Utilization Management Support Coordinator

The Utilization Management Coordinator at UMass Memorial Health supports the organization's UM program by coordinating payer communications, assisting with clinical review workflows, and ensuring accurate documentation within the electronic medical record. The role collaborates with Utilization Review Specialists, Physician Advisors, and Case Management teams to support medical necessity reviews, patient status management, and timely response to payer requests. Key duties include administrative support for Physician Advisor activities, clinical denial management, reporting, and maintaining compliance with CMS and payer requirements.