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Utilization Management Assistant Jobs (NOW HIRING)

Devoted Health

Utilization Management Coordinator

$21.70 - $27/hr

The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by ... Complete daily census checks and assist with discharge planning coordination activities * Support ...

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Utilization Management Assistant information

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$29K

$48.4K

$69.5K

How much do utilization management assistant jobs pay per year?

As of Sep 13, 2026, the average yearly pay for utilization management assistant in the United States is $48,396.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $48,500.00 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 cities are hiring for Utilization Management Assistant jobs?

Cities with the most Utilization Management Assistant job openings:

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

The most popular types of Utilization Management jobs are:

What states have the most Utilization Management Assistant jobs?

States with the most job openings for Utilization Management Assistant jobs include:

What are popular job titles related to Utilization Management Assistant jobs?

For Utilization Management Assistant jobs, the most frequently searched job titles are:

Utilization Management Assistant jobs near you
Infographic showing various Utilization Management Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $48,396 per year, or $23.3 per hour.

Registered Nurse - Utilization Management

Martinsburg, WV • On-site

US Department of Veterans Affairs
Public Administration • 10K+ employees
Learn more about US Department of Veterans Affairsexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

U.S. Department Of Veterans Affairs rating

8.1

Company rating: 8.1 out of 10

Based on 675 frontline employees who took The Breakroom Quiz

Job description

UM RN Activities

The UM RN activities include collecting, analyzing, and reporting data, creating, and providing provider education to a variety of providers, collaborating on ordered level of care and treatments plans, and conducting lnterQual reviews on prospective, observation, admission, and continued stay patients.

Practice encompasses implementation and management of the UM Program and application of National Utilization Management Integration (NUMI) software for clinical screening, data aggregation, and reporting.

Responsible for creating and providing education and guidance to internal and external customers of varying education levels on admission and continued stay criteria and best clinical documentation and utilization management practices to ensure efficient resource utilization.

Assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and outcomes utilization consultation.

Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others on the acute care team.

Proficient nurse who demonstrates proficiency in decision-making and using the nursing process for complex situations that affect performance outcomes at the point of care. Practice is enhanced through development of collegial relationships.

Demonstrates collaboration by using the group process to solve problems and impact Veterans in acute care.

Demonstrates critical thinking with efficiency and accuracy in assessing and managing situations.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards

Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: M-F - 7:00AM - 3:30 PM

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

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