Case Management Coordinator, Utilization Management

The Case Management Coordinator, Utilization Management supports the utilization review process by collaborating with team members across Utilization Management, Patient and Provider Services, and Claims. This role involves processing referral authorizations, verifying member eligibility, and coordinating services to ensure high-quality, cost-effective healthcare delivery. The position requires strong communication skills to interact with Medical Directors, Providers, and external partners while maintaining compliance with state and federal regulations.