RN Care Coordinator
Farmington Hills, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator
Farmington Hills, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator
Dearborn, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator
Dearborn, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator
Detroit, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). Responsible for managing a case load of patients that ...
RN Care Coordinator
Detroit, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). Responsible for managing a case load of patients that ...
RN Care Coordinator
Farmington Hills, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator
Farmington Hills, MI · On-site
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator
Royal Oak, MI · On-site
Has accountability for the care coordination and discharge planning of all hospitalized patients. 1. Identifies patients that need care management services (i.e. utilization review; care coordination ...
RN Care Coordinator
Royal Oak, MI · On-site
Has accountability for the care coordination and discharge planning of all hospitalized patients. 1. Identifies patients that need care management services (i.e. utilization review; care coordination ...
... coordinated quality improvement initiatives. * Maintains and updates local utilization management procedures, standards of care, and related policies to ensure alignment with MDHHS, CCBHC, and ...
Quick apply
... coordinated quality improvement initiatives. * Maintains and updates local utilization management procedures, standards of care, and related policies to ensure alignment with MDHHS, CCBHC, and ...
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator Rehab inpatient
Taylor, MI · On-site
$34.50 - $41.75/hr
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator Rehab inpatient
Taylor, MI · On-site
$34.50 - $41.75/hr
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator Rehab inpatient
Taylor, MI · On-site
$34.50 - $41.75/hr
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
RN Care Coordinator Rehab inpatient
Taylor, MI · On-site
$34.50 - $41.75/hr
Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning). * Responsible for managing a case load of patients that ...
Director Case Management
Detroit, MI · On-site
$103K - $155K/yr
... utilization management, transition management, care coordination, and operational leadership within a high-volume acute care hospital setting. This role is responsible for driving performance ...
Quick apply
Director Case Management
Detroit, MI · On-site
$103K - $155K/yr
... utilization management, transition management, care coordination, and operational leadership within a high-volume acute care hospital setting. This role is responsible for driving performance ...
Summary Description Oversees hospital utilization performance improvement and operational ... • Care Coordination by demonstrating throughput efficiency while assuring care is the right ...
Summary Description Oversees hospital utilization performance improvement and operational ... • Care Coordination by demonstrating throughput efficiency while assuring care is the right ...
Director - Case Management
Detroit, MI · On-site
Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination ...
Director - Case Management
Detroit, MI · On-site
Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination ...
ABA Care Management Specialist - BCBA
$72K - $89K/yr
... coordination of care standards, service protocols and utilization management performance indicators. Training may also be provided to other groups including Citizens Advisory Committee, community ...
ABA Care Management Specialist - BCBA
$72K - $89K/yr
... coordination of care standards, service protocols and utilization management performance indicators. Training may also be provided to other groups including Citizens Advisory Committee, community ...
Director - Case Management
Detroit, MI · On-site
Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination ...
Director - Case Management
Detroit, MI · On-site
Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination ...
Director - Case Management
Detroit, MI · On-site
Integrates national standards for case management scope of services including: • Utilization ... • Care Coordination by demonstrating throughput efficiency while assuring care is the right ...
Director - Case Management
Detroit, MI · On-site
Integrates national standards for case management scope of services including: • Utilization ... • Care Coordination by demonstrating throughput efficiency while assuring care is the right ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Experience in utilization management/case management, critical care, or patient outcomes/quality ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Experience in utilization management/case management, critical care, or patient outcomes/quality ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Experience in utilization management/case management, critical care, or patient outcomes/quality ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Experience in utilization management/case management, critical care, or patient outcomes/quality ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Experience in utilization management/case management, critical care, or patient outcomes/quality ...
Accountable for proactive coordination and timely transition of assigned patients to the most ... Experience in utilization management/case management, critical care, or patient outcomes/quality ...
Responsible for providing assistance to the RN and SW Care Managers in the coordination of ... and retrospective utilization management-related activities and functions to ensure that ...
