource use | Primarily employed by insurance companies and third-party payers for case reviews |
While both roles involve healthcare coordination and require similar credentials, the Utilization Coordinator focuses on managing patient services and resource allocation, whereas the Utilization Review Specialist primarily reviews medical necessity and treatment plans for approval or denial.
What degree do I need for utilization review?
What is a utilization coordinator?

Utilization Management Coordinator
Ludington, MI โข On-site
Full-time
Posted 25 days ago
Job description
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization Management Coordinator will monitor and audit the effectiveness of the WMCMH Utilization Management processes/systems, provide data to support organizational utilization decision-making, facilitate the WMCMH Utilization Management Committee and be an active participant in the Lakeshore Regional Entity UM ROAT and other regional and state UM workgroups/committees as appropriate.
The Utilization Management Coordinator will be housed on the Operations Team and will work very closely with other members of the organization.
JOB DUTIES:
- Utilization Management – Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will:
- Perform monitoring and audit functions (objective examination) relative to utilization management and/or effectiveness of WM utilization management (i.e., size and composition and accessibility of WM network; appropriateness of authorization bundles; compliance with WM authorization decision guidelines; ensure presence of golden thread; ensure consistent and compliant authorization decisions and supporting documentation, etc.).
- In response to monitoring and audit functions, facilitate the development and monitoring of performance improvement plans as appropriate.
- Provide/Aggregate data to support the need for new programs and/or discontinuing programs that are ineffective or inefficient.
- Provide/Aggregate data to support the need for incorporating new or discontinuing the use of evidence-based practices.
- Provide/Aggregate data to support maintenance/updates to authorization decision guidelines.
- Facilitate the WMCMH Utilization Management Committee
- Participate in the Lakeshore Regional Entity UM ROAT and other state/regional UM workgroups as appropriate.
- Back-Up Coverage - Provide limited, short-term/backup coverage for other Operations or organizational Coordinators as needed.
About West Michigan Community Mental Health
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
51 - 200 Employees
Headquarters location
Ludington, MI, US
Year founded
1982