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Utilization Management Coordinator Jobs in Reston, VA

MedStar Health

Field RN Case Manager

Washington, DC · On-site

$88K - $112K/yr

... coordinated and culturally appropriate care for each member. * Provides service and support to ... Utilization Management (UM) activities. Completes field-based member assessments and identifies ...

MedStar Health

Field RN Case Manager

Washington, DC · On-site

$89K - $113K/yr

... coordinated and culturally appropriate care for each member. * Provides service and support to ... Utilization Management (UM) activities. Completes field-based member assessments and identifies ...

Addison Group

HSCPC RN Case Manager

Washington, DC · On-site

$80K - $115K/yr

This role will oversee daily operations within a highly collaborative, multidisciplinary clinical resource management team focused on patient throughput, utilization management, intake coordination ...

Trinity Health

Physician Advisor

Silver Spring, MD

$98.65 - $147.98/hr

... utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation, and CDI. Engages physicians in care coordination, care ...

Trinity Health

Physician Advisor

Silver Spring, MD · On-site

$98.65 - $147.98/hr

... utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation, and CDI. Engages physicians in care coordination, care ...

Trinityhealth

Physician Advisor

Silver Spring, MD · On-site

$98.65 - $147.98/hr

... utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation, and CDI. Engages physicians in care coordination, care ...

Trinity Health

Physician Advisor

Silver Spring, MD · On-site

$98.65 - $147.98/hr

... utilization/level of care (LOC), length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation, and CDI. Engages physicians in care coordination, care ...

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Utilization Management Coordinator information

See Reston, VA salary details

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How much do utilization management coordinator jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization management coordinator in Reston, VA is $30.80, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $36.01 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 Reston, VA?

The most popular types of Utilization Management jobs in Reston, VA are:

What are popular job titles related to Utilization Management Coordinator jobs in Reston, VA?

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

What job categories do people searching Utilization Management Coordinator jobs in Reston, VA look for?

The top searched job categories for Utilization Management Coordinator jobs in Reston, VA are:

What cities near Reston, VA are hiring for Utilization Management Coordinator jobs?

Cities near Reston, VA with the most Utilization Management Coordinator job openings:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Reston, VA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $64,070 per year, or $30.8 per hour.

Senior Project Manager - Web Applications

Customer Value Partners

Bethesda, MD • On-site

$160K - $180K/yr

Full-time

Re-posted 12 days ago

Job description

Overview
CVP is seeking a Senior Project Manager to lead an NIH web application program, which delivers centralized web/application development and maintenance for NIH, HHS, and other federal customers. The current portfolio includes 25 software projects, 13 active FFS customers, 17 active websites/apps, and approximately 625,000 public users.
Responsibilities
  • Own delivery across the Web Apps portfolio for O&M, enhancements, and modernization
  • Manage scope, schedule, cost, backlog, work authorization, and resource utilization across multiple customers
  • Lead release planning, risk/issue management, and stakeholder coordination
  • Coordinate TRB/CAB, ARB governance, and EPLC artifact production
  • Support ATO/security patching, configuration management, cloud migration, DR/backup, and analytics/dashboard reporting
  • Oversee DevSecOps/CI-CD delivery and Section 508 compliance

Qualifications
  • Must be eligible to obtain a Public Trust clearance
  • BS/BA + 8 years of relevant experience; OR MS/MA/MBA + 5 years; OR 13 years of relevant experience in lieu of degree
  • 10+ years of IT project/program management experience
  • 3+ years managing comparable-scope federal application efforts
  • Federal EPLC/Agile delivery experience
  • Working knowledge of .NET, Drupal, AngularJS, ReactJS, Node.js, Vue.js, Microsoft Power Platform/Dynamics, and SharePoint Online
  • Familiarity with UX/usability, Section 508, and FFS work-authorization/resource utilization management across multiple customers

Desired Skills
  • FISMA Moderate/RMF/ATO/JCAM and Public Trust Moderate (Tier 2) eligibility
  • On-site availability when directed

Salary Range: $160,000 - $180,000 (depending on experience)
This role is pending program award
About CVP
CVP is an award-winning healthcare and next-gen technology and consulting services firm solving critical problems for healthcare, national security, and public sector clients. We help organizations achieve lasting transformation.
CVP is an Equal Opportunity Employer dedicated to actively recruiting individuals and providing advancement opportunities based on merit and legitimate job qualifications. We ensure that all associates receive equal opportunities based on their personal qualifications and job requirements. CVP strictly prohibits any form of discrimination or harassment.
At CVP, we cultivate a work environment that encourages fairness, teamwork, and respect among all associated. We are committed to maintaining a workplace where everyone can grow both personally and professionally.

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