Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the explaining the documents to patients in our care.
Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the explaining the documents to patients in our care.
Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the explaining the documents to patients in our care.
Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the explaining the documents to patients in our care.
Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the explaining the documents to patients in our care.
Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the explaining the documents to patients in our care.
Case Management Technician, PRN
Towson, MD · On-site
$40K/yr
Job Requirements Job Summary The Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, carrying out associated routine tasks.
Case Management Technician, PRN
Towson, MD · On-site
$40K/yr
Job Requirements Job Summary The Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, carrying out associated routine tasks.
Case Management Technician, PRN
Towson, MD · On-site
$195K/yr
Job Requirements Job Summary The Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, carrying out associated routine tasks.
Case Management Technician, PRN
Towson, MD · On-site
$195K/yr
Job Requirements Job Summary The Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, carrying out associated routine tasks.
The Utilization Management Nurse Manager functions as a generalist at the point of care for their ... Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education ...
The Utilization Management Nurse Manager functions as a generalist at the point of care for their ... Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
$39.69 - $45.10/hr
The Utilization Management Coordinator II functions under the direct supervision of a physician or ... Current Medical Assistant Certification or California Pharmacy Technician License or equivalent ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
$39.69 - $45.10/hr
The Utilization Management Coordinator II functions under the direct supervision of a physician or ... Current Medical Assistant Certification or California Pharmacy Technician License or equivalent ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
$39.69 - $45.10/hr
The Utilization Management Coordinator II functions under the direct supervision of a physician or ... Current Medical Assistant Certification or California Pharmacy Technician License or equivalent ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
$39.69 - $45.10/hr
The Utilization Management Coordinator II functions under the direct supervision of a physician or ... Current Medical Assistant Certification or California Pharmacy Technician License or equivalent ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
Burlingame, CA · On-site
$39.69 - $45.10/hr
The Utilization Management Coordinator II functions under the direct supervision of a physician or ... Current Medical Assistant Certification or California Pharmacy Technician License or equivalent ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
Burlingame, CA · On-site
$39.69 - $45.10/hr
The Utilization Management Coordinator II functions under the direct supervision of a physician or ... Current Medical Assistant Certification or California Pharmacy Technician License or equivalent ...
Pharmacy Technician, Utilization Management - Archimedes
Madison, WI · On-site
$17.75 - $21.50/hr
Pharmacy Technician, Utilization Management - Archimedes Location US- ID 2026-6130 Category Archimedes Position Type Full-Time Remote Yes Company Archimedes About Us Archimedes - Transforming the ...
Pharmacy Technician, Utilization Management - Archimedes
Madison, WI · On-site
$17.75 - $21.50/hr
Pharmacy Technician, Utilization Management - Archimedes Location US- ID 2026-6130 Category Archimedes Position Type Full-Time Remote Yes Company Archimedes About Us Archimedes - Transforming the ...
Pharmacy Technician, Utilization Management - Archimedes
$18 - $21.75/hr
... management and retroactive drug utilization cases, related to coordination of outbound physician notification and inbound case documentation. * Manage queues for pharmacy technician related work for ...
Pharmacy Technician, Utilization Management - Archimedes
$18 - $21.75/hr
... management and retroactive drug utilization cases, related to coordination of outbound physician notification and inbound case documentation. * Manage queues for pharmacy technician related work for ...
Manager - Utilization Review & Denials Management
Plymouth, MA · On-site
$130K - $160K/yr
In your role as a Utilization Review & Denials Management Manager, you will: * Directs staff ... Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in ...
Manager - Utilization Review & Denials Management
Plymouth, MA · On-site
$130K - $160K/yr
In your role as a Utilization Review & Denials Management Manager, you will: * Directs staff ... Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in ...
Utilization Management Registered Nurse
Albuquerque, NM · On-site
$75K/yr
The Albuquerque VA is looking for Utilization Management Registered Nurse for Care Coordination in ... Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education ...
Utilization Management Registered Nurse
Albuquerque, NM · On-site
$75K/yr
The Albuquerque VA is looking for Utilization Management Registered Nurse for Care Coordination in ... Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education ...
Clinical Utilization Management Pharmacist
$125K - $149K/yr
... technicians and confer with other clinical pharmacist on review questions Communicate with UM staff ... and Drug Utilization Management Prior authorization experience, including reviewing drug use ...
Clinical Utilization Management Pharmacist
$125K - $149K/yr
... technicians and confer with other clinical pharmacist on review questions Communicate with UM staff ... and Drug Utilization Management Prior authorization experience, including reviewing drug use ...
Clinical Utilization Management Pharmacist
Canton, MA · On-site
$125K - $149K/yr
... with pharmacy technicians and confer with other clinical pharmacist on review questions • ... Drug Utilization Management • Prior authorization experience, including reviewing drug use ...
Clinical Utilization Management Pharmacist
Canton, MA · On-site
$125K - $149K/yr
... with pharmacy technicians and confer with other clinical pharmacist on review questions • ... Drug Utilization Management • Prior authorization experience, including reviewing drug use ...
Health Information Management Technician 2, (NY HELPS), Rockland Children's Psychiatric Center, P...
$56K - $72K/yr
Conducting audits for utilization review activities and reporting deficiencies to the Utilization ... May supervise Health Information Management Technicians 1 and other support staff. Minimum ...
Health Information Management Technician 2, (NY HELPS), Rockland Children's Psychiatric Center, P...
$56K - $72K/yr
Conducting audits for utilization review activities and reporting deficiencies to the Utilization ... May supervise Health Information Management Technicians 1 and other support staff. Minimum ...
ASRC Federal Netcentric Technologies, LLC is seeking Facility Space Management Technician to ... Perform assessments of space allocation requests including tenant occupancy utilization through ...
