UTLIZATION MANAGEMENT ADMINISTRATIVE COORDINATOR

Liberty Health

Wilmington, NC

Clerical

Full Time, Day (8), Variable 730am to 600pm

Posted 08/31/2026

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UTILIZATION MANAGEMENT ADMINISTRATIVE COORDINATOR SUMMARY

Day-to-day assistance with the management of the Utilization Management department and all Utilization Management activities, which include authorization, timeliness, documentation, including the adnce to policies and procedures to ensure high quality and cost-effective utilization management services.

Quality monitoring focusing on fax and authorization queues, and other documents iing and outgoing.

Assist Utilization Management RNs and Director with projects as needed.

Attend and contribute to all internal Utilization Management meetings

Ability to be an interactive UM team member to ensurepliant execution of UM program

Review admissions and service requests for the following:

Monitor authorization requests, queues, medical documents, and approaching timelines.

Occasional assistance with co-workers with issues related to coding, medical records/documentation, pre-certification reimbursement and claim denials/appeals

Use critical thinking and problem-solving to navigate through theplexities of the Managed Care program guidelines.

Ability to focus on interventions for improvement

Provides appropriate responses to providers regarding UM questions, or request the assistance of the UM RNs or Direct of Utilization Management.

Assist the department with the development of written policies, procedures and workflows

The ability to be a part of the on-call rotation when needed.

JOB REQUIREMENTS

High School Diploma or equivalent required

3-5 years of experience in a medical office or health insurancepany, preferably with a Health Plan

Expert in medical terminology

Excellent Organization and Priority skills

Excellentputer skills and ability to learn new systems required.

Strong attention to detail,anizational skills, and interpersonal skills required.

Demonstrated ability to problem-solve and manage professional relationships.

Healthcare industry knowledge, preferred

Excellent listening, verbal, written and interpersonalmunication skills.

High level of professionalism and confidentiality, with a strong customer focus.

Can adapt well to operational needs with excellent follow-up skills.

Must be self-motivated, with a work ethic of dedication and the discipline to work independently.

Must have a valid driver's license.

Proven ability tomunicate concisely and confidently with all staff levels. Can clearlymunicate instructions to remote users.