ZipRecruiter

Log In

1

Utilization Management Coordinator Jobs (NOW HIRING)

UHS

Utilization Management Coordinator

Forest Park, IL · On-site

$30 - $46/hr

We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to ...

UHS

UTILIZATION MANAGEMENT COORDINATOR

GA · On-site

Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...

UHS

UTILIZATION MANAGEMENT COORDINATOR

Sautee, GA

Responsibilities Black Bear Lodge Utilization Management Coordinator Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health ...

next page

Showing results 1-20

All JobsUtilization Management JobsUtilization Management Coordinator Jobs

Utilization Management Coordinator information

See salary details

$15

$29

$46

How much do utilization management coordinator jobs pay per hour?

As of Jul 27, 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.
More about Utilization Management Coordinator jobs
What cities are hiring for Utilization Management Coordinator jobs? Cities with the most Utilization Management Coordinator job openings:
What are the most commonly searched types of Utilization Management jobs? The most popular types of Utilization Management jobs are:
Who are the top companies hiring for Utilization Management Coordinator jobs? The top employers for Utilization Management Coordinator jobs are:
What states have the most Utilization Management Coordinator jobs? States with the most job openings for Utilization Management Coordinator jobs include:
What job categories do people searching Utilization Management Coordinator jobs look for? The top searched job categories for Utilization Management Coordinator jobs are:
Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $61,585 per year, or $29.6 per hour.
Utilization Management Coordinator

Utilization Management Coordinator

West Michigan Community Mental Health System

Ludington, MI

Full-time

Posted 12 days ago

Job description

The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization Management Coordinator will monitor and audit the effectiveness of the WMCMH Utilization Management processes/systems, provide data to support organizational utilization decision-making, facilitate the WMCMH Utilization Management Committee and be an active participant in the Lakeshore Regional Entity UM ROAT and other regional and state UM workgroups/committees as appropriate.

The Utilization Management Coordinator will be housed on the Operations Team and will work very closely with other members of the organization.

JOB DUTIES:

  1. Utilization Management – Through retrospective review and use of both strong QI principles and strong data aggregation and analysis skills, the Utilization Management Coordinator will:
    • Perform monitoring and audit functions (objective examination) relative to utilization management and/or effectiveness of WM utilization management (i.e., size and composition and accessibility of WM network; appropriateness of authorization bundles; compliance with WM authorization decision guidelines; ensure presence of golden thread; ensure consistent and compliant authorization decisions and supporting documentation, etc.).
    • In response to monitoring and audit functions, facilitate the development and monitoring of performance improvement plans as appropriate.
    • Provide/Aggregate data to support the need for new programs and/or discontinuing programs that are ineffective or inefficient.
    • Provide/Aggregate data to support the need for incorporating new or discontinuing the use of evidence-based practices.
    • Provide/Aggregate data to support maintenance/updates to authorization decision guidelines.
    • Facilitate the WMCMH Utilization Management Committee
    • Participate in the Lakeshore Regional Entity UM ROAT and other state/regional UM workgroups as appropriate.
  1. Back-Up Coverage - Provide limited, short-term/backup coverage for other Operations or organizational Coordinators as needed.

Apply