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Utilization Management Care Coordinator Jobs (NOW HIRING)

Devoted Health

Utilization Management Coordinator

$21.70 - $27/hr

The coordinator will be an important part of building strong relationships with health care ... Utilization Management is a heavily regulated space, so you'll work through unexpected situations ...

Humana Inc

$250 - $350/hr

... coordinated strategy designed to improve total cost of care, appropriate member access, care ... The AVP is not expected to directly manage day-to-day utilization management or care management ...

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$15

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$46

How much do utilization management care coordinator jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization management care coordinator in the United States is $29.61, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $34.62 per hour, depending on experience, location, and employer.

What is the difference between Utilization Management Care Coordinator vs Utilization Review Nurse?

AspectUtilization Management Care CoordinatorUtilization Review Nurse
CredentialsRN or licensed healthcare professionalRN, with licensing required
Work EnvironmentInsurance companies, healthcare organizations, utilization review teamsHospitals, insurance companies, outpatient facilities
Primary FocusCoordinate care, review medical necessity, facilitate approvalsAssess medical records, review appropriateness of care, make determinations

Both roles involve reviewing medical cases, but the Utilization Management Care Coordinator focuses on coordinating care and facilitating approvals, while the Utilization Review Nurse primarily assesses medical records to determine the necessity of services. They often work together within healthcare and insurance settings to ensure appropriate patient care and resource utilization.

Is utilization management care coordination a stressful job?

Utilization management care coordinators often work in fast-paced healthcare environments, managing multiple cases and ensuring appropriate resource use, which can be stressful at times. The role requires strong organizational skills, attention to detail, and the ability to handle complex cases under deadlines, but stress levels vary depending on workload and support systems.

What does a utilization management care coordinator do?

A utilization management care coordinator reviews and authorizes healthcare services to ensure they are medically necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate approvals, and ensure compliance with policies, typically using healthcare management software and requiring knowledge of insurance and medical guidelines.
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What states have the most Utilization Management Care Coordinator jobs?

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

What job categories do people searching Utilization Management Care Coordinator jobs look for?

The top searched job categories for Utilization Management Care Coordinator jobs are:

Utilization Management Care Coordinator jobs near you
Infographic showing various Utilization Management Care Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.

Care Coordinator, Utilization Management

Hackensack Meridian Health Inc.

Edison, NJ • On-site

$60 - $80/hr

Other

Re-posted 25 days ago

Hackensack Meridian Health rating

7.8

Company rating: 7.8 out of 10

Based on 362 frontline employees who took The Breakroom Quiz

135th of 898 rated healthcare providers

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements and follows the state of New Jersey regulations for Nursing.

Education, Knowledge, Skills and Abilities Required
  • BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position.
  • Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills.
  • Excellent verbal, written and presentation skills.
  • Moderate to expert computer skills.
  • Familiar with hospital resources, community resources, and utilization management.
Licenses and Certifications Required
  • NJ State Professional Registered Nurse License.
  • AHA Basic Health Care Life Support HCP Certification.
Licenses and Certifications Preferred
  • Certified Case Manager (CCM), Certified Clinical Medical Assistant (CCMA), or American Case Management Association (ACMA) certification strongly preferred.
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