Utilization Review and Discharge Planner . This position is responsible for coordinating utilization review activities, obtaining insurance authorizations, managing discharge planning, facilitating ...
Quick apply
Utilization Review and Discharge Planner . This position is responsible for coordinating utilization review activities, obtaining insurance authorizations, managing discharge planning, facilitating ...
DISCHARGE PLANNER
Phoenix, AZ · On-site
PRN Varies The Discharge Planner works with the Utilization Review department on certification and recertification of insurance benefits throughout the patient's stay, and assists the treatment team ...
DISCHARGE PLANNER
Phoenix, AZ · On-site
PRN Varies The Discharge Planner works with the Utilization Review department on certification and recertification of insurance benefits throughout the patient's stay, and assists the treatment team ...
Care Manager - Discharge Planner
Morrisville, VT · On-site
$33 - $37/hr
Supports the Care Management/Utilization Review Roles and Functions * Case Management: Serve as a ... of discharge planning, utilization, and quality management skills. Chart reviewing-auditing, and ...
Care Manager - Discharge Planner
Morrisville, VT · On-site
$33 - $37/hr
Supports the Care Management/Utilization Review Roles and Functions * Case Management: Serve as a ... of discharge planning, utilization, and quality management skills. Chart reviewing-auditing, and ...
Care Manager - Discharge Planner
Morrisville, VT · On-site
$33 - $37/hr
Supports the Care Management/Utilization Review Roles and Functions * Case Management: Serve as a ... of discharge planning, utilization, and quality management skills. Chart reviewing-auditing, and ...
Care Manager - Discharge Planner
Morrisville, VT · On-site
$33 - $37/hr
Supports the Care Management/Utilization Review Roles and Functions * Case Management: Serve as a ... of discharge planning, utilization, and quality management skills. Chart reviewing-auditing, and ...
Utilization Review Nurse
Lawrence, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Lawrence, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Discharge Planner
Garden City, MI · On-site
Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and ... Discharge Planning/ Utilization Management / Case Management terminology and functions, in both ...
Discharge Planner
Garden City, MI · On-site
Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and ... Discharge Planning/ Utilization Management / Case Management terminology and functions, in both ...
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
DISCHARGE PLANNER
Louisville, KY · On-site
Works with Utilization Review to establish prior authorization, travel, insurance application, etc ... contact/discharge planning efforts are completed no later than 24 hours after the contact ...
DISCHARGE PLANNER
Louisville, KY · On-site
Works with Utilization Review to establish prior authorization, travel, insurance application, etc ... contact/discharge planning efforts are completed no later than 24 hours after the contact ...
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Lawrence, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Lawrence, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Discharge Planner
Martinsville, IN · On-site
Provides appropriate and timely discharge planning from the facility, working closely with Utilization Review staff to maximize reimbursement and maintain appropriate census at each level of care.
Discharge Planner
Martinsville, IN · On-site
Provides appropriate and timely discharge planning from the facility, working closely with Utilization Review staff to maximize reimbursement and maintain appropriate census at each level of care.
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... Support discharge planning and care coordination * Document findings and communicate ...
Utilization Review Nurse
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... Support discharge planning and care coordination * Document findings and communicate ...
Discharge Planner
Martinsville, IN · On-site
Provides appropriate and timely discharge planning from the facility, working closely with Utilization Review staff to maximize reimbursement and maintain appropriate census at each level of care.
Quick apply
Discharge Planner
Martinsville, IN · On-site
Provides appropriate and timely discharge planning from the facility, working closely with Utilization Review staff to maximize reimbursement and maintain appropriate census at each level of care.
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Utilization Review Nurse
Methuen, MA · On-site
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Discharge Planner
Corpus Christi, TX · On-site
The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the ... Understands regulatory requirements, fiscal reimbursement, and utilization review as integral ...
Discharge Planner
Corpus Christi, TX · On-site
The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the ... Understands regulatory requirements, fiscal reimbursement, and utilization review as integral ...
$75 - $95/hr
Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and ... Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions ...
$75 - $95/hr
Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and ... Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions ...
