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Utilization Management Coordinator Jobs in Bothell, WA

Adventhealth

Consumer Access Specialist PRN

Redmond, WA · On-site

$15.89 - $25.43/hr

Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information. * Contacts insurance companies to verify eligibility and ...

CYNET SYSTEMS

Project Coordinator

Issaquah, WA · On-site

$51 - $56/hr

Responsibilities: * Assist Project Managers in planning, scheduling, and executing projects ... Track project budgets, expenses, and resource utilization. * Identify project risks, issues, and ...

EviDent Alliance

Scheduling Coordinator

Snohomish, WA · On-site

$28 - $31/hr

Manage and optimize the daily and future schedule for restorative dentistry appointments ... Coordinate provider schedules to ensure maximum chair utilization. * Communicate clearly with ...

Staffingine LLC

Facets Functional Lead

Seattle, WA · On-site

Understanding of US healthcare payer processes -- Eligibility, Claims, Benefits, Authorizations, Coordination of Benefits, Capitation, Pricing & Utilization Management. * Excellent communication ...

Serengeti Care

Staffing Coordinator

Lynnwood, WA · On-site

$22 - $25/hr

Staffing Management * Utilize the organization's automated scheduling system to optimize staff ... utilization of non-verbal cues. Resolves conflicts with empathy and maintains emotional composure ...

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Utilization Management Coordinator information

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$33

$52

How much do utilization management coordinator jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization management coordinator in Bothell, WA is $33.10, according to ZipRecruiter salary data. Most workers in this role earn between $23.89 and $38.70 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 Bothell, WA?

The most popular types of Utilization Management jobs in Bothell, WA are:

What job categories do people searching Utilization Management Coordinator jobs in Bothell, WA look for?

The top searched job categories for Utilization Management Coordinator jobs in Bothell, WA are:

What cities near Bothell, WA are hiring for Utilization Management Coordinator jobs?

Cities near Bothell, WA with the most Utilization Management Coordinator job openings:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Bothell, WA as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $68,845 per year, or $33.1 per hour.

Consumer Access Specialist PRN

Adventhealth

Redmond, WA • On-site

$15.89 - $25.43/hr

Per diem

Re-posted 13 days ago

AdventHealth rating

7.4

Company rating: 7.4 out of 10

Based on 1,276 frontline employees who took The Breakroom Quiz

269th of 891 rated healthcare providers

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule:

PRN

Shift:

Day (United States of America)

Address:

501 REDMOND RD NW

City:

ROME

State:

Georgia

Postal Code:

30165

Job Description:

  • Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed.
  • Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.
  • Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information.
  • Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes.
  • Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.

Knowledge, Skills, and Abilities:

  • Mature judgement in dealing with patients, physicians, and insurance representatives
  • Working knowledge of Microsoft programs and familiarity with database programs
  • Ability to operate general office machines such as computer, fax machine, printer, and scanner
  • Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
  • Ability to communicate professionally and effectively, both verbally and written

Education:

  • High School Grad or Equiv [Required]

Pay Range:

$15.89 - $25.43

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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