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Utilization Management Coordinator Jobs in Virginia

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$15

$29

$46

How much do utilization management coordinator jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization management coordinator in Virginia is $29.35, according to ZipRecruiter salary data. Most workers in this role earn between $21.20 and $34.33 per hour, depending on experience, location, and employer.

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.

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.

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

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

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

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

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

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

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

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

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $61,057 per year, or $29.4 per hour.

MDS Coordinator LPN

Commonwealth Care of Roanoke

Chase City, VA • On-site

$34 - $37/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

MDS Coordinator LPN

Chase City Health & Rehab - CHASE CITY, VA 23924

Overview

Salary Range $34.00 - $37.00 Hourly Position Type Full Time

Description

MDS Coordinator RN/LPN

Chase City Health & Rehab, Chase City, VA

Are you looking for an exciting, fast-paced and challenging opportunity to use your clinical and MDS 3.0 assessment skills and judgement and service focus to make a difference for our patients and caregivers?

Work for a Virginia owned and operated company with Integrity.

Chase City Health & Rehab Center in Chase City, VA is currently searching for an experienced, dynamic MDS Coordinator RN to join our interdisciplinary team and MDS Department.

Benefits for our full-time positions include:

  • Health, dental and life insurance
  • Paid time off
  • 401(k) with employer matching
  • Vision insurance
  • Health savings account
  • Employee assistance program
  • Daily Pay

What's My Primary Role?

  • Provide leadership to interdisciplinary team for management of the MDS, Clinical Reimbursement, Care Plan processes and utilization management processes in accordance with current federal, state, and local requirements and regulations and company policies and procedures.
  • Ensure that the MDS/RAI deadlines and accuracy requirements are met while ensuring that coding most appropriately captures each patient's acuity and needs for accurate and optimal reimbursement.
  • Assisting Center Leadership with Quality Improvement efforts, staff education, and regulatory compliance as it relates to the RAI process, Quality care, Reimbursement, and Quality Measures and Quality Reporting requirements.
  • Demonstrate and promote a positive, collaborative, and caring team environment.
Qualifications

Do You Have What It Takes?

  • Current RN license in good standing in VA
  • Significant MDS 3.0 experience needed
  • RAC-CT certification required within one year of employment if not certified at the time of hire. Must maintain certification as current once certified
  • Strong computer skills, ability to work independently and well under pressure
  • Flexibility, detail-oriented, organized, the ability to multi-task and be able to make effective decisions and work as part of a team
Commonwealth Care of Roanoke logo

About Commonwealth Care of Roanoke

Sourced by ZipRecruiter

Our Vision Commonwealth Care of Roanoke is committed to serving the people in our market areas, not only as a provider of services but as a community resource on health services and issues. We are caring about what we do and strive to have that care reflected in our daily interactions. We are responsive to the needs of our patients, residents, their families, and our dedicated staff, practicing continuous improvement in the pursuit of excellence.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Roanoke, VA, US

Year founded

2001

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