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Utilization Coordinator Jobs (NOW HIRING)

Franciscan Health

Utilization Review Coordinator

Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for ...

Astiva Health

UM Coordinator

Orange, CA

$27 - $31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

VEST MONROE LLC

Utilization Management Coordinator

Monroe, GA · On-site

$25 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

UTILIZATION MANAGEMENT COORDINATOR Location: Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week -- must include a ...

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Utilization Coordinator information

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How much do utilization coordinator jobs pay per hour?

As of Aug 14, 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 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 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.
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What are the most commonly searched types of Utilization jobs?

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Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $57,448 per year, or $27.6 per hour.

Utilization Management Coordinator

West Michigan Community Mental Health System

Ludington, MI • On-site

Full-time

Re-posted yesterday

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:

  1. 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.
  1. Back-Up Coverage - Provide limited, short-term/backup coverage for other Operations or organizational Coordinators as needed.

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