Mid Level Utilization Management Coordinator Jobs
Mid level utilization management coordinator jobs go to professionals ready to own authorization workflows, mentor newer staff, and guide clinical or operational decisions with limited day-to-day oversight. Openings run across Insurance, Healthcare & Medical Services, and Education, with 67% remote or hybrid availability, and employers like Optum, UF Health, and Accenture hiring at this level now.
Find JobsOverview
Open roles12
Top stateTexas
Top employerOptum
Top cityDallas, TX
Work type50% Hybrid
Top industryInsurance
Showing 5 of 12+ Mid Level Utilization Management Coordinator jobs
Field-Based RN - Senior Utilization Management
We won't show you this job again
New 20h ago
Optum
Field-Based RN - Senior Utilization Management
Springfield, Massachusetts
New 20h ago
Utilization Management Nurse I, RN
We won't show you this job again
Added 2w ago
Clever Care Health Plan
Utilization Management Nurse I, RN
Huntington Beach, California
Added 2w ago
Manager, Utilization Management (RN)
We won't show you this job again
Added 1mo ago
UT Southwestern Medical Center
Manager, Utilization Management (RN)
Dallas, Texas
Added 1mo ago
Nurse Registered Utilization Management
We won't show you this job again
Added 2mo ago
St. Joseph's Health
Nurse Registered Utilization Management
Woodland Park, New Jersey
Added 2mo ago
RN, Utilization Management
We won't show you this job again
Added 2mo ago
University of Rochester
RN, Utilization Management
Rochester, New York
Added 2mo ago
New 20h ago
Field-Based RN - Senior Utilization Management
Optum·Springfield, Massachusetts
Job functions:
$73k - $130k/yr
4+ yrs exp.
Full Time
10,000+ employees
Job Description
Your nursing experience can help improve care well beyond the bedside.
Rather be out in the field than behind a desk? Use your clinical judgment to strengthen care quality and support nursing facilities across Massachusetts. Share your findings with providers and turn clinical insights into better outcomes.
On the road across Massachusetts: a 100% travel, field-based role
This is a field-based role for the state of Massachusetts, with 100% travel. Qualified candidates must live in the Springfield, MA, regional area and drive daily to different facility locations across the region and the rest of the state. For this role, there will be no weekends, no holidays and no on-call work.
What’s in it for you
Learn more and apply: https://careers.unitedhealthgroup.com/job/springfield/sr-utilization-management-nurse-rn-field-position/34088/101039688720
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800–$130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. The job posting may come down early due to the volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location and income—deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes—an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law, and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
XJ6
Rather be out in the field than behind a desk? Use your clinical judgment to strengthen care quality and support nursing facilities across Massachusetts. Share your findings with providers and turn clinical insights into better outcomes.
On the road across Massachusetts: a 100% travel, field-based role
This is a field-based role for the state of Massachusetts, with 100% travel. Qualified candidates must live in the Springfield, MA, regional area and drive daily to different facility locations across the region and the rest of the state. For this role, there will be no weekends, no holidays and no on-call work.
What’s in it for you
- Meaningful clinical impact: Bring your expertise to care quality and good clinical decisions.
- Direct partnership: Collaborate with providers, facility leaders and interdisciplinary teams on findings and corrective plans.
- Time that’s yours: No weekends, no holidays and no on-call work.
- Continued growth: Keep building your skills as part of a collaborative team.
- Review MDS assessments and medical records to support coding accuracy, quality outcomes and reimbursement integrity
- Apply your clinical skills to documentation, treatment and medication reviews
- Partner with providers and facility leaders on audit findings and recommendations
- Help nursing facilities understand corrective actions and compliance expectations
- Support appropriate care through clinical review and utilization management
- Protect personal health information and maintain HIPAA compliance
- Current, active, unrestricted Registered Nurse (RN) license in Massachusetts
- Current RAC/CT MDS certification, or the ability to obtain it before your start date
- 4+ years of nursing experience in long-term care and/or medical record review
- Recent long-term care MMQ, MDS, staff development or management experience
- Experience working within medical insurance and/or healthcare, with knowledge of Medicare, Medicaid, CMS and utilization management processes
- Ability to analyze clinical information, research issues and apply sound judgment
- Must live in the Springfield, MA, regional area to meet the daily travel requirements
- Comfort with 100% field-based travel, plus reliable transportation, a valid, unrestricted driver’s license and current auto insurance
Learn more and apply: https://careers.unitedhealthgroup.com/job/springfield/sr-utilization-management-nurse-rn-field-position/34088/101039688720
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800–$130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. The job posting may come down early due to the volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location and income—deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes—an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law, and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
XJ6
Optum
Field-Based RN - Senior Utilization Management
Springfield, Massachusetts
New 20h ago10,000+ employees
Job functions:
$73k - $130k/yr
4+ yrs exp.
Full Time
Job Description
Your nursing experience can help improve care well beyond the bedside.
