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Utilization Coordinator Jobs (NOW HIRING)

Responsibilities Utilization Management Coordinator Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to provide superior behavioral ...

... Utilization Review Reports as necessary. · Coordinates and makes Retrospective Appeals to third party payers. · Meets weekly with Administrator on appropriate issues. · Other duties as assigned ...

Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been offering ...

Responsibilities The Brook Hospital Dupont located at 1405 Browns Ln is seeking a PRN Utilization Review Coordinator to join our team. Hourly pay: $20 Since 1985 The Brook Hospital has been offering ...

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Utilization Coordinator information

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$15

$27

$56

How much do utilization coordinator jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for utilization coordinator in the United States is $27.62, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $31.25 per hour, depending on experience, location, and employer.

How does a Utilization Coordinator typically interact with clinical and administrative teams in a healthcare setting?

A Utilization Coordinator regularly collaborates with both clinical teams, such as physicians and nurses, and administrative staff to ensure that patient care services are medically necessary and efficiently delivered. They review medical records, coordinate pre-authorizations, and communicate with insurance providers to support appropriate resource use. Effective communication and teamwork are essential, as Utilization Coordinators often serve as a liaison between departments, helping to resolve discrepancies and streamline processes for optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a Utilization Coordinator, and why are they important?

To thrive as a Utilization Coordinator, you need a background in healthcare or social services, strong analytical skills, and familiarity with medical terminology, often supported by a relevant degree or certification. Proficiency in case management software, electronic health records (EHRs), and knowledge of insurance policies and regulatory requirements is typically required. Excellent communication, organizational, and problem-solving abilities help you effectively coordinate care and advocate for patient needs. These skills ensure efficient resource utilization, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What is the difference between Utilization Coordinator vs Utilization Review Specialist?

AspectUtilization CoordinatorUtilization Review Specialist
CredentialsTypically requires healthcare-related certifications or licenses, such as a Registered Nurse (RN) or healthcare administration backgroundOften requires similar healthcare credentials, including RN, licensed practical nurse (LPN), or medical reviewer certifications
Work EnvironmentWorks in hospitals, clinics, or insurance companies, coordinating patient services and resource allocationWorks mainly in insurance companies or healthcare facilities, reviewing medical necessity and treatment plans
Employer & Industry UsageCommonly employed by healthcare providers and insurance companies to optimize resource usePrimarily employed by insurance companies and third-party payers for case reviews

While both roles involve healthcare coordination and require similar credentials, the Utilization Coordinator focuses on managing patient services and resource allocation, whereas the Utilization Review Specialist primarily reviews medical necessity and treatment plans for approval or denial.

What are Utilization Coordinators?

Utilization Coordinators are healthcare professionals responsible for reviewing and monitoring the use of medical services to ensure patients receive appropriate care efficiently and cost-effectively. They assess treatment plans, review medical records, and help coordinate care among providers to ensure compliance with insurance and regulatory guidelines. Utilization Coordinators also work with clinical staff to determine the medical necessity of procedures and help optimize patient outcomes while managing healthcare costs.
More about Utilization Coordinator jobs
What cities are hiring for Utilization Coordinator jobs? Cities with the most Utilization Coordinator job openings:
What are the most commonly searched types of Utilization jobs? The most popular types of Utilization jobs are:
What states have the most Utilization Coordinator jobs? States with the most job openings for Utilization Coordinator jobs include:
Infographic showing various Utilization Coordinator job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 90% Full Time, 8% Part Time, and 1% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $57,448 per year, or $27.6 per hour.
Utilization Coordinator

$22.50/hr

Full-time

Posted 12 days ago


Job description

Cambrian Homecare LLC is seeking detail-oriented individuals to join our Utilization Team. As a member of this team, you will build and maintain strong relationships with clients and providers by offering one-on-one support. Your primary responsibilities will include assisting with schedule coordination, keeping clients and providers informed about authorized hours, and ensuring all tasks are completed accurately and in a timely manner.

This is a full-time, in-office position located at our Corporate Office in Long Beach.

The schedule is Monday through Friday.

This is not a remote position


Responsibilities:

Client Conversion

  • Contact clients to start services
  • Facilitate completion of assessments and schedule initial visits
  • Communicate consistently with clients, caregivers, and internal teams to remove barriers to conversion and service continuation.

Authorization Utilization

  • Re-initiate services for clients who have not had a completed visit in over 30 days.
  • Generate ongoing schedules
  • Ensure future visits are scheduled under the correct authorization.
  • Verify and resolve non-compliant visits for accurate and timely authorization utilization.
  • Respond to client inquiries for updates on their authorized hours and remaining available hours.

Client Scheduling

  • Ensure all visit submissions are entered timely and accurately in the system
  • Monitor and maintain visits for new submission and proper documentation.
  • Educate clients and caregivers on proper utilization of authorizations
  • Verify client information, visit details, authorization information to prevent errors

Qualifications

  • High school diploma or equivalent
  • Effective communication and interpersonal skills - both verbal and written
  • Strong attention to detail
  • Strong computer and data entry skills
  • Fluency in both English and Spanish preferred

Requirements

  • 18+ years of age or older
  • Eligible for employment in the United States
  • Ability to pass a background and reference check

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


USD $22.50/Hr.