The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Managing incoming calls or ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Managing incoming calls or ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Managing incoming calls or ...
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Managing incoming calls or ...
Utilization Management Rep I
Indianapolis, IN · On-site
$15.25 - $20.75/hr
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Managing incoming calls or ...
Utilization Management Rep I
Indianapolis, IN · On-site
$15.25 - $20.75/hr
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: * Managing incoming calls or ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...
The Utilization Management Manager is responsible for the overall management of the UM department ... Communicates and coordinates information with business office to recognize and resolve potential ...
The Utilization Management Manager is responsible for the overall management of the UM department ... Communicates and coordinates information with business office to recognize and resolve potential ...
The Utilization Assistant provides support to all utilization review/management activities of the facility to continuously improve the collection, reimbursement, coordination, and presentation of ...
The Utilization Assistant provides support to all utilization review/management activities of the facility to continuously improve the collection, reimbursement, coordination, and presentation of ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial ... Coordinating with the Manager/Director (and other management as appropriate) to identify and ...
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial ... Coordinating with the Manager/Director (and other management as appropriate) to identify and ...
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial ... Coordinating with the Manager/Director (and other management as appropriate) to identify and ...
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial ... Coordinating with the Manager/Director (and other management as appropriate) to identify and ...
Manager Resource Utilization
Carmel, IN · On-site
$166K - $191K/yr
As MISO's Manager - Resource Utilization, you will lead a team at the center of critical ... Lead cross-functional coordination between engineering, modeling, and automation teams to maintain ...
Manager Resource Utilization
Carmel, IN · On-site
$166K - $191K/yr
As MISO's Manager - Resource Utilization, you will lead a team at the center of critical ... Lead cross-functional coordination between engineering, modeling, and automation teams to maintain ...
Clinical Denial Analyst (RN)
Evansville, IN · On-site
$28.71 - $40.19/hr
The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial ... Minimum of two (2) years performing utilization review, charge audit, case management or similar ...
Clinical Denial Analyst (RN)
Evansville, IN · On-site
$28.71 - $40.19/hr
The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial ... Minimum of two (2) years performing utilization review, charge audit, case management or similar ...
The role coordinates with operations, utilization management, and claims to prevent unnecessary costs. Responsibilities also include supporting internal process improvements and maintaining ...
Quick apply
The role coordinates with operations, utilization management, and claims to prevent unnecessary costs. Responsibilities also include supporting internal process improvements and maintaining ...
Equipment Manager
Lebanon, IN · On-site
Responsibilities Equipment Planning and Coordination • Manage and evaluate all project equipment ... Cost Control and Utilization Management • Monitor equipment utilization daily to identify ...
Equipment Manager
Lebanon, IN · On-site
Responsibilities Equipment Planning and Coordination • Manage and evaluate all project equipment ... Cost Control and Utilization Management • Monitor equipment utilization daily to identify ...
Equipment Manager
Lebanon, IN · On-site
Responsibilities Equipment Planning and Coordination Manage and evaluate all project equipment ... Cost Control and Utilization Management Monitor equipment utilization daily to identify ...
Equipment Manager
Lebanon, IN · On-site
Responsibilities Equipment Planning and Coordination Manage and evaluate all project equipment ... Cost Control and Utilization Management Monitor equipment utilization daily to identify ...
Fleet & Logistics Coordinator
$19.25 - $25.50/hr
... management, vendor communications, and fleet logistics while supporting the Fleet & Logistics ... Monitor fleet utilization and identify opportunities to improve efficiency. * Schedule preventative ...
Fleet & Logistics Coordinator
$19.25 - $25.50/hr
... management, vendor communications, and fleet logistics while supporting the Fleet & Logistics ... Monitor fleet utilization and identify opportunities to improve efficiency. * Schedule preventative ...
Service Coordinator
$19 - $24/hr
The Service Coordinator is responsible for attaining maximum utilization of internal and field ... This is achieved by proper follow thru proper triaging and managing of service requests and helping ...
Service Coordinator
$19 - $24/hr
The Service Coordinator is responsible for attaining maximum utilization of internal and field ... This is achieved by proper follow thru proper triaging and managing of service requests and helping ...
Scheduling Coordinator
Indianapolis, IN · On-site
$17 - $21.50/hr
Work closely with clinical teams regarding caseload management, schedule utilization, attendance ... Experience coordinating schedules, appointments, or calendars is highly desirable. Required License ...
Scheduling Coordinator
Indianapolis, IN · On-site
$17 - $21.50/hr
Work closely with clinical teams regarding caseload management, schedule utilization, attendance ... Experience coordinating schedules, appointments, or calendars is highly desirable. Required License ...
Utilization Management Coordinator information
See Indiana salary details
$15.10 - $17.76
7% of jobs
$20.20 is the 25th percentile. Wages below this are outliers.
$17.76 - $20.42
19% of jobs
$20.42 - $23.08
22% of jobs
The median wage is $23.35 / hr.
$23.08 - $25.74
11% of jobs
$25.74 - $28.41
4% of jobs
$28.41 - $31.07
5% of jobs
$32.19 is the 75th percentile. Wages above this are outliers.
$31.07 - $33.73
14% of jobs
$33.73 - $36.39
10% of jobs
$36.39 - $39.05
4% of jobs
$39.05 - $41.71
2% of jobs
$41.71 - $44.38
1% of jobs
$15
$28
$44
How much do utilization management coordinator jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Utilization Management Coordinator, and why are they important?
What does a Utilization Management Coordinator do?
How does a Utilization Management Coordinator typically collaborate with clinical staff and insurance providers?
- Part Time Utilization Review Nurse
- Remote Cvs Utilization Management Nurse
- Non Clinical Utilization Review
- Remote Utilization Management
- Commission Cvs Health Utilization Management
- Utilization Review Specialist
- Utilization Review Physician
- No Experience Utilization Review Nurse
- Appeals Nurse Consultant
- Weekend Prior Authorization Nurse

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 14 days ago
Elevance Health rating
7.7
Based on 348 frontline employees who took The Breakroom Quiz
197th of 298 rated insurance
Job description
Anticipated End Date:
2026-08-24Position Title:
Utilization Management Rep IJob Description:
Utilization Management RepresentativeI
Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review.
How you will make an impact:
Managing incoming calls or incoming post services claims work.
Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
Refers cases requiring clinical review to a Nurse reviewer.
Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
Responds to telephone and written inquiries from clients, providers and in-house departments.
Conducts clinical screening process.
Authorizes initial set of sessions to provider.
Checks benefits for facility based treatment.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment.
Strong verbal and written communication skills, both with virtual and in-person interactions.
Attentive to details, critical thinker, and a problem-solver.
Demonstrates empathy and persistence to resolve caller issues completely.
Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
Performs other duties as assigned.
Minimum Qualifications:
HS diploma or GED.
Minimum of 1 year of customer service or call-center experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Medical terminology training and experience in medical or insurance field preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Job Level:
Non-Management Non-ExemptWorkshift:
1st Shift (United States of America)Job Family:
CUS > Care SupportPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
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About Elevance Health
Sourced by ZipRecruiter
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Indianapolis, IN, US
Year founded
2004