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Utilization Management Assistant Jobs in Kentucky

Maintain accurate utilization review and authorization records. * Assist with denial management, appeals, and peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements.

ACTIVITIES ASSISTANT

Hardinsburg, KY · On-site

$13 - $15.50/hr

Participate in performance improvement and utilization review programs * Maintain daily record of ... Effectively manages the care of assigned patients using knowledge, skills, judgment and decision ...

Showing results 21-40

Utilization Management Assistant information

See Kentucky salary details

$25.2K

$42K

$60.4K

How much do utilization management assistant jobs pay per year?

As of Aug 9, 2026, the average yearly pay for utilization management assistant in Kentucky is $42,034.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,500.00 and $42,100.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a utilization management assistant?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What skills do you need for utilization management assistant?

A utilization management assistant needs strong organizational skills, attention to detail, and knowledge of healthcare policies and insurance procedures. Good communication skills and proficiency with electronic health records (EHR) systems are also important for coordinating patient information and supporting case reviews.

What are some common challenges utilization management assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is a utilization management assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in Kentucky? The most popular types of Utilization Management jobs in Kentucky are:

UR COORDINATOR (RN OR MSW)

UHS

Hopkinsville, KY • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

491st of 887 rated healthcare providers


Job description

Responsibilities
Utilization Review Coordinator Opportunity
Cumberland Hall Hospital is a 97 bed, licensed, acute psychiatric hospital located in beautiful Hopkinsville, KY. Cumberland Hall features individual units for youth, adults and active-duty military, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 1500 patients receive care from our compassionate health care team each year at Cumberland Hall Hospital.
Website: https://cumberlandhallhospital.com/
The Utilization Review Coordinator is responsible for evaluating and coordinating patient care services to ensure medical necessity, appropriate level of care, and compliance with insurance and regulatory requirements. This role works closely with clinical staff, physicians, and insurance providers to obtain authorizations, support reimbursement, minimize denials, and promote efficient utilization of hospital resources while maintaining quality patient care.
Job Duties to include:
  • Review admissions and continued stays for medical necessity.
  • Obtain and maintain insurance authorizations and approvals.
  • Communicate with payers regarding clinical information and coverage.
  • Monitor authorization status and help prevent reimbursement denials.
  • Coordinate with treatment teams on level-of-care decisions.
  • Maintain accurate utilization review and authorization records.
  • Assist with denial management, appeals, and peer reviews.
  • Ensure compliance with payer, regulatory, and hospital requirements.
Benefits for staff include:
  • Challenging and rewarding work environment
  • Competitive Compensation and Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(k) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Retention Bonus Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Qualifications
Utilization Review Coordinator Requirements:
  • Education: Masters prepared in Social Work or Licensed Registered Nurse
  • Experience: Two years psychiatric experience with knowledge of psychotropic medications.
  • Licenses/Certificates: Current nursing license to practice in Kentucky or master's degree in social work

EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and oir subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US