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Utilization Coordinator Jobs in Rhode Island (NOW HIRING)

Brownhealth

MDC Coordinator

Providence, RI

$20.96 - $34.61/hr

Assists and schedules patients for physician appointments and coordinates transportation needs ... Assists nurse care manager with transitions of care including monitoring utilization reports and ...

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All JobsUtilization JobsUtilization Coordinator JobsUtilization Coordinator Jobs in Rhode Island

Utilization Coordinator information

See Rhode Island salary details

$15

$27

$55

How much do utilization coordinator jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for utilization coordinator in Rhode Island is $27.05, according to ZipRecruiter salary data. Most workers in this role earn between $19.09 and $30.62 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 Rhode Island?

The most popular types of Utilization jobs in Rhode Island are:

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

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

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

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

Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in Rhode Island 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 $56,260 per year, or $27 per hour.

Behavioral Health Intake and Utilization Review Coordinator

CharterCARE of Rhode Island

Providence, RI • On-site

Full-time

Re-posted 12 days ago

Job description

Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical appropriateness for services, coordinating admissions, and overseeing utilization review activities to ensure timely access to care and appropriate resource utilization. This role is actively involved with communicating with other community hospitals and Emergency Departments and will also facilitate outside admissions to our services to maximize hospital census. This role ensures adherence to regulatory and payer requirements while serving as a key liaison between patients, providers, and insurance carriers.
Education: Bachelor's degree Nursing required. Master's degree preferred.
Experience: Minimum 2-3 years of experience in behavioral health, preferably in intake or utilization review roles.
License: RI RN License required.
Skills and Qualifications:
  • Strong clinical assessment and diagnostic skills.
  • Working knowledge of behavioral health levels of care and medical necessity criteria (e.g., MCG, InterQual).
  • Familiarity with insurance authorization processes and managed care systems.
  • Excellent organizational, communication, and interpersonal skills.
  • Proficiency in EHR and Microsoft Office Suite.

Working Conditions, Physical Environment and/or Safety Requirements: Lifting up to 30 lbs. and occasionally lifting and/or carrying such articles as files, books, etc. Involves sitting, walking, stooping, and reaching. However, as necessary, must be able to meet the physical requirements for staff level positions in the department(s).

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