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Utilization Coordinator Jobs (NOW HIRING)

Astiva Health

UM Coordinator

Orange, CA · On-site

* Understands and follows Utilization Management Policies and Procedures pertaining to the referral process. * Processes Prior Authorization-Referral requests that are received from PCPs and-or ...

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

UHS

Utilization Review Coordinator

Mountain City, TN

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

UHS

Utilization Review Coordinator

Mountain City, TN

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

UHS

Utilization Management Coordinator

Forest Park, IL · On-site

$30 - $46/hr

We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to ...

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Utilization Coordinator information

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$15

$27

$56

How much do utilization coordinator jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for utilization coordinator in the United States is $27.62, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $31.25 per hour, depending on experience, location, and employer.

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 Certified Professional Utilization Review (CPUR), can enhance job prospects and demonstrate expertise in the review process.

What is the highest paying job as a coordinator?

The highest paying coordinator roles are often in specialized fields such as project management, healthcare, or IT, where seniority, certifications, and industry experience significantly impact salary. For example, Program Coordinators or Project Coordinators with advanced certifications like PMP can earn higher salaries, especially in industries with complex or large-scale projects.

What are Utilization Coordinators?

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.

What jobs make $3,000 a month without a degree?

Utilization Coordinators typically earn between $3,000 and $4,500 per month depending on experience and location, often without requiring a college degree. Other jobs that can pay around $3,000 monthly without a degree include administrative assistants, sales representatives, and certain skilled trades like HVAC technicians or commercial drivers, especially with certifications and experience. These roles often involve on-the-job training or vocational programs rather than formal degrees.

What does a utilization management coordinator do?

A utilization management coordinator reviews and approves healthcare services to ensure they are medically necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, apply clinical guidelines, and use healthcare management tools to facilitate efficient resource use and cost control.
More about Utilization Coordinator jobs
What cities are hiring for Utilization Coordinator jobs? Cities with the most Utilization Coordinator job openings:
What are the most commonly searched types of Utilization jobs? The most popular types of Utilization jobs are:
What states have the most Utilization Coordinator jobs? States with the most job openings for Utilization Coordinator jobs include:
Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, 1% Temporary, and 1% Contract. Highlights an 83% Physical, 1% Hybrid, and 16% Remote job distribution, with an average salary of $57,448 per year, or $27.6 per hour.
UM Coordinator

UM Coordinator

Astiva Health

Orange, CA • On-site

Full-time

Posted 6 days ago

Job description

  1. Understands and follows Utilization Management Policies and Procedures pertaining to the referral process.
  2. Processes Prior Authorization-Referral requests that are received from PCPs and-or Specialty Providers
  3. Responds to all incoming calls and/or follows up calls in a timely manner. Performs the necessary research for determining a satisfactory disposition. Voice mail is checked promptly after breaks and lunches.
  4. Works with the Membership Management and Claims and contracting Departments on an as needed basis.
  5. Documents all applicable notes, reminders, date/time stamps, initials etc. involved with the referral process.
  6. Accepts calls from physicians and/or their office staff, as well as health plan inquiries regarding referral status. When needed, performs the necessary research (i.e., tracks down the referral packet, etc.).
  7. Is able to achieve and maintain all applicable departmental production standards and goals.
  8. When time permits, all staff are expected to assist others within the department to facilitate workflow and the referral process.
  9. Verifies that the patient address in EZ-cap corresponds with prior authorization/referral request form.
  10. Recognizes health plan types and makes notation of any/all shared risk or other unique payors or providers as directed.
  11. Recognizes all referral types as well as level of urgency and performs accurate data entry within productivity standards.
  12. Regular and consistent attendance

Requirements
  • Medical Assistant (MA) certification required. LVN Preferred
  • High school diploma or equivalent required.
  • Two years current experience in a medical office or health plan environment.
  • Current knowledge of medical coding and medical terminology.
  • Strong computer skills and proficiency in word processing.
  • Detail oriented, able to function under pressure and perform multi-tasks at any given time.
  • Excellent communication skills, verbal and written.

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