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Utilization Management Coordinator Jobs in Oneonta, AL

Workplace Options

Care Coordinator

Birmingham, AL · On-site

$18 - $24.25/hr

... utilization review and quality assurance activities. Responsibilities: * Perform care management ... coordination activities for managed care, employee assistance, and workers' compensation ...

Workplace Options

Care Coordinator

Birmingham, AL · On-site

$18 - $24.25/hr

... utilization review and quality assurance activities. Responsibilities: * Perform care management ... coordination activities for managed care, employee assistance, and workers' compensation ...

Workplace Options

Care Coordinator

Birmingham, AL · On-site

$18 - $24.25/hr

... utilization review and quality assurance activities. Responsibilities: * Perform care management ... coordination activities for managed care, employee assistance, and workers' compensation ...

UAB NOVA RENT

PROGRAM COORDINATOR II

Birmingham, AL · On-site

$18.35 - $25/hr

May handle data management. Duties and Responsibilities : * Coordinate instructional and meeting ... Generate utilization, reservation, and operational reports * Assist with room readiness and ...

UAB St. Vincent's

Coord-Surgical Svcs

Birmingham, AL · On-site

Coordinates the clinical patient care of surgical services for the assigned service line. This ... of the management team. * Oversees utilization and maintenance of supplies, instruments, and ...

Betterhealthgroup

Practice Coordinator

Birmingham, AL · On-site

$47K - $60K/yr

... the utilization of internal software to complete programs, outreach activities, and researching ... Excellent organizational, time-management, and multi-tasking skills with strong attention to detail

Betterhealthgroup

Practice Coordinator

Birmingham, AL · On-site

$47K - $60K/yr

... the utilization of internal software to complete programs, outreach activities, and researching ... Excellent organizational, time-management, and multi-tasking skills with strong attention to detail

Betterhealthgroup

Practice Coordinator

Birmingham, AL · On-site

$47K - $60K/yr

... the utilization of internal software to complete programs, outreach activities, and researching ... Excellent organizational, time-management, and multi-tasking skills with strong attention to detail

NHS Management Services

RN Unit Manager

Birmingham, AL · On-site

$37.25 - $49.25/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Ability to plan and direct the department, coordinating with other departments. We offer the ...

NHS Management Services

RN Unit Manager 8a-5p

Birmingham, AL · On-site

$37.25 - $49.25/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Ability to plan and direct the department, coordinating with other departments. We offer the ...

NHS Management Services

RN Unit Manager (8a-5p)

Birmingham, AL · On-site

$37.25 - $49.25/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Ability to plan and direct the department, coordinating with other departments. We offer the ...

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Utilization Management Coordinator information

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$23

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How much do utilization management coordinator jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for utilization management coordinator in Oneonta, AL is $23.68, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $27.69 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 cities near Oneonta, AL are hiring for Utilization Management Coordinator jobs?

Cities near Oneonta, AL with the most Utilization Management Coordinator job openings:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Oneonta, AL as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $49,246 per year, or $23.7 per hour.

Care Coordinator

Workplace Options

Birmingham, AL • On-site

$18 - $24.25/hr

Full-time

Re-posted 14 days ago

Job description

About this opportunity:
Workplace Options is proud to support our sister organization, Behavioral Health Systems (BHS), in recruiting a Care Coordinator.
BHS operates one of the nation's largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. BHS fully credentials and panels their own network of providers.
Current Opportunity: Care Coordinator
Location: Alabama (Birmingham)
Full-time/Part-time: This is a full-time (40 hours per week) position.
What you will do:
Reporting to the Vice President, Clinical Services, this position is responsible for overseeing and coordinating all patient care activities within the Clinical Services Division. Specific responsibilities include referral and case management activities across all client locations, clinical administration of client benefits and participation in utilization review and quality assurance activities.
Responsibilities:
  • Perform care management coordination activities for managed care, employee assistance, and workers' compensation beneficiaries system-wide to include: scheduling and direct case management reviews, communication with hospitals, attending physicians, outpatient providers, etc., effectiveness review and monitoring functions, quality assurance.
  • Receive calls from patients, providers, and facilities; arrange for appropriate intake assessments; schedule and refer to appropriate case manager in local area. Perform appropriate monitoring activities on a regular basis. Provide coverage to the Clinical Services Division as deemed necessary.
  • Explain benefits to employees, patients and treatment providers. Verify benefit eligibility and maintain appropriate communication with Client company contacts. Maintain positive interactions with patients, providers and Clients.
  • Participate in utilization review and quality assurance activities, as directed. Coordinate U.R. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely peer/clinical review of active inpatient and outpatient cases.
  • Adhere to established BHS clinical policies, procedures and utilization review guidelines, HIPAA standards, ERISA regulations, URAC standards.
  • Review incoming claims for completeness of data and appropriate approval, in cooperation with data processing and the Accounting Division. Cooperate in data analysis process by other divisions.
  • Serve as clinical liaison for EAP accounts to include communication with clients, assisting Vice President, EAP with quarterly and annual reports.
  • Provide after hours coverage for emergencies on a shared basis, collecting data based on structured intake questionnaire and arranging for peer review.
  • Assist in the clinical coordination of patient activities and cases as requested.
  • In cooperation with the Provider Relations Division facilitate emergency case-specific facility hook-ups or transfers as deemed appropriate. Maintain contact with members as needed regarding the status of provider requests.
  • Interact with the BHS physician review panel and coordinate case reviews for medical necessity purposes. Maintain strong liaison with physician reviewers and the BHS Medical Director.
  • Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of annual goals, objectives and divisional action plans.
  • Perform other related duties as directed or deemed appropriate. Attend meetings as directed. Maintain professional competency through continuing education, conferences, and internal training.

Qualifications:
  • Masters degree in Psychology or related field required
  • Active, professional licensure or certification to practice in the behavioral health field in a state or territory of the United States required
  • QA/UR experience in psychiatric setting
  • Minimum five years experience in mental health field
  • Prefer experience in services to business and industry
  • Exposure to computerized applications
  • Strong organizational and communication skills

For further information about BHS please see https://behavioralhealthsystems.com/providers/
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