Care Coordinator, Utilization Management

NurseRemotely; United States; Remote; USD 35,000 - 65,000; Full time

Job summary

Oak Street Health is seeking a Care Coordinator in Utilization Management to oversee daily UM operations remotely. You will collaborate with physician reviewers, payers, and vendors to optimize workflows and improve care quality while meeting performance metrics.

A 40-hour weekly schedule and full-time benefits support professionals across the country. Ideal candidates have a minimum of 2 years in UM or healthcare operations, strong analytical and communication skills, and proficiency with UM

Qualifications

• High School diploma or equivalent.
• Minimum of 2 years in utilization management, healthcare operations, or a similar role.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong communication and interpersonal skills, with the ability to collaborate effectively across multidisciplinary teams.
• Proficiency in utilization management software systems and Microsoft Office applications.
• Proven organizational and detail-orientation skills
• US work authorization.

Responsibilities

• Oversee day-to-day operations of the Utilization Management team.
• Identify opportunities to streamline and optimize utilization management workflows.
• Collaborate with internal departments, external partners, and vendors.
• Navigate between multiple electronic platforms.
• Meet standard performance and quality metrics.
• Other duties as assigned.

Skills

Analytical skills

Problem solving

Communication

Interpersonal skills

MS Office

UM software

Education

High school diploma

Tools

Utilization management software

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Company: Oak Street Health

Title: Care Coordinator, Utilization Management

Location: Remote/Treehouse

The Care Coordinator, Utilization Management(UMCC III) plays a pivotal role in overseeing the day-to-day operations of the Utilization Management(UM) department. Operational expertise will drive process improvements, optimize workflows, and enhance the quality of care delivery within the Utilization Management Team. This role interacts with the UM physician reviewers, external payer partners, and vendors. The UMCC III will report to, and work alongside the Manager of Operations, Utilization Management.

Core Responsibilities

• Provide support overseeing operational aspects of the Utilization Management team’s activities.
• Identify opportunities to streamline and optimize utilization management workflows, improve efficiency and reduce administrative burden.
• Collaborate and effectively communicate with internal departments, external partners, and vendors.
• Efficiently navigate between multiple electronic platforms.
• Meet standard performance and quality metrics.
• Other duties, as and assigned.

What are we looking for?

• High School diploma or equivalent
• Minimum of 2 years of experience in utilization management, healthcare operations, or a similar role.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong communication and interpersonal skills, with the ability to collaborate effectively across multidisciplinary teams.
• Proficiency in utilization management software systems and Microsoft Office applications.
• Proven organizational and detail-orientation skills
• US work authorization
• Someone who embodies being Oaky

What does being Oaky look like?

• Radiating positive energy
• Assuming good intentions
• Creating an unmatched patient experience
• Driving clinical excellence
• Taking ownership and delivering results
• Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to Rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient’s communities, and focused on the quality of care over volume of services. We’re an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody “Oaky” values and passion for our mission.

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.

Learn more at www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $31.30

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/27/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.