Utilization Management Coordinator

Utilization Management Coordinator

RANCHO CORDOVA, CA 95670

Posted:

07/01/2026

Job Number:

1719516 JOB

DESCRIPTION

Our client, a respected healthcare organization, is seeking a Utilization Management Coordinator. This role plays a key part in supporting care coordination operations through accurate referral processing, prior authorization review, and timely communication with members and providers. This is a long term temporary opportunity with potential for hire. The ideal candidate will have at least three years of experience in a medical office, with hands-on responsibility for processing referrals and prior authorizations, and will demonstrate excellent customer service skills when supporting patients and clinical staff.

Pay:

$27/hour

Role:

12 month contract 100% onsite in Rancho Cordova Responsibilities Process prior authorizations, verify eligibility, and manage referrals using established criteria. Create and update inpatient and referrals, including data entry and coordination with liaisons. Prepare and distribute referral outcome notifications to members, providers, and regulatory bodies. Track and document appeal and grievances, ensuring timely follow up. Support UM meetings through scheduling, agendas, minutes, and clerical coordination. Monitor admissions/discharges and assist with referral reporting. Maintain accurate records and contribute to a positive, customer focused work environment. Skills & Qualifications High school diploma or GED required. 3+ years of experience in a medical environment using computer programs. Ability to work independently and collaboratively across multiple teams. Strong attention to detail, accuracy, and data entry skills. Experience with insurance processes (preferred). Working knowledge of front/back-office operations and ICD 9/scheduling systems (preferred). Professional communication skills and ability to maintain confidentiality. Ability to use good judgement. Must be able to pass a background check and drug screen.