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UHS

Utilization Review Coordinator

Phoenix, AZ · On-site

Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 ... case managers/managed care organizations. Beneftis for the UR Coordinator include: * Tuition ...

UHS

Utilization Review Coordinator

Phoenix, AZ · On-site

Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 ... case managers/managed care organizations. Beneftis for the UR Coordinator include: * Tuition ...

UHS

Utilization Review Coordinator

Phoenix, AZ

Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 ... case managers/managed care organizations. Beneftis for the UR Coordinator include: * Tuition ...

UHS

Utilization Review Coordinator

Phoenix, AZ

Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 ... case managers/managed care organizations. Beneftis for the UR Coordinator include: * Tuition ...

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How much do case review coordinator jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for case review coordinator in the United States is $22.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $25.00 per hour, depending on experience, location, and employer.

What does a case review coordinator do?

A Case Review Coordinator is responsible for organizing, monitoring, and evaluating cases within a healthcare, legal, or social services setting. They review case files, ensure compliance with policies and regulations, and coordinate communication between different parties involved in each case. Their work helps ensure that cases are handled efficiently, accurately, and in a timely manner. They may also help prepare reports and recommend improvements to case management processes.

What are the key skills and qualifications needed to thrive as a case review coordinator?

To thrive as a Case Review Coordinator, you need strong analytical abilities, attention to detail, and a background in healthcare administration or a related field. Familiarity with case management software, electronic health records (EHR), and relevant regulatory standards is typically required. Excellent organizational skills, effective communication, and the ability to multitask help individuals excel in coordinating among teams and managing case loads. These skills ensure accurate, efficient case processing and foster collaboration, directly impacting the quality and timeliness of patient care reviews.

What are some common challenges faced by case review coordinators when managing multiple case files simultaneously?

Case Review Coordinators often handle a high volume of case files, which can make it challenging to prioritize tasks and ensure all deadlines are met. Balancing accuracy with efficiency is crucial, as missing key details or deadlines can impact case outcomes. Strong organizational skills and effective communication with team members and stakeholders are essential to navigate these challenges and ensure all cases are reviewed thoroughly and on time.

What cities are hiring for Case Review Coordinator jobs?

Cities with the most Case Review Coordinator job openings:

What states have the most Case Review Coordinator jobs?

States with the most job openings for Case Review Coordinator jobs include:

What are popular job titles related to Case Review Coordinator jobs?

For Case Review Coordinator jobs, the most frequently searched job titles are:

Utilization Review Coordinator

Mishawaka, IN • On-site

Neuropsychiatric Hospitals
See more jobs at Neuropsychiatric Hospitalsexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Job description

About Us
Specialized Care for the Patients Who Need It Most.
NeuroPsychiatric Hospitals (NPH) is dedicated to providing unparalleled service to our patients, team members, physicians, and families. We dare to do things differently, bringing together compassionate care, specialized expertise, and an interdisciplinary approach to meet the unique needs of those we serve. It is this commitment that distinguishes NPH as the healthcare provider of choice.
As a national leader in behavioral healthcare, NPH specializes in caring for patients with acute psychiatric and complex medical needs. Our hospitals provide patient-centered care through an interdisciplinary, multi-specialty approach, ensuring our patients receive the specialized support they need when they need it most.
With locations in Indiana, Michigan, Texas, Ohio, and Arizona, we are expanding access to our unique model of care across the United States. Join NPH and become part of a team that is daring to do things differently and making a lasting difference in the lives of our patients, families, and communities every day.
Overview
Medical Behavioral Hospital is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
  • Competitive pay rates
  • Medical, Dental, and Vision Insurance
  • NPH 401(k) plan with up to 4% Company match
  • Employee Assistance Program (EAP) Programs
  • Generous PTO and Time Off Policy
  • Special tuition offers through Capella University
  • Work/life balance with great professional growth opportunities
  • Employee Discounts through LifeMart

Responsibilities
  • Filing documents as needed.
  • Initial Precertification with payors.
  • Concurrent Clinical review with payors.
  • Document in the electronic system daily in real time.
  • Admission audit.
  • Ensures that CON's/RON's and CMS certifications are completed by provider.
  • Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
  • Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
  • Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
  • Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
  • Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
  • Complies with hospital expectations regarding ethical behavior and standards of conduct.
  • Complies with federal and hospital requirements in the areas of protected health information and patient information.
  • Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
  • Provides education to nursing staff. ;eadership team, and providers regarding documentation.
  • Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.

Qualifications
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

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