Utilization Management Coordinator

HonorHealth

. Assist with administration of Utilization Management functions, including workflow organization, department communications, information interpretation, tracking follow-up, research, and report creation .

Posted 10/22/2026full-timeRemote • Arizona • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Utilization Management functions, including workflow organization, payer communications, and clinical documentation processes. Proficient in EMR/EPIC systems and knowledgeable about HIPAA regulations and payer requirements.

Highest-signal resume keywords

Utilization ManagementEMR/EPIC ProficiencyClinical DocumentationPayer CommunicationHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clerical SupportAdministrative SupportReport CreationResearch SkillsWorkflow Organization

Soft Skills

Communication SkillsCollaborationProblem-Solving

Tools & Technologies

EMREPICRightFax

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Utilization ReviewMedical InsuranceCase ManagementHealthcare AdministrationHIPAA Breach Reporting

About the role

Key responsibilities & impact

Assist with administration of Utilization Management functions, including workflow organization, department communications, information interpretation, tracking follow-up, research, and report creation
Support UM operations and payer communications to obtain admission approvals through clinical review and appeal processes
Handle inbound payer faxes, upload approvals, bed days, and denials, and document communications in EMR/EPIC
Fax initial and continued-stay clinical documentation to payers and resolve fax failures
Monitor deferred accounts and follow up with payers for additional approved days
Collaborate with payers, UM nurses, Care Coordination teams, and other internal departments
Identify and initiate concurrent denial documentation and coordinate physician-advisor peer-to-peer reviews
Retrieve and process utilization-management clinical requests
Escalate patient calls, communicate barriers, and document issues in EPIC/EMR
Perform reports, research, meeting scribe duties, and new-hire onboarding as assigned

Requirements

What you’ll need

High School Diploma or GED Required
1 year clerical support Required
Associates Preferred
1 year administrative support in a healthcare field (e.g., case management, utilization review, medical insurance, medical office front desk, hospital business office, preservices, admitting, registration, billing, collections) Preferred
Knowledge of payer requirements, clinical documentation, utilization management workflows, EMR/EPIC, RightFax, and HIPAA breach reporting processes
Ability to meet defined productivity standards
Ability to work remotely during the Monday–Friday day shift

Benefits

Comp & perks

Remote work
Monday–Friday, 7:30am–4:00pm schedule
Career development opportunities