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Utilization Management Coordinator Jobs (NOW HIRING)

UHS

Utilization Management Coordinator

Houston, TX

Responsibilities Utilization Management Coordinator -Full-time Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our ...

UHS

Utilization Management Coordinator

Houston, TX · On-site

Responsibilities Utilization Management Coordinator -Full-time Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our ...

Dragonfly Recruiting

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Utilization Management Inpatient Coordinator

Orange, CA · Remote

$23 - $26/hr

Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent Hire | Medicare Advantage We are seeking an experienced Utilization Management Coordinator ...

UHS

UTILIZATION COORDINATOR

Memphis, TN · On-site

Responsibilities Utilization Management Coordinator Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to provide superior behavioral ...

Preferred IPA of California

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Utilization Management Coordinator

Chatsworth, CA · On-site

$20 - $24/hr

Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to ...

Ascension

Utilization Management Coordinator

Austin, TX · Remote

$24.87/hr

Manage core office services, including supplies, telephone coverage, and the preparation and distribution of correspondence, meeting materials, and reports. * Organize and maintain filing systems ...

Ascension

Utilization Management Coordinator

Austin, TX · Remote

$23.60 - $31.92/hr

Manage core office services, including supplies, telephone coverage, and the preparation and distribution of correspondence, meeting materials, and reports. * Organize and maintain filing systems ...

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How much do utilization management coordinator jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for utilization management 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 are the key skills and qualifications needed to thrive as a Utilization Management Coordinator, and why are they important?

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

What does a Utilization Management Coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

How does a Utilization Management Coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.
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Utilization Management Coordinator jobs near you
Utilization Management Coordinator

Utilization Management Coordinator

System One Holdings, LLC

Baltimore, MD • On-site

$24.67 - $25/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 24 days ago

Job description

Job Title: Utilization Management Coordinator
Location: Must live in D.C., VA or MD per client requirement
Type: Contract
Compensation: $24/HR
Contractor Work Model: 100% Remote
ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support a leading health insurance customer. The individual will supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
Commercial - phone and fax: 35 calls in queue at any time
Must have Call Center experience
Duties:
  • Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
  • Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
  • Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews.
  • Performs member or provider related administrative support.

Preferred Qualifications
Two years' experience in health care/managed care setting or previous work experience within division
Knowledge of CPT and ICD-10 coding.
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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Ref: #851-Rockville-S1

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