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Clinical Review Coordinator Jobs (NOW HIRING)

Franciscan Health

Utilization Review Coordinator

Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial outcomes. * Communicate with physicians, patients, members of the Healthcare team, Coordinated ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... License: LCSW, LMHC, or LICSW preferred EEO Statement All UHS subsidiaries are committed to ...

UHS

Utilization Review Coordinator

Brookline, MA · On-site

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time ... License: LCSW, LMHC, or LICSW preferred EEO Statement All UHS subsidiaries are committed to ...

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How much do clinical review coordinator jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for clinical review coordinator in the United States is $28.65, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $34.13 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of a clinical review coordinator?

As a Clinical Review Coordinator, your daily responsibilities often include reviewing patient medical records, assessing the necessity and appropriateness of clinical services, and preparing documentation for insurance or compliance reviews. You may also interact with healthcare providers to clarify clinical information, coordinate with case managers or insurance representatives, and ensure timely processing of authorizations. While most of the work is completed independently, you will frequently collaborate with other healthcare professionals to resolve complex cases. This role offers a balance of analytical tasks and teamwork, providing variety and ongoing professional engagement.

What is a clinical review coordinator?

A Clinical Review Coordinator is responsible for reviewing medical records, insurance claims, and treatment plans to ensure they meet regulatory and organizational guidelines. They collaborate with healthcare providers, insurance companies, and patients to verify coverage, process authorizations, and support quality care. The role requires attention to detail, knowledge of medical terminology, and familiarity with healthcare policies.

What are the key skills and qualifications needed to thrive in the clinical review coordinator position, and why are they important?

A Clinical Review Coordinator needs a strong background in healthcare, medical terminology, and case management, usually supported by a degree in a health-related field or equivalent experience. Familiarity with electronic health record (EHR) systems, utilization review software, and knowledge of regulatory guidelines like HIPAA is typically required. Attention to detail, excellent organizational skills, and effective communication abilities set successful candidates apart. These competencies enable Coordinators to ensure accurate clinical documentation, streamline review processes, and facilitate collaboration between medical teams and insurance providers.

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Clinical Review Coordinator jobs near you
Infographic showing various Clinical Review Coordinator job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $59,597 per year, or $28.7 per hour.

Review Coordinator

National Medical Reviews

Warminster, PA • On-site

$65K - $70K/yr

Full-time

Re-posted 29 days ago

Job description

Role and Responsibilities:

  • Coordinates case review activities consistent with corporate policy and client-specific procedures
    • Determines the types of review, peer clinical reviewer specialties and selects peer clinical reviewers
    • Oversees the logging of cases
      • Verifies peer clinical reviewer credentials and lack of conflict of interest
      • Corresponds with reviewers regarding availability, expertise, deadline, etc.
    • Negotiates and assigns peer clinical reviewer fees (as authorized by the Vice President)
    • Ensures that the invitation in URPP is forwarded to, and received by, the peer clinical reviewer in a timely manner
    • Maintains active dialogs with the client and the peer clinical reviewer while the case is under review
    • Monitors case due date and takes steps to ensure timely return to the client
    • Ensures that the peer clinical reviewer’s determination is complete and oversees transcription
    • Notifies the client and other designated parties of the final determination
  • Interacts on a daily basis with the Chief Medical Director, as needed, to complete case reviews
  • Serves as the primary liaison and resource for clients and peer clinical reviewers
  • Assists in the recruitment of new peer clinical reviewers
  • Participates in staff and/or client meetings and telephone conferences, as needed
  • Actively participates in the orientation and training of new Review Coordinator Assistants
  • Participates in quality improvement activities, as requested


Education, Experience and Professional Competencies:

  • Holds a post-secondary degree;
  • Has undergone formal training in a health care field;
  • Experience in health insurance, utilization review, quality management and/or managed care
  • Pursues excellence while achieving results within defined parameters
  • Listens effectively and expresses ideas, both verbally and non-verbally, to achieve understanding
  • Demonstrates flexibility and effectiveness with changing tasks, responsibilities and people
  • Maintains stable and effective performance under pressure or demanding challenges


Physical Demands:

  • Must be able to both speak clearly and hear, as frequent use of the telephone is required
  • Must be able to work under conditions of frequent stress in order to meet deadlines
  • Must have sufficient close-vision capabilities and use of hands in order to perform computer tasks
  • Must be able to sit for extended periods of time