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Utilization Coordinator Jobs in South Fulton, TN

Taphealthcare

Director of Case Management

Mayfield, KY

$95K - $125K/yr

Strong understanding of care coordination, utilization management, discharge planning, and transitions of care. * Excellent communication, critical thinking, organizational, and problem-solving ...

Ohio Health

Lead Medical Assistant

Trimble, TN

$14.50 - $18.75/hr

Responsible for cost-effective utilization of employees and other resources while maintaining high ... care and coordination of services. Collects. Monitors, and reports patient data and needs as ...

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All JobsUtilization JobsUtilization Coordinator JobsUtilization Coordinator Jobs in South Fulton, TN

Utilization Coordinator information

See South Fulton, TN salary details

$12

$22

$46

How much do utilization coordinator jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for utilization coordinator in South Fulton, TN is $22.70, according to ZipRecruiter salary data. Most workers in this role earn between $16.01 and $25.67 per hour, depending on experience, location, and employer.

What is a utilization coordinator?

Utilization Coordinators are healthcare professionals responsible for reviewing and monitoring the use of medical services to ensure patients receive appropriate care efficiently and cost-effectively. They assess treatment plans, review medical records, and help coordinate care among providers to ensure compliance with insurance and regulatory guidelines. Utilization Coordinators also work with clinical staff to determine the medical necessity of procedures and help optimize patient outcomes while managing healthcare costs.

How does a utilization coordinator typically interact with clinical and administrative teams in a healthcare setting?

A Utilization Coordinator regularly collaborates with both clinical teams, such as physicians and nurses, and administrative staff to ensure that patient care services are medically necessary and efficiently delivered. They review medical records, coordinate pre-authorizations, and communicate with insurance providers to support appropriate resource use. Effective communication and teamwork are essential, as Utilization Coordinators often serve as a liaison between departments, helping to resolve discrepancies and streamline processes for optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization coordinator, and why are they important?

To thrive as a Utilization Coordinator, you need a background in healthcare or social services, strong analytical skills, and familiarity with medical terminology, often supported by a relevant degree or certification. Proficiency in case management software, electronic health records (EHRs), and knowledge of insurance policies and regulatory requirements is typically required. Excellent communication, organizational, and problem-solving abilities help you effectively coordinate care and advocate for patient needs. These skills ensure efficient resource utilization, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What is the difference between Utilization Coordinator vs Utilization Review Specialist?

AspectUtilization CoordinatorUtilization Review Specialist
CredentialsTypically requires healthcare-related certifications or licenses, such as a Registered Nurse (RN) or healthcare administration backgroundOften requires similar healthcare credentials, including RN, licensed practical nurse (LPN), or medical reviewer certifications
Work EnvironmentWorks in hospitals, clinics, or insurance companies, coordinating patient services and resource allocationWorks mainly in insurance companies or healthcare facilities, reviewing medical necessity and treatment plans
Employer & Industry UsageCommonly employed by healthcare providers and insurance companies to optimize resource usePrimarily 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?

Utilization coordinators typically need at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data management tools is also important.

What cities near South Fulton, TN are hiring for Utilization Coordinator jobs?

Cities near South Fulton, TN with the most Utilization Coordinator job openings:

Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in South Fulton, TN as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 1% Temporary, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $47,206 per year, or $22.7 per hour.

Director of Case Management

Mayfield, KY

Career Land Center, LLC
Recruiting and Staffing Services • 1 - 10 employees
Learn more about Career Land Center, LLCexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 29 days ago

Job description

A healthcare facility is seeking a Director of Case Management to provide leadership and oversight for its case management operations. This on-site leadership role is responsible for supporting effective care coordination, utilization management, and discharge planning while partnering with clinical teams to improve patient outcomes and operational efficiency.

Responsibilities

Provide leadership and direction for the hospital’s Case Management department.

Oversee case management operations, including care coordination, utilization review, and discharge planning processes.

Ensure effective collaboration between case managers, physicians, nursing teams, and other healthcare professionals.

Support initiatives that promote quality patient care, appropriate resource utilization, and efficient transitions of care.

Develop and maintain department processes, standards, and workflows to support organizational goals.

Provide guidance, mentorship, and leadership to case management staff.

Monitor department performance and identify opportunities for process improvement.

Requirements

Must be a licensed Registered Nurse.

ACMA (Accredited Case Manager) Certification required, or must be obtained within 2 years of hire.

Case Management experience required.

Leadership experience in Case Management preferred.

Schedule

Full-time, on-site leadership position.

Benefits

Medical, dental, and vision coverage.

401(k) with employer match.

Paid time off and holiday pay.

Professional development and continuing education support.

Relocation assistance may be available for eligible candidates.

Compensation

Competitive compensation based on experience and qualifications.

Equal Opportunity Statement

This employer is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

This position is being recruited by Career Land Center (CLC), a healthcare staffing agency, on behalf of a client facility.