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
Bachelor's degree. - Preferred * 5 years case management experience in an acute care setting with discharge planning, continuing care, care management, and utilization review. * Five years clinical ...
New
The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the ... Understands regulatory requirements, fiscal reimbursement, and utilization review as integral ...
The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the ... Understands regulatory requirements, fiscal reimbursement, and utilization review as integral ...
Discharge Planner Utilization Review information
See salary details
$14.66 - $18.75
7% of jobs
$18.75 - $22.84
17% of jobs
$23.11 is the 25th percentile. Wages below this are outliers.
$22.84 - $26.92
16% of jobs
The median wage is $29.48 / hr.
$26.92 - $31.01
17% of jobs
$31.01 - $35.10
14% of jobs
$37.37 is the 75th percentile. Wages above this are outliers.
$35.10 - $39.18
9% of jobs
$39.18 - $43.27
9% of jobs
$43.27 - $47.36
5% of jobs
$47.36 - $51.44
3% of jobs
$51.44 - $55.53
1% of jobs
$55.53 - $59.62
2% of jobs
$14
$32
$59
How much do discharge planner utilization review jobs pay per hour?
As of Aug 30, 2026, the average hourly pay for discharge planner utilization review in the United States is $32.62, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $39.18 per hour, depending on experience, location, and employer.
What is a discharge planner utilization review?
Discharge Planner Utilization Review professionals are healthcare workers who coordinate patient discharges from hospitals or medical facilities while ensuring appropriate utilization of healthcare services. They assess patients' continuing care needs, develop safe discharge plans, and review the necessity and efficiency of the care provided. Their role bridges clinical care and administrative requirements, helping to prevent unnecessary hospital stays and ensuring patients transition smoothly to home or other care settings. These professionals often work closely with physicians, nurses, social workers, and insurance companies to promote optimal patient outcomes and cost-effective healthcare.
How does a discharge planner utilization review collaborate with interdisciplinary teams to ensure effective patient transitions?
Discharge Planner Utilization Review professionals work closely with physicians, nurses, social workers, and insurance representatives to coordinate safe and timely patient discharges. They facilitate communication between team members, assess patients' post-hospital needs, and help secure appropriate resources such as home health care or rehabilitation services. Their role is vital in preventing readmissions by ensuring that all aspects of a patient's care plan are addressed and that transitions occur smoothly. Regular interdisciplinary meetings and case conferences are common practices to align on patient care goals.
What are the key skills and qualifications needed to thrive as a discharge planner utilization review?
To thrive as a Discharge Planner Utilization Review professional, you generally need a clinical background such as RN or social worker licensure, strong knowledge of discharge planning protocols, and familiarity with healthcare regulations. Proficiency with electronic health records (EHRs), case management software, and utilization review tools is typically required. Excellent communication, problem-solving, and organizational skills help in coordinating care and advocating for patient needs. These competencies ensure safe, efficient patient transitions and compliance with healthcare policies, ultimately optimizing patient outcomes and resource use.
What is the difference between Discharge Planner Utilization Review vs Discharge Planner?
| Aspect | Discharge Planner Utilization Review | Discharge Planner |
|---|---|---|
| Primary Role | Evaluates medical necessity and appropriateness of patient discharges for insurance and healthcare compliance | Coordinates patient discharges, ensures proper placement, and communicates with healthcare teams |
| Credentials | Typically requires a social work, nursing, or healthcare background with certification in utilization review | Usually requires social work or nursing credentials, with focus on discharge planning |
| Work Environment | Hospitals, insurance companies, or healthcare facilities involved in utilization review | Hospitals, rehab centers, or skilled nursing facilities |
While both roles involve discharge processes, Discharge Planner Utilization Review focuses on assessing medical necessity for insurance purposes, whereas Discharge Planner manages patient discharge logistics and coordination. Understanding these differences helps clarify career paths and employer expectations in healthcare settings.
More about Discharge Planner Utilization Review jobs
What cities are hiring for Discharge Planner Utilization Review jobs?
