Serratore began his coaching career in 1982 with the Austin Mavericks (later the Rochester Mustangs) of the United States Hockey League. After five successful seasons, he moved on become an assistant coach with the University of North Dakota Fighting Sioux for two seasons. He then returned to the USHL for one season as head coach and general manager of the Omaha Lancers. During his time in the USHL, Serratore won three league championships. In 1990, Serratore was hired as the head coach of the University of Denver Pioneers and spent four seasons behind their bench.
Serratore made the jump to professional hockey in 1994 when he was hired as the head coach and director of hockey operations of the Minnesota Moose, an expansion team in the International Hockey League. The Moose lasted only two seasons in Minnesota before relocating to Winnipeg, Manitoba. Serratore remained with the Manitoba Moose as director of hockey operations for one season, but Jean Perron was brought by the new ownership group to replace him as head coach.
Since 1997, Serratore has been the head coach of the Air Force Falcons men's hockey team. During his tenure, the Falcons have won five Atlantic Hockey conference championships. He is also part of USA Hockey's development program and coached the United States Under-17 team to a gold medal at the Five Nations Tournament in Sweden.
National champion
Postseason invitational champion
Conference regular season champion
Conference regular season and conference tournament champion
Division regular season champion
Division regular season and conference tournament champion
Conference tournament champion