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Utilization Management Coordinator Jobs in Georgia

HealthONE

Utilization Management Nurse

Dalton, GA · On-site

Job Title Utilization Management Nurse The Utilization Management Nurse performs comprehensive ... Initiate referrals to ensure appropriate coordination of care. * Seek the advice of the Medical ...

Clarvida - Georgia

Utilization Manager

Savannah, GA · On-site

Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of pended authorizations * Tracks utilization of services and compliance with contractual requirements

Clarvida - Georgia

Utilization Manager

Savannah, GA

Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of pended authorizations * Tracks utilization of services and compliance with contractual requirements

Clarvida

Utilization Manager

Savannah, GA · On-site

Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of pended authorizations * Tracks utilization of services and compliance with contractual requirements

Clarvida - Georgia

Utilization Manager

Savannah, GA · On-site

Performs Utilization Management reviews, to include On Hold reports, and coordinates resolution of pended authorizations * Tracks utilization of services and compliance with contractual requirements

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$25

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How much do utilization management coordinator jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization management coordinator in Georgia is $25.00, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $29.23 per hour, depending on experience, location, and employer.

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.

What are the key skills and qualifications needed to thrive as a utilization management coordinator?

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.

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.

What degree do you need for utilization management coordinator?

A utilization management coordinator typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data analysis tools is also important.

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

The most popular types of Utilization Management jobs in Georgia are:

What are popular job titles related to Utilization Management Coordinator jobs in Georgia?

For Utilization Management Coordinator jobs in Georgia, the most frequently searched job titles are:

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

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

What cities in Georgia are hiring for Utilization Management Coordinator jobs?

Cities in Georgia with the most Utilization Management Coordinator job openings:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 13% Part Time, 7% Contract, and 3% Nights. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $52,001 per year, or $25 per hour.

Utilization Management Coordinator

VEST MONROE LLC

Monroe, GA • On-site

$25 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

JOIN OUR TEAM AS A FULL-TIME UTILIZATION MANAGEMENT COORDINATOR!
Your Work MattersHow will you make a difference?
Are you an empathetic and dedicated professional seeking to positively impact the mental well-being of individuals? Your opportunity awaits at Ridgeview Institute Monroe!
As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups from adolescent to geriatrics. Working under the guidance of a Utilization Management Coordinator, you'll contribute to creating a therapeutic environment that fosters patient support and well-being.
If you are passionate about mental health care and ready to make a meaningful difference in the lives of patients, join us at Ridgeview Institute Monroe. Here you will be a crucial member of our dynamic and compassionate healthcare team, where your dedication as a Utilization Management Coordinator (UM) will positively impact the overall treatment experience for our diverse patient population.
  1. Review the treatment plan and advocate for additional services as indicated.
  2. Promote effective use of resources for patients.
  3. Ensure that patient rights are upheld.
  4. Maintain ongoing contact with the attending physician, program manager, nurse manager, and various members of the team.
  5. Collaborate with the treatment team regarding continued stay and discharge planning issues.
  6. Advocate that the patient is placed in the appropriate level of care and program.
  7. Interface with program staff to facilitate a smooth transition at the time of transfer or discharge.
  8. Maintain documentation related to case management activities.
  9. Assure tracking of insurance reviews, and that reviews are completed in a timely manner.
  10. Maintain statistical reports and prepare documentation of significant findings.

Your Experience Matters What we're looking for:
  • Education: Bachelor's or Master's degree from an accredited college or university in social work, mental health, nursing, or related degree preferred.
  • Experience: A minimum of two (2) years' experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management.

Your Care MattersWhat we provide for our team:
  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid short and long term disability insurance
  • Paid time off
  • Paid Holidays
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

Disclaimer: Benefits are subject to change at the discretion of Ridgeview Institute Monroe.
Compensation:
This is a full-time role and the expected compensation range for this role is $25.00 - $28.00 hourly. We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Utilization Management Coordinator!
Get to know us Outstanding Care, Compassionate People, Unparalleled Service
Welcome to Ridgeview Institute Monroe (RIM), a leading mental health care hospital in Monroe, GA, dedicated to setting the standard for excellence in psychiatric treatment since 2017. Our hospital offers a full continuum of care, including specialized programs for adolescents, adults, and older adults, including a specialized women's program. We are committed to providing evidence-based treatment approaches to assist our patients in achieving their treatment goals.
At Ridgeview Institute Monroe, we believe in the power of community and collaboration. Our team works closely with the community to build an efficient, comprehensive, and seamless continuum of care. We take pride in offering dynamic, challenging, and highly rewarding positions that will positively impact you and those in our care. You'll have the opportunity to work closely with a team of experts, ensuring our patients receive personalized services that guide them towards achieving their treatment goals.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Ridgeview Institute Monroe.
To learn more about Ridgeview Institute Monroe, visit us at: https://ridgeviewinstitute.com/monroe/
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
At Ridgeview Institute Monroe, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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