Cities with the most Discharge Planner Utilization Review job openings:
What states have the most Discharge Planner Utilization Review jobs?
States with the most job openings for Discharge Planner Utilization Review jobs include:
What job categories do people searching Discharge Planner Utilization Review jobs look for?
The top searched job categories for Discharge Planner Utilization Review jobs are:
- Utilization Review Manager
- Commission Authorization Utilization Review Bcba
- Full Time Navihealth Utilization Review
- Utilization Review Supervisor
- Authorization Utilization Review Bcba
- Milliman
- Utilization Review No Experience
- Temporary Aetna Utilization Review Nurse
- Part Time Utilization Review Manager
- Utilization Review
CASE MANAGEMENT: UTILIZATION REVIEW AND DISCHARGE PLANNER
Greenville, MS • On-site
Freedom Behavioral Hospital of Greenville
Full-time
Re-posted 12 days ago
Job description
NOTICE TO APPLICANTS
Thank you for your interest in employment with our organization. This position is currently filled. However, we maintain ongoing recruitment efforts, and should this position become available, applications and résumés on file may be considered for future openings.
Position Summary
Freedom Behavioral Hospital is seeking a highly organized and patient-focused professional to serve as our Case Management: Utilization Review and Discharge Planner. This position is responsible for coordinating utilization review activities, obtaining insurance authorizations, managing discharge planning, facilitating continuity of care, and ensuring patients receive appropriate services throughout their hospitalization and transition back into the community.
The Case Management: Utilization Review and Discharge Planner serve as a liaison between patients, families, referral sources, insurance providers, physicians, and treatment team members to promote positive treatment outcomes and regulatory compliance.
Essential Responsibilities
Utilization Review
- Verify insurance eligibility and benefits for all admissions.
- Obtain and maintain authorizations for inpatient psychiatric treatment.
- Conduct admission, concurrent, and continued-stay reviews with insurance companies.
- Coordinate peer-to-peer reviews between physicians and payors when necessary.
- Submit clinical documentation required for authorization and reimbursement.
- Monitor length of stay and communicate authorization status to treatment team members.
Discharge Planning
- Coordinate comprehensive discharge plans beginning at admission.
- Arrange follow-up appointments, outpatient services, community resources, and referrals.
- Communicate with patients, families, referral sources, and outside providers regarding discharge needs.
- Ensure all discharge documentation and continuing care plans are completed timely.
- Facilitate transfers to appropriate levels of care when indicated.
- Coordinate Level I and Level II screenings as required.
Case Management
- Participate in multidisciplinary treatment team meetings.
- Maintain accurate and timely documentation in the electronic medical record.
- Serve as a liaison between patients, families, physicians, referral sources, and insurance providers.
- Track patient progress and assist in identifying barriers to successful discharge.
- Support quality improvement initiatives and regulatory compliance activities.
- Assist with audits, surveys, and accreditation requirements.
Qualifications
Education
- Bachelor's Degree in Social Work, Psychology, Counseling, Nursing, Human Services, Healthcare Administration, or related field required.
- Master's Degree preferred.
Experience
- Minimum one (1) year experience in case management, discharge planning, utilization review, behavioral health, social services, or healthcare coordination preferred.
- Experience in an inpatient psychiatric or behavioral health setting strongly preferred.
Knowledge, Skills, and Abilities
- Knowledge of behavioral health diagnoses and treatment planning.
- Understanding of insurance authorization and utilization review processes.
- Knowledge of discharge planning and community resource coordination.
- Strong communication, documentation, and organizational skills.
- Ability to work effectively within a multidisciplinary treatment team.
- Proficiency with electronic medical records and Microsoft Office applications.
Certifications
- CPR Certification (or ability to obtain upon hire)
- CPI/Behavioral Management Training (or ability to obtain upon hire)
- Valid Driver's License (if applicable)
Apply Today
Join Freedom Behavioral Hospital and become part of a team dedicated to providing exceptional behavioral healthcare while ensuring patients receive the support and resources needed for successful recovery and continuity of care.
Freedom Behavioral Hospital is an Equal Opportunity Employer.