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Discharge Planner Utilization Review Jobs (NOW HIRING)

FT (Tuesday - Saturday 8-5) The Discharge Planner works with the Utilization Review department on certification and recertification of insurance benefits throughout the patient's stay, and assists ...

The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the ... Understands regulatory requirements, fiscal reimbursement, and utilization review as integral ...

Maintain consistent contact with the utilization review team to monitor current and anticipated ... with discharge planning by explaining placement options, providing specific referrals based on ...

Discharge Planner

Dover, NJ · On-site

$15.49 - $20/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 ...

Maintain consistent contact with the utilization review team to monitor current and anticipated ... with discharge planning by explaining placement options, providing specific referrals based on ...

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 ...

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Discharge Planner Utilization Review information

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$14

$32

$59

How much do discharge planner utilization review jobs pay per hour?

As of Jun 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.

How does a Discharge Planner Utilization Review professional 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, and why are they important?

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 are Discharge Planner Utilization Review professionals?

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.

What is the difference between Discharge Planner Utilization Review vs Discharge Planner?

AspectDischarge Planner Utilization ReviewDischarge Planner
Primary RoleEvaluates medical necessity and appropriateness of patient discharges for insurance and healthcare complianceCoordinates patient discharges, ensures proper placement, and communicates with healthcare teams
CredentialsTypically requires a social work, nursing, or healthcare background with certification in utilization reviewUsually requires social work or nursing credentials, with focus on discharge planning
Work EnvironmentHospitals, insurance companies, or healthcare facilities involved in utilization reviewHospitals, 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:
Infographic showing various Discharge Planner Utilization Review job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $67,853 per year, or $32.6 per hour.
Discharge Planner - Utilization Management

Discharge Planner - Utilization Management

Chino Valley Medical Center

Chino, CA

$21 - $23.39/hr

Contractor

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


Key responsibilities

  • Coordinate activities of the Case Management Department under the direction of the assigned Case Manager or Social Worker and assist with development and implementation of discharge plans.

  • Assist with case management referrals and authorizations.

  • Maintain and coordinate Medicaid state submission forms for presentation to on-site reviewer and file them according to facility procedure.


Job description

Overview

Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California's Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community's health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.com.

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!

Why Prime Healthcare? Chino Valley Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs

Our Total Rewards package includes, but is not limited to:

  • Paid Time Off
  • 401K retirement plan
  • Outstanding Medical
  • Dental
  • Vision Coverage
  • Tuition Reimbursement
  • Many more Voluntary Benefit Options!

Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.

Chino Valley Medical Center is nationally recognized, locally preferred, and community focused.

Responsibilities

Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility's procedure.  Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan. 

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications

  • Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
  • Experience in basic to intermediate computer skills/knowledge.
  • High School Diploma required.
  • Preferred qualifications:

  • Current BCLS certificate required upon hire and maintain current preferred.
  • Associates degree or LVN license preferred.
  • Experience in the hospital setting preferred.
  • #LI-DNI

    Pay Transparency

    Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $23.39. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    Employment StatusPer DiemShiftDaysEqual Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

     Privacy Notice

    Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

    Employment Type: CONTRACTOR