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Utilization Management Coordinator Jobs (NOW HIRING)

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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 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 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.
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What cities are hiring for Utilization Management Coordinator jobs?

Cities with the most Utilization Management Coordinator job openings:

What are the most commonly searched types of Utilization Management jobs?

The most popular types of Utilization Management jobs are:

Who are the top companies hiring for Utilization Management Coordinator jobs?

The top employers for Utilization Management Coordinator jobs are:

What states have the most Utilization Management Coordinator jobs?

States with the most job openings for Utilization Management Coordinator jobs include:

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, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.

Utilization Management Coordinator I

System One

Baltimore, MD โ€ข Remote

$24.67/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago


Job description

Job Title: Utilization Management Coordinator I Type: Short-term contract (3 mos) Compensation: $24.67 Work Model: Remote – offsite. Must work east coast hours. Hours: 8 hours per day, 40 hours per week. 5 days on, 2 days off in a row. Training: Monday thru Friday the first month or so. After Training: Schedule will be either Tuesday thru Saturday – OR - Sunday thru Thursday.

Responsibilities

  • Support Utilization Management clinical teams by assisting with non-clinical administrative tasks related to pre-service, utilization review, care coordination, and quality of care
  • Perform member or provider related administrative support including benefit verification, authorization creation and management, claims inquiries, and case documentation
  • Review authorization requests for initial determination and triage for clinical review and resolution
  • Provide general support and coordination services for the department such as answering and responding to telephone calls, managing correspondence, researching information, and assisting in problem-solving
  • Assist with reporting, data tracking, gathering, organization, and dissemination of information such as Continuity of Care process and Peer to Peer reviews
Requirements
  • High School Diploma or equivalent
  • At least 1 to 3 years of experience in health care claims/service areas or office support
  • Two years of experience in health care/managed care setting or related work experience
  • Knowledge of CPT and ICD-10 coding
  • Effective communication, data entry, medical terminology, and medical knowledge skills
  • Ability to participate in multi-disciplinary teams and demonstrate excellent communication, organizational, and customer service skills
  • Knowledge of medical terminology and concepts in managed care
  • Proficient in standardized processes for evaluating medical support operations
  • Strong independent judgment and decision-making skills with tact and diplomacy
  • Attention to detail
  • Experienced with web-based technology and Microsoft Office applications including Word, Excel, and PowerPoint

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Ref: #851-Rockville-S1