Rather be out in the field than behind a desk? Use your clinical judgment to strengthen care quality and support nursing facilities across Massachusetts. Share your findings with providers and turn clinical insights into better outcomes.
On the road across Massachusetts: a 100% travel, field-based role
This is a field-based role for the state of Massachusetts, with 100% travel. Qualified candidates must live in the Springfield, MA, regional area and drive daily to different facility locations across the region and the rest of the state. For this role, there will be no weekends, no holidays and no on-call work.
What’s in it for you
Learn more and apply: https://careers.unitedhealthgroup.com/job/springfield/sr-utilization-management-nurse-rn-field-position/34088/101039688720
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800–$130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. The job posting may come down early due to the volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location and income—deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes—an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law, and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
XJ6
Rather be out in the field than behind a desk? Use your clinical judgment to strengthen care quality and support nursing facilities across Massachusetts. Share your findings with providers and turn clinical insights into better outcomes.
On the road across Massachusetts: a 100% travel, field-based role
This is a field-based role for the state of Massachusetts, with 100% travel. Qualified candidates must live in the Springfield, MA, regional area and drive daily to different facility locations across the region and the rest of the state. For this role, there will be no weekends, no holidays and no on-call work.
What’s in it for you
- Meaningful clinical impact: Bring your expertise to care quality and good clinical decisions.
- Direct partnership: Collaborate with providers, facility leaders and interdisciplinary teams on findings and corrective plans.
- Time that’s yours: No weekends, no holidays and no on-call work.
- Continued growth: Keep building your skills as part of a collaborative team.
- Review MDS assessments and medical records to support coding accuracy, quality outcomes and reimbursement integrity
- Apply your clinical skills to documentation, treatment and medication reviews
- Partner with providers and facility leaders on audit findings and recommendations
- Help nursing facilities understand corrective actions and compliance expectations
- Support appropriate care through clinical review and utilization management
- Protect personal health information and maintain HIPAA compliance
- Current, active, unrestricted Registered Nurse (RN) license in Massachusetts
- Current RAC/CT MDS certification, or the ability to obtain it before your start date
- 4+ years of nursing experience in long-term care and/or medical record review
- Recent long-term care MMQ, MDS, staff development or management experience
- Experience working within medical insurance and/or healthcare, with knowledge of Medicare, Medicaid, CMS and utilization management processes
- Ability to analyze clinical information, research issues and apply sound judgment
- Must live in the Springfield, MA, regional area to meet the daily travel requirements
- Comfort with 100% field-based travel, plus reliable transportation, a valid, unrestricted driver’s license and current auto insurance
Learn more and apply: https://careers.unitedhealthgroup.com/job/springfield/sr-utilization-management-nurse-rn-field-position/34088/101039688720
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800–$130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. The job posting may come down early due to the volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location and income—deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes—an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law, and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
XJ6
See All 12 Mid Level Utilization Management Coordinator Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsMid Level Utilization Management Coordinator Job Market
Who's Hiring
Top Industries Hiring
- Insurance
- Healthcare & Medical Services
- Education
- Manufacturing
Mid Level Utilization Management Coordinator Jobs: Frequently Asked Questions
How do I get a mid level utilization management coordinator job?
Position your experience around ownership, not just task completion. Highlight specific authorization workflows you managed independently, any cross-functional collaboration with clinical teams or payers, and measurable outcomes like reduced denials or faster turnaround times. Mid level postings prioritize candidates who demonstrate they can run a process, not just support one, so lead your resume and cover letter with concrete examples of that responsibility.
Which companies hire mid level utilization management coordinators?
Companies hiring mid level utilization management coordinators right now include Optum, UF Health, and Accenture, based on current listings on Migrate Mate as of November 2026. Health systems, managed care organizations, and third-party utilization review firms tend to hire most actively at this level, as they need professionals who can carry caseloads independently and liaise directly with payers without close supervision.
Are there remote mid level utilization management coordinator jobs?
Yes, and the share is meaningful for this role. About 67% of mid level utilization management coordinator openings are remote or hybrid as of November 2026, reflecting how much of the work centers on documentation, payer communication, and EHR review rather than on-site clinical activity. Many employers offer fully remote arrangements once candidates demonstrate familiarity with utilization management platforms and payer portals.
How do I move up to a mid level utilization management coordinator role?
The path runs through depth, not just time. Build fluency in payer guidelines, InterQual or Milliman criteria, and denial management processes during your first couple of years. Then take on ownership of specific authorization queues or appeal workflows rather than supporting others on them. Demonstrating that you can manage a caseload independently, catch documentation gaps before they escalate, and communicate outcomes to clinical or billing teams signals readiness for a mid level scope.
Which industries hire the most mid level utilization management coordinators?
Mid Level utilization management coordinator roles concentrate in Insurance, Healthcare & Medical Services, and Education, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they handle high volumes of prior authorizations, concurrent reviews, and appeals that require experienced coordinators who can operate without close clinical oversight and maintain payer relationship standards independently.