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Utilization Coordinator Jobs in Ohio (NOW HIRING)

New Vista Behavioral Health

UM Coordinator

Cincinnati, OH · On-site

$18 - $24/hr

Position Summary The Utilization Management (UM) Coordinator supports the facility's utilization review and authorization processes for patients receiving mental health and behavioral health services.

New

Sevita

Utilization Review Specialist

Akron, OH · On-site

$40K/yr

SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate ... coordination of required service documentation including corresponding billing tickets Tracks ...

Decypher

$44.92/hr

The Registered Nurse - Utilization Manager must have the ability to sit or stand for extended ... Participate in Medical Management, Population Health Working Group, and care coordination meetings ...

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All JobsUtilization JobsUtilization Coordinator JobsUtilization Coordinator Jobs in Ohio

Utilization Coordinator information

See Ohio salary details

$14

$26

$53

How much do utilization coordinator jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for utilization coordinator in Ohio is $26.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $29.71 per hour, depending on experience, location, and employer.

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.

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 are the most commonly searched types of Utilization jobs in Ohio?

The most popular types of Utilization jobs in Ohio are:

What are popular job titles related to Utilization Coordinator jobs in Ohio?

For Utilization Coordinator jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Utilization Coordinator jobs in Ohio look for?

The top searched job categories for Utilization Coordinator jobs in Ohio are:

What cities in Ohio are hiring for Utilization Coordinator jobs?

Cities in Ohio with the most Utilization Coordinator job openings:

Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in Ohio as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $54,616 per year, or $26.3 per hour.

UM Coordinator

New Vista Behavioral Health

Cincinnati, OH • On-site

$18 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Job description

UM Coordinator
Pay Range: $18 - $24 hr
Location: Cincinnati, OH
Who we are
At NewVista, the mission is to inspire hope and deliver holistic care to those in need of behavioral health services and addiction services in a safe and healing environment. We operate Behavioral Health Hospitals, Detox and Residential facilities, and a variety of other vertical line business that are here to support those who are seeking recovery.
Position Summary

The Utilization Management (UM) Coordinator supports the facility’s utilization review and authorization processes for patients receiving mental health and behavioral health services. This position coordinates with clinical staff, insurance companies, managed care organizations, patients, and external providers to ensure services are appropriately authorized, documented, and reviewed in accordance with payer requirements and facility policies.

The UM Coordinator maintains accurate and timely records, tracks authorization requirements and review deadlines, assists with concurrent and retrospective reviews, and communicates changes in authorization status to the appropriate members of the treatment team.

Essential Duties and Responsibilities
  • Coordinate initial, concurrent, continued-stay, and discharge-related utilization review activities.
  • Obtain and track insurance authorizations for behavioral health services, including inpatient, residential, partial hospitalization, and/or intensive outpatient services as applicable.
  • Verify patient insurance benefits, eligibility, and behavioral health coverage requirements.
  • Submit clinical information and supporting documentation to insurance companies and managed care organizations as required.
  • Maintain accurate authorization records, including approved levels of care, number of authorized days/units, review dates, and authorization numbers.
  • Monitor authorization expiration dates and proactively notify clinical staff of upcoming reviews or additional information needed.
  • Coordinate peer-to-peer reviews and communicate payer requests to appropriate clinical personnel.
  • Assist with appeals, denials, and requests for additional clinical information.
  • Communicate authorization decisions and changes in coverage to the treatment team, admissions staff, billing staff, and other appropriate departments.
  • Ensure utilization management documentation is complete, accurate, timely, and maintained in accordance with facility and regulatory requirements.
  • Review clinical documentation for completeness and identify missing information needed to support medical necessity reviews.
  • Maintain confidentiality of protected health information in accordance with HIPAA and applicable federal and state regulations.
  • Assist with identifying utilization trends, authorization issues, denials, and opportunities for improved coordination of care.
  • Participate in quality improvement and utilization management activities as assigned.
  • Maintain professional communication with payers, patients, families, providers, and internal departments.
  • Perform other duties related to utilization management and clinical operations as assigned.
QualificationsRequired
  • High school diploma or equivalent.
  • Must be 21 or older
  • Experience in healthcare, behavioral health, medical records, insurance verification, utilization management, or a related administrative/clinical support role.
  • Knowledge of insurance authorization and/or managed care processes preferred.
  • Strong organizational and time-management skills.
  • Excellent verbal and written communication skills.
  • Ability to manage multiple deadlines and priorities in a fast-paced healthcare environment.
  • Proficiency with electronic medical records and Microsoft Office or comparable software.
  • Ability to maintain confidentiality and handle sensitive patient information appropriately.
Why You’ll Love It Here (Full‑Time Benefits)
• Multiple medical plan options, Vista Wellness (physician/pharmacy), Dental, Vision
• Generous PTO and paid holidays
• 401(k) with company contribution; Life and disability coverage
• Tuition reimbursement up to $15,000 and student loan forgiveness programs

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