Responsible for providing assistance to the RN and SW Care Managers in the coordination of ... and retrospective utilization management-related activities and functions to ensure that ...
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 Sep 3, 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:
Part-time
Medical, Retirement
Posted 27 days ago
Corewell Health rating
6.9
Based on 781 frontline employees who took The Breakroom Quiz
455th of 898 rated healthcare providers
Job description
PART TIME- 20 hours a week.
Scope of work
Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the position is to enhance the quality of patient care and engagement, to promote continuity of care and cost effectiveness through the integration and functions of utilization management, and/or care coordination, discharge planning, and appropriate care transitions. Has accountability for the care coordination and discharge planning of all hospitalized patients.
Qualifications
How Corewell Health cares for you
Primary Location
SITE - Farmington Hills Hospital- 28050 Grand River Ave - Farmington Hills
Department Name
Care Management - Farmington Hills Hosp
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
20
Hours of Work
8:00am to 4:30pm
Days Worked
Variable
Weekend Frequency
Variable weekends
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Scope of work
Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the position is to enhance the quality of patient care and engagement, to promote continuity of care and cost effectiveness through the integration and functions of utilization management, and/or care coordination, discharge planning, and appropriate care transitions. Has accountability for the care coordination and discharge planning of all hospitalized patients.
- Identifies patients that need care management services (i.e. utilization review; care coordination; and/or discharge/transition planning).
- Responsible for managing a case load of patients that includes facilitating utilization management, and/or care coordination during the patient's stay, planning and expediting plans for safe and effective discharge and transition to the appropriate level of care and setting needed after hospitalization. Coordinating care by considering all patient's needs.
- Uses critical thinking and effective judgment to determine alternative courses of care. Judiciously uses tools designed to expedite care while being cost effective. Actively participates in readmission initiatives and strategies to maximize patient flow and appropriate resource utilization. Works collaboratively on processes to provide effective transition for patients utilizing hospital outpatient, observation or inpatient services.
- May review cases for medical necessity, uses InterQual and/or other UR/UM Committee-approved medical necessity screening criteria, when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and appropriate reimbursement. Determines and assures appropriate status and level of care. Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff.
- Routinely communicates with payers, patients/family caregivers, physicians, the interdisciplinary team, post-acute and community-based care providers to facilitate coordination of care and to enhance a seamless transition from hospital setting to the appropriate alternative level of care.
- Seeks out information and resources to apply creative problem solving for complex discharge/transition planning, quality of care, and utilization management issues. Provides notification and communication to patients/families regarding coverage for hospital and post-acute services, in accordance with CMS regulations.
- Documents utilization reviews, utilization management actions, care management assessment(s), care plan, discharge plan, and interventions, according to policies, procedures, and regulatory, contractual, and legal requirements. Acts proactively to see that hospital resources are utilized appropriately.
- Works collaboratively with other departments to define areas of hospital inefficiency and participates in improvement projects.
Qualifications
- Required Bachelor's Degree Graduate of an accredited school of nursing.
- Required Will consider non-BSN RN if actively pursuing a Bachelors degree in nursing with completion within 2 years of hire.
- 2 years of relevant experience Minimum two years' experience in the acute care setting. Required
- 3 years of relevant experience Three to five years' experience in care management, utilization review, home care and/or discharge planning. Preferred
- Registered Nurse (RN) - State of Michigan Upon Hire required
- CRT-At least one Certification from preferred list - UNKNOWN Unknown Upon Hire required
- Basic Life Support (BLS) - AHA American Heart Association preferred Or
- Basic Life Support (BLS) - ARC American Red Cross preferred
- Case Manager, Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Farmington Hills Hospital- 28050 Grand River Ave - Farmington Hills
Department Name
Care Management - Farmington Hills Hosp
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
20
Hours of Work
8:00am to 4:30pm
Days Worked
Variable
Weekend Frequency
Variable weekends
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
What Corewell Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Corewell Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Grand Rapids, MI, US