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Utilization Management Assistant Jobs in New York

HealthCare Partners

Claims Assistant

Garden City, NY

$21 - $24.03/hr

The Claims Assistant works closely with Claims Examiners, Customer Service, Utilization Management, and Provider Services to support efficient claims operations. Essential Position Functions ...

HealthCare Partners, MSO

Claims Assistant

Garden City, NY · On-site

$21 - $24.03/hr

The Claims Assistant works closely with Claims Examiners, Customer Service, Utilization Management, and Provider Services to support efficient claims operations. Essential Position Functions ...

MetroPlusHealth

Pharmacy Resident

Manhattan, NY · Hybrid

$57K/yr

The Pharmacist Intern will also assist in all other Pharmacy department directives. Additionally ... Assists with formulary and utilization management for medications across all lines of business.

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Utilization Management Assistant information

See New York salary details

$31.7K

$52.9K

$76K

How much do utilization management assistant jobs pay per year?

As of Aug 22, 2026, the average yearly pay for utilization management assistant in New York is $52,947.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,900.00 and $53,100.00 per year, depending on experience, location, and employer.

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 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 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.

Is utilization management assistant a good job?

Utilization Management Assistants support healthcare organizations by reviewing medical records and authorizations to ensure appropriate care and cost management. The role typically requires attention to detail, knowledge of healthcare policies, and proficiency with electronic health records systems. It can offer stable employment with opportunities for advancement in healthcare administration.

What are the most commonly searched types of Utilization Management jobs in New York?

The most popular types of Utilization Management jobs in New York are:

What cities in New York are hiring for Utilization Management Assistant jobs?

Cities in New York with the most Utilization Management Assistant job openings:

Utilization Management Assistant jobs near you
Infographic showing various Utilization Management Assistant job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 85% Physical, 3% Hybrid, and 12% Remote job distribution, with an average salary of $52,947 per year, or $25.5 per hour.

Coord-Behavioral Health Ult Mg

BronxCare Health System

Bronx, NY • On-site

Full-time

Re-posted 23 days ago

BronxCare Health System rating

6.9

Company rating: 6.9 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Overview

The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized criteria.

Responsibilities

The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patients admitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognized criteria. The BH-UMC will monitor discharge plan, continued stay, provide clinical information to managed care plans or other intermediaries in order to secure certification status and reimbursement for the hospital. The BHUMC will collaborate with the physician, social worker and nursing to insure that discharge plan is implemented timely, communicated to health plan and executed within appropriate length of stay allowances. The BH-UMC will work under the direction of the Case Manager assigned to Behavioral Health in order to insure that all patients are reviewed and certified. The BH-UMC will collaborate and communicate with all members of the Behavioral Healthcare team to insure that patients designated for admission have all necessary documentation to meet admission criteria for reimbursement purposes. The BH-UMC will facilitate discharges and assist the discharge planning process by identifying delays/barriers to discharge.

Knowledge of Medicare, Medicaid, Managed Care and OASIS guidelines, medical necessity criteria pertaining to psychiatry and substance abuse.

Knowledge of federal and state regulatory guidelines governing Behavioral Health

Qualifications

Minimum of three (3) years experience specifically in Behavioral Health Utilization review and case management. Managed Care or Discharge Planning experience in Behavioral Health a plus.

Bachelors/Masters 

Employment Type: FULL_TIME

What BronxCare Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

BronxCare Health System logo

About BronxCare Health System

Sourced by ZipRecruiter

BronxCare is the largest voluntary, not-for-profit health and teaching hospital system serving the South and Central Bronx, with 859 beds and more than 4,500 employees. Its two main hospital divisions, comprehensive psychiatric and chemical dependency programs, long-term care facility, and extensive outpatient network are delivering the highest quality and accessible services to the community. BronxCare is now among the largest providers of outpatient services in New York City, with close to one million visits annually. Its ER is one of the busiest in New York.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New York, NY, US

Year founded

1890

Social media

Twitter

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