ZipRecruiter

Log In

1

Utilization Management Coordinator Jobs (NOW HIRING)

Intus, Inc

Utilization Management Nurse

$80K - $95K/yr

IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. IntusCare empowers ...

UHS

Utilization Review Coordinator

Scottsdale, AZ · On-site

The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the ...

Ampcus

Coord, Utilization Mgmt I

Owings Mills, MD · On-site

Coord, Utilization Mgmt I Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our ...

next page

Showing results 1-20

All JobsUtilization Management JobsUtilization Management Coordinator Jobs

Utilization Management Coordinator information

See salary details

$15

$29

$46

How much do utilization management coordinator jobs pay per hour?

As of Jul 6, 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, 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.

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.
More about Utilization Management Coordinator jobs
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:
What job categories do people searching Utilization Management Coordinator jobs look for? The top searched job categories for Utilization Management Coordinator jobs are:
Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, 1% Temporary, and 1% Contract. Highlights an 83% Physical, 1% Hybrid, and 16% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.
Behavioral Health Utilization Management Coordinator

Behavioral Health Utilization Management Coordinator

MetroPlusHealth

Manhattan, NY • On-site

$56K/yr

Full-time

Posted 5 days ago

MetroPlusHealth rating

7.8

Company rating: 7.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

163rd of 277 rated insurance

Job description

Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health + Hospitals
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.
Position Overview:
The Behavioral Health Utilization Management (BH UM) Care Coordinator provides comprehensive service and support to providers and members as needed. The primary responsibilities include but are not limited to: responding to all provider inquiries for Behavioral Health Core and HARP authorizations, documenting such contacts into the tracking clinical system, manage and maintain inbound queues for the UM work system, process complaints, conduct outreach efforts to providers and ensure all activities deliver a seamless and streamlined experience for both UM staff and providers. This position requires that one be organized, ability to multitask, set priorities and manage time effectively.
Work Shifts
9:00 AM - 5:00 PM
Duties & Responsibilities
  • Responsible for managing large amounts of inbound provider calls promptly.
  • Record and respond to all BH UM customer contacts and update the tracking system.
  • Manage and ensure appropriate follow-up and closure for all provider/member contacts.
  • Manages calls to and from providers regarding both inpatient and outpatient BH authorizations
  • Enter prior approvals in the authorization system (CareConnect) and follow internal process for connecting providers to the clinical UM Staff as applicable.
  • Notifies vendors of the start date of the services to members.
  • Monitors the assigned queues in the authorization system (Care Connect) to ensure timely processing of service authorization requests
  • Tracks and monitors key information identified by the UM Team Leaders for quality purposes
  • Maintain clinical work queues to ensure tasks are sent timely to UM team members
  • Responsible for meeting accuracy standards for appropriate authorizations of referrals at the UM customer service associate level and collaborate with other BH UM team members to ensure that the entire team is also successful at meeting those standards.
  • Process and resolve complaints, record given information in the clinical management system
  • Handle provider inquiries and escalates to Call Center Supervisor appropriately
  • Respond to all claim billing inquiries from providers and members and direct them to the correct teams.
  • All other duties and special projects as assigned by BH UM Care Coordinator Supervisor and Director of BH UM

Minimum Qualifications
  • Associates Degree required; Bachelor's Degree preferred
  • A minimum of 3 years' experience in customer service; 1 year must be in a UM medical management call center setting
  • Experience in providing excellent customer service in a fast-paced, high volume type medical setting (i.e., insurance, doctor's office, medical clinics)
  • Bilingual (English/Spanish) - written and verbal skills preferred
  • Basic Microsoft Word, Teams, and Excel skills; familiarity with Microsoft Teams is a plus
  • UM clinical operations expertise a bonus

Professional Competencies:
  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication
  • Ability to multitask and work as a team
  • Must be able to work well under pressure and handle stressful situations effectively
  • Ability to maintain a positive and customer friendly attitude while fielding calls

#LI-Hybrid #MPH50

What MetroPlusHealth employees say

Workplace

Get the full story on Breakroom

Apply