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Utilization Management Coordinator Jobs in Rochester, WA

Director Care Management FT

Olympia, WA ยท On-site

$150K - $220K/yr

Bachelor's Degree in Nursing (Master's preferred). * 2+ years as RN in acute care. * 3+ years managing care coordination (utilization review knowledge preferred). * Proven independent leadership and ...

... coordination with other health care team members * Completes comprehensive assessments (OASIS ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

... coordination with other health care team members * Completes comprehensive assessments (OASIS ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

... coordination with other health care team members * Completes comprehensive assessments (OASIS ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

... coordination with other health care team members * Completes comprehensive assessments (OASIS ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

Registered Nurse, RN - Olympia area

Olympia, WA ยท On-site

$38.09 - $57.13/hr

... coordination with other health care team members * Completes comprehensive assessments (OASIS ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

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Utilization Management Coordinator information

See Rochester, WA salary details

$16

$30

$48

How much do utilization management coordinator jobs pay per hour?

As of May 29, 2026, the average hourly pay for utilization management coordinator in Rochester, WA is $30.92, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $36.15 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Management Coordinator, and why are they important?

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 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 cities near Rochester, WA are hiring for Utilization Management Coordinator jobs? Cities near Rochester, WA with the most Utilization Management Coordinator job openings:
Infographic showing various Utilization Management Coordinator job openings in Rochester, WA as of May 2026, with employment types broken down into 6% As Needed, and 94% Full Time. Highlights an 71% In-person, 6% Hybrid, and 23% Remote job distribution, with an average salary of $64,316 per year, or $30.9 per hour.
Director Care (Case) Management

Director Care (Case) Management

Intermedia Group, Inc.

Olympia, WA โ€ข On-site

$150K - $220K/yr

Other

Posted 25 days ago


Job description

OPEN JOB: Director Care (Case) Management
LOCATION:Olympia, Washington
***Relocation Assistance Available
Salary: $150,000 to $220,000

IDEAL CANDIDATE:
  • An R.N. that led Case Management in an acute care setting for more 3+ years

The Role:
  • Under the supervision of the North Division Executive Director of Care Management, the Director of Care Management is a pivotal role responsible for orchestrating and optimizing care management.
  • You will lead and inspire a dedicated team, ensuring a seamless continuum of care, patient advocacy, and efficient resource management from admission through to discharge.
  • This role is integral in maintaining financial viability by overseeing care management teams to coordinate the best next site of care for our patients.
  • This position oversees 2 hospitals (one with 390 beds and the other with 128 beds).

What You'll Do:
  • Master Coordinator:Direct, coordinate, and facilitate care management processes to ensure the highest standard of patient care and operational efficiency.
  • Champion of Continuity and Care Coordination:Oversee the delivery of consistent and expected clinical outcomes, advocate for patients, and manage resources effectively to minimize fragmentation within the healthcare delivery system.
  • Communication Facilitator:Ensure robust communication amongst all members of the healthcare team, fostering an environment of collaboration to enhance patient care.
  • Cultural Advocate:Promote cultural and religious sensitivity, ensuring patient care respects diverse beliefs and backgrounds.

Essential Functions:
  • Mission-Driven Leadership:Ensure team alignment with the organization's Mission, Vision, and Core Values.
  • Customer Satisfaction:Develop and maintain a comprehensive departmental customer satisfaction program.
  • Human Resource Management:Attract and retain top talent, coach, and manage staff to achieve peak performance.
  • Compliance and Confidentiality:Adhere to infection control, risk management, confidentiality policies, and regulatory guidelines.
  • Cultural Competency:Foster a respectful environment that is sensitive to cultural and religious diversity.
  • Safety and Security:Ensure compliance with all safety and security policies and procedures.
  • Patient-Centric Care:Provide competent care tailored to diverse patient populations, including neonates, pediatrics, adolescents, adults, and older adults.
  • Policy Development:Contribute to the creation and maintenance of departmental policies in line with organizational, legal, and community standards.
  • Goal Setting:Assist in setting departmental goals that align with organizational strategies.
  • Budget Management:Participate in annual budget planning to deliver cost-effective and high-quality services.
  • Admission and Discharge Management:Oversee admission and discharge services, ensuring alternatives are considered for non-qualifying inpatient admissions.
  • Physician Relations:Build strong cooperative relationships with physicians.
  • Utilization Management Oversight:Lead the Utilization Management Committee, ensuring effective use of resources and monitoring data trends.
  • Contract Management:Supervise services provided by external partners, maintaining high service standards.
  • Referral Agency Coordination:Establish and maintain relationships with external agencies to facilitate timely patient discharges.

What You'll Bring:
  • Educational Background:Bachelor's Degree in Nursing; Master's Degree preferred.
  • Clinical Experience:At least 2 years as an RN in an acute care setting.
  • Leadership Experience:Minimum 3 years managing care coordination. Utilization review knowledge preferred.
  • Independent Leadership:Proven ability to work independently and lead teams to achieve objectives.
  • Systemic Thinking:Expertise in applying system thinking to identify and solve problems efficiently.

If you are interested in pursuing this opportunity, please respond back and include the following:
  • MS WORD Resume
  • required compensation.
  • Contact information.
  • Availability

Upon receipt, one of our managers will contact you to discuss the position in full detail.
STEPHEN FLEISCHNER
Recruiting Manager
INTERMEDIA GROUP, INC.
EMAIL:sfleischner@intermediagroup.com