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Utilization Management Coordinator Jobs (NOW HIRING)

Altais, Inc.

Utilization Management Coordinator

$25 - $30/hr

As a UM Coordinator, you will work closely with our Ambulatory and Concurrent Care, Network Management, Quality Improvement and Practice Success teams.Your responsibilities include driving efficient ...

UHS

Utilization Management Coordinator - PRN

Phoenix, AZ · On-site

... coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...

Malvern Health, Inc.

$80.23/hr

Health CareMalvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and ...

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Utilization Management Coordinator information

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How much do utilization management coordinator jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for utilization management coordinator in the United States is $29.61, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $34.62 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.
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Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.

Utilization Management Coordinator

Preferred IPA of California

Chatsworth, CA • On-site

$20 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

ESSENTIAL DUTIES

  • Letters of agreement
    • Timely review of all requests for letters of agreement assigned to work queue
    • Verifying letter of agreement criteria is met
      • Services not available in network
      • Continuation of Care
    • Verifying information provided is sufficient to submit for letter of agreement
    • Submitting letters of agreement to Contracting Contacts for entities financially responsible for services
    • Follow up and follow through for status and completion of letter of agreement.

MINIMUM REQUIREMENTS

  • Understanding of basic medical terminology
  • Organized, efficient and possess superior attention to detail
  • Punctual, prepared and able to meet or beat deadlines
  • Excellent written and verbal communication skills
  • Managed Care Healthcare Experience a plus

EDUCATION/TRAINING

  • High School diploma
  • College degree preferred
  • On Site training will be provided

LANGUAGE SKILLS

  • Ability to communicate and speak effectively before co-workers, management, and external contacts
  • Ability to fluently speak, write, and understand English
  • Ability to write routine emails and other correspondence
  • Ability to speak clearly and concisely over the telephone

CONFIDENTIAL AND SENSITIVE INFORMATION:

  • Must properly control the release of proprietary and confidential information

Note that the information above is intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.

Company Description

Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. We work with the network’s participating physicians to coordinate patient care when a referral is made to a specialist or hospital for diagnosis and treatment. We coordinate patient care across all aspects of the provider network. We provide high quality services to its participating physicians and superior health care to its members.