The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
The Utilization Management Coordinator is responsible for performing retrospective monitoring and audit functions relative to WMCMH utilization management processes/systems. The Utilization ...
Coordinates activities involved in the certification, recertification, and concurrent appeals ... Hospital utilization review/utilization management experience. Preferred * Clinical appeals ...
New
Coordinates activities involved in the certification, recertification, and concurrent appeals ... Hospital utilization review/utilization management experience. Preferred * Clinical appeals ...
New
Registered Nurse - Utilization Management (Um) The John D. Dingell VA Medical Center is recruiting ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
Registered Nurse - Utilization Management (Um) The John D. Dingell VA Medical Center is recruiting ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
The Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
The Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
The Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
The Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
RN Utilization Management
Detroit, MI · On-site
Utilization Management experience/role * Technical - MS Office, Type 35+ WPM, Dual monitors ... care coordination, etc. 6. Identify and document quality of care issues; resolve or route to ...
RN Utilization Management
Detroit, MI · On-site
Utilization Management experience/role * Technical - MS Office, Type 35+ WPM, Dual monitors ... care coordination, etc. 6. Identify and document quality of care issues; resolve or route to ...
RN Utilization Management
Detroit, MI · On-site
Utilization Management experience/role * Technical - MS Office, Type 35+ WPM, Dual monitors ... care coordination, etc. 6. Identify and document quality of care issues; resolve or route to ...
RN Utilization Management
Detroit, MI · On-site
Utilization Management experience/role * Technical - MS Office, Type 35+ WPM, Dual monitors ... care coordination, etc. 6. Identify and document quality of care issues; resolve or route to ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
In conjunction with Medical Management leadership, coordinates the educational plan for the Behavioral Health, Care Management, and Utilization Management departments. Stakeholders include staff ...
Utilization Management Clinical Analyst - Substance Use Disorder (SUD) The Utilization Management ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
Utilization Management Clinical Analyst - Substance Use Disorder (SUD) The Utilization Management ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
... coordination, timely communication, discharge planning, and continuity of care. * Participate in ... Manage Care Principles and Utilization Management. * Preference for knowledge of the PIHP ...
... coordination, timely communication, discharge planning, and continuity of care. * Participate in ... Manage Care Principles and Utilization Management. * Preference for knowledge of the PIHP ...
Leads the communication, coordination, implementation and management of service initiatives ... Leads the Utilization Management Committee. * Analyzes utilization data; makes improvements ...
Leads the communication, coordination, implementation and management of service initiatives ... Leads the Utilization Management Committee. * Analyzes utilization data; makes improvements ...
... coordination, timely communication, discharge planning, and continuity of care. * Participate in ... Manage Care Principles and Utilization Management. * Demonstrated understanding of the ...
... coordination, timely communication, discharge planning, and continuity of care. * Participate in ... Manage Care Principles and Utilization Management. * Demonstrated understanding of the ...
Utilization Management Clinical Analyst The Utilization Management Clinical Analyst conducts ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
Utilization Management Clinical Analyst The Utilization Management Clinical Analyst conducts ... coordination, timely communication, discharge planning, and continuity of care. * Participate in ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... Refer to and work closely with Case Management to address member needs. Participates in rotating ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... Refer to and work closely with Case Management to address member needs. Participates in rotating ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... Refer to and work closely with Case Management to address member needs. Participates in rotating ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... Refer to and work closely with Case Management to address member needs. Participates in rotating ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... Refer to and work closely with Case Management to address member needs. Participates in rotating ...
This position is responsible for coordinating, integrating, and monitoring the utilization of ... Refer to and work closely with Case Management to address member needs. Participates in rotating ...
Organizing and optimizing plans for facility utilization, space allocation, and resource ... Vendor Management and Procurement: * Support coordination of vendors and contractors for facility ...
Organizing and optimizing plans for facility utilization, space allocation, and resource ... Vendor Management and Procurement: * Support coordination of vendors and contractors for facility ...
Utilization Management Coordinator information
See Michigan salary details
$13.83 - $16.27
7% of jobs
$18.50 is the 25th percentile. Wages below this are outliers.
$16.27 - $18.70
19% of jobs
$18.70 - $21.14
22% of jobs
The median wage is $21.39 / hr.
$21.14 - $23.58
11% of jobs
$23.58 - $26.02
4% of jobs
$26.02 - $28.46
5% of jobs
$29.49 is the 75th percentile. Wages above this are outliers.
$28.46 - $30.89
14% of jobs
$30.89 - $33.33
10% of jobs
$33.33 - $35.77
4% of jobs
$35.77 - $38.21
2% of jobs
$38.21 - $40.65
1% of jobs
$13
$25
$40
How much do utilization management coordinator jobs pay per hour?
As of Aug 31, 2026, the average hourly pay for utilization management coordinator in Michigan is $25.81, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $30.19 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 Michigan?
The most popular types of Utilization Management jobs in Michigan are:
What are popular job titles related to Utilization Management Coordinator jobs in Michigan?
For Utilization Management Coordinator jobs in Michigan, the most frequently searched job titles are:
- Manager Utilization Management
- Weekend Physician Advisor Utilization Review
- Medical Review Coordinator
- Optum Clinical Review Coordinator
- Utilization Management Nurse
- Full Time Physician Advisor Utilization Review
- Therapist Utilization Review Remote
- Remote Utilization Review Social Worker
- No Experience Utilization Management Nurse
- Utilization Review Physician
What job categories do people searching Utilization Management Coordinator jobs in Michigan look for?
The top searched job categories for Utilization Management Coordinator jobs in Michigan are:
- Rn Utilization Review Nurse
- Um Coordinator
- Aetna Utilization Review Nurse
- Utilization Coordinator
- From Home Skilled Nursing Facility Admission Coordinator
- Utilization Review Nurse Compact License
- Behavioral Utilization Review
- Clinical Review Coordinator
- Commission Authorization Utilization Review Bcba
- Full Time Navihealth Utilization Review
What cities in Michigan are hiring for Utilization Management Coordinator jobs?
Cities in Michigan with the most Utilization Management Coordinator job openings:
Utilization Management Coordinator
Ludington, MI • On-site
West Michigan Community Mental Health System •
Offices of Mental Health Practitioners • 51 - 200 employees51 - 200 employees
Full-time
Re-posted 20 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: 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.
Back-Up Coverage - Provide limited, short-term/backup coverage for other Operations or organizational Coordinators as needed.
About West Michigan Community Mental Health
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
51 - 200 Employees
Headquarters location
Ludington, MI, US
Year founded
1982