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Discharge Planner Utilization Review Jobs (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

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 ...

New

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 ...

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 ...

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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 Aug 10, 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 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 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.

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 August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $67,853 per year, or $32.6 per hour.

Discharge Planner - Utilization Management

Prime Healthcare

Montclair, CA

$23/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago


Prime Healthcare rating

6.4

Company rating: 6.4 out of 10

Based on 283 frontline employees who took The Breakroom Quiz

640th of 887 rated healthcare providers


Job description

Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Women's Choice Award® for America's Best Emergency Care. For more information visit Montclair-hospital.org

At Montclair Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community! 

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

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.

This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!!

Montclair Hospital Medical Center is nationally recognized, locally preferred, and community focused.


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. 


EDUCATION, EXPERIENCE, TRAINING

Required qualifications

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

Preferred qualifications:

  1. Current BCLS certificate required upon hire and maintain current preferred.
  2. Associates degree or LVN license preferred.
  3. Experience in the hospital setting preferred.

Montclair Hospital 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 $23.00. 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.


Full Time
Days

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


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