ASRC Federal Netcentric Technologies, LLC is seeking Facility Space Management Technician to ... Perform assessments of space allocation requests including tenant occupancy utilization through ...
ASRC Federal Netcentric Technologies, LLC is seeking Facility Space Management Technician to ... Perform assessments of space allocation requests including tenant occupancy utilization through ...
ASRC Federal Netcentric Technologies, LLC is seeking Facility Space Management Technician to ... Perform assessments of space allocation requests including tenant occupancy utilization through ...
Utilization Management (UM) Registered Nurse (RN)
Tucson, AZ · On-site
$87K/yr
Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education ...
Utilization Management (UM) Registered Nurse (RN)
Tucson, AZ · On-site
$87K/yr
Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education ...
The Director provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians.
The Director provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians.
Utilization Management Technician information
See salary details
$14.90 - $18.05
12% of jobs
$19.96 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.20
22% of jobs
The median wage is $22.68 / hr.
$21.20 - $24.34
35% of jobs
$25.38 is the 75th percentile. Wages above this are outliers.
$24.34 - $27.49
20% of jobs
$27.49 - $30.64
6% of jobs
$30.64 - $33.78
2% of jobs
$33.78 - $36.93
0% of jobs
$36.93 - $40.08
1% of jobs
$40.08 - $43.23
0% of jobs
$43.23 - $46.37
0% of jobs
$46.37 - $49.52
2% of jobs
$14
$24
$49
How much do utilization management technician jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Utilization Management Technician, and why are they important?
What is the difference between Utilization Management Technician vs Utilization Review Coordinator?
| Aspect | Utilization Management Technician | Utilization Review Coordinator |
|---|---|---|
| Certifications | Typically requires a healthcare-related certification or associate degree | Often requires similar certifications, with additional experience preferred |
| Work Environment | Healthcare facilities, insurance companies, or managed care organizations | Hospitals, insurance companies, or healthcare organizations |
| Job Focus | Assisting with utilization review processes, data entry, and documentation | Overseeing review processes, making determinations, and coordinating care |
The Utilization Management Technician primarily supports the review process through data management and documentation, while the Utilization Review Coordinator takes a more active role in decision-making and coordinating care. Both roles require healthcare knowledge and certifications, but the Coordinator position often involves more responsibility and oversight.
What degree do you need for utilization management?
What jobs pay $4000 a week without a degree?
What are Utilization Management Technicians?
What is the highest paying job in health information technology?
What other jobs can a PCT do?
What are the typical responsibilities of a Utilization Management Technician during a standard workweek?

Bryan Health rating
7.1
Based on 117 frontline employees who took The Breakroom Quiz
370th of 877 rated healthcare providers
Job description
GENERAL SUMMARY:
Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the explaining the documents to patients in our care. Monitors and records utilization activities of patients under the direction of Utilization Management. Ensures documentation is provided for insurance company requests or determinations. Collaborates in an interdisciplinary manner to optimize patient care, quality reimbursement and regulatory compliance.
PRINCIPAL JOB FUNCTIONS:
1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. *Understands and operationalizes federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance, Joint Commission, OSHA and HIPAA; reports safety and customer concerns.
3. *Administers and documents appropriate Medicare Outpatient Observation Notice (MOON), Hospital Issued Notices of Non-Coverage (HINN), Advanced Beneficiary Notices (ABN) and other documents as deemed appropriate.
4. *Adheres to current rules, regulations and policies related to Medicare, Medicaid , and third party payer guidelines.
5. *Interacts in an interdisciplinary manner and serves as a resource regarding patient’s insurance guidelines and requirements.
6. *Routes insurance inquiries to the proper persons and departments.
7. *Assists with Utilization Management functions by participating in concurrent and retrospective denials and appeals processes by researching issues surrounding the denial.
8. Assists with admission notification for third party payers.
9. Assists with the process of pre-screens for clinically appropriate admissions and determination for coverage for post-acute services or other transfers.
10. Participates in prioritization and data collection and documentation for time-limited clinical quality or research indictors as requested. Attends staff meetings, mandatory in-services and hospital committee meetings as required.
11. Supports and is involved in the Medical Center’s quality initiatives.
12. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
13. Participates in meetings, committees and department projects as assigned.
14. Performs other related projects and duties as assigned.
(Essential Job functions are marked with an asterisk “*”.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
1. Knowledge of medical and pharmacological terminology.
2. Knowledge of computer hardware equipment and software applications relevant to work functions.
3. Skill in responding to patient, family and visitor needs with courtesy, consideration, tact and sensitivity.
4. Ability to work independently with minimal supervision.
5. Ability to modify work assignments based on customer requirements.
6. Ability to meet deadlines in a sometimes rapidly changing environment.
7. Ability to communicate effectively both orally and in writing.
8. Ability to maintain strict confidentiality relative to sensitive information.
9. Ability to maintain accurate documentation.
10. Ability to exercise sound judgment, courtesy, tact and professionalism in interacting with others.
11. Ability to communicate and cooperate with all levels of personnel, medical staff and auxiliary and ancillary departments fostering and promoting intro and inter departmental relationships.
12. Ability to work in a fast-paced environment related to changing patient needs including working with patients with acute, chronic and complex disease processes.
13. Ability to maintain regular and punctual attendance.
EDUCATION AND EXPERIENCE:
Licensure or certification in a field of medical or allied health area of study preferred. Minimum two (2) years clinical experience preferred.
PHYSICAL REQUIREMENTS:
(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)
(DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
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About Bryan Health
Sourced by ZipRecruiter
Company size
5,001 - 10,000 Employees
Headquarters location
Lincoln, NE, US
Year founded
1926