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Utilization Coordinator Jobs (NOW HIRING)

Utilization Coordinator

Santa Rosa, CA · On-site

$77.29 - $102.55/hr

Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care ...

New

Utilization Coordinator

Santa Rosa, CA · On-site

$77.29 - $102.55/hr

Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care ...

... 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 Aug 8, 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 degree do I need for utilization review?

Utilization coordinators typically need at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data management tools is also important.

What is a utilization coordinator?

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 August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 83% Physical, 1% Hybrid, and 16% Remote job distribution, with an average salary of $57,448 per year, or $27.6 per hour.

Utilization Coordinator

Aveanna Healthcare

Culver City, CA • On-site

Other

Re-posted 12 days ago


Aveanna Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

63rd of 239 rated social care providers


Job description

Additional Posting Information
Hybrid
Overview
Position Overview
The Utilization Coordinator is responsible for ensuring that clients and their families are fully supported in accessing and utilizing their approved services through the Regional Center. The role focuses on activating inactive cases, identifying and addressing barriers to service utilization, and collaborating closely with families, care providers, and Regional Center staff to facilitate successful service delivery. The Utilization Coordinator also contributes to special projects such as identifying and resolving unbilled services and supporting the development and implementation of new services. The Utilization Coordinator is an important contributor to the Aveanna team, helping to increase service utilization and drive census growth.
Essential Functions
Act as a liaison between all departments to address concerns, provide updates, and facilitate smooth interactions with families
Generate and analyze SQL reports to identify trends, discrepancies and issues related to service utilization
Utilize AveannaCare system to generate and analyze reports, identifying any discrepancies or inefficiencies in service utilization
Develop a comprehensive understanding of the services offered by the regional center to effectively identify and address utilization issues
Follow up with families and provide subsequent follow-ups for up to 12 months
Collaborate with relevant teams to identify and assist in the resolution of unbilled issues, ensuring accurate and timely billing for services provided
Assist in the coordination and setting up of new services, ensuring all processes are executed smoothly
Maintain effective communication with all organizational levels, ensuring clarity of information, fostering collaboration, and facilitating prompt decision-making
Performs other duties as assigned or needed
Requirements
Bachelor's degree is preferred, but not required
Bilingual required, Spanish preferred
Minimum of one year of customer service experience within the last four years
Ability to work effectively with others
Excellent interpersonal skills; self-driven, motivated and results oriented
Must be able to problem solve and apply creative solutions
Strong analytical and judgment skills
Intermediate computer skills using Microsoft Windows, Word, Excel and ability to be trained on Aveanna's proprietary software programs
Ability to successfully handle multiple tasks simultaneously; strong organizational skills
Thrive in a fast-paced environment
Other Skills/Abilities
Ability to adhere to confidentiality standards and professional boundaries at all times.
Quick-thinking and astute decision-making skills
Attention to detail
Ability to effectively manage time and meet deadlines
Effective problem-solving and conflict resolution skills
Excellent organizational and communication skills
Ability to remain calm and professional in stressful situations
Strong commitment to excellence
Physical Requirements
Must be able to speak, write, read, and understand English
Occasional lifting, caring, pushing and pulling of up to 25 pounds
Prolonged walking, standing, bending, kneeling, reaching, twisting
Must be able to sit and climb stairs
Must have visual and hearing acuity
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Vaccination Requirements
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
This is a Hybrid position; therefore, candidates must have a reliable high-speed internet connection (Ethernet cable) to support video conferencing, system access, and daily communication.
Join a Company That Puts People First!
At Aveanna, we're proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here's what sets us apart:
Award-Winning Culture
- Ranked the #1 company to work for in Georgia in 2024 by U.S. News & World Report.
Employee Connection & Support
- Aveanna Connection Groups: Employee-led groups where shared identities and experiences create spaces for connection, collaboration, and support.
- Aveanna Social Circles: Join groups based on your interests, like books, music, or movies, to build camaraderie and lasting friendships.
- Aveanna Employee Relief Fund: A resource to help our team members through unexpected hardships, because we're stronger together.
Inclusive Learning Environment
- We believe in growing together. Our inclusive learning sessions are open to all employees, fostering collaboration and shared success.
Commitment to Community
- Every year, we dedicate a day to giving back through our Annual Service Day, making a meaningful impact in the communities we serve.
Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter and agency resumes, and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna.

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About Aveanna

Sourced by ZipRecruiter

Aveanna Healthcare is one of the nation's leading providers of pediatric and adult homecare in the nation. We lead with clinical quality and compassion, delivering care in over 200 locations in 23 states. While we have a national presence, we are very much a local provider in each community we serve. Our stated mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time, and we hope you will help us fulfill that mission by joining the 30,000 nurses who already call Aveanna home. Apply today.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Atlanta, GA, US