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Utilization Coordinator Jobs in Virginia (NOW HIRING)

Saint Luke's Hospital of Kansas City

An integral part of the multi-disciplinary team, the Care Coordinator is responsible for ensuring quality patient outcomes, monitoring resource utilization and mitigating obstacles to care delivery ...

Saint Luke's Hospital System

An integral part of the multi-disciplinary team, the Care Coordinator is responsible for ensuring quality patient outcomes, monitoring resource utilization and mitigating obstacles to care delivery ...

Managed Staffing

Installation Coordinator

Chesapeake, VA · On-site

$21/hr

Installation Coordinator Location: Chesapeake, VA (Onsite; limited remote flexibility in the future ... This role ensures efficient technician utilization, accurate work order management, timely customer ...

Stephenson Equipment, Inc.

Rental & Service Coordinator

Manassas, VA · On-site

$17 - $22.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

SEI is looking for a Rental/Service Coordinator to support rental operations while also helping ... Help monitor rental fleet utilization and communicate opportunities to improve availability and ...

Posted today

Brookside Rehab and Nursing

Staffing Coordinator

Richmond, VA · On-site

$21 - $23/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Staffing Coordinator Forest Hill Health & Rehab | Richmond, VA Full-Time | Competitive Pay ... Monitor overtime, agency utilization, and staffing trends to support operational and budgetary ...

Dominion Energy

ET Materials Consultant

Glen Allen, VA · On-site

  • Medical

  • Retirement

  • PTO

Provide expert level evaluation of project material utilization, coordination and forecasting to ensure alignment with long term project demands. * Provide strategic guidance for PMO on staging and ...

Dominion Energy

ET Materials Consultant

Glen Allen, VA · On-site

  • Medical

  • Retirement

  • PTO

Provide expert level evaluation of project material utilization, coordination and forecasting to ensure alignment with long term project demands. * Provide strategic guidance for PMO on staging and ...

Cavalier Logistics

Fleet Coordinator

Dulles, VA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Fleet Coordinator will help ensure fleet efficiency, safety, and cost-effective operation ... Monitor fleet utilization and performance * Schedule preventative maintenance, repairs and ...

NearU

Maintenance Coordinator

Charlottesville, VA · On-site

$22 - $25/hr

Residential Maintenance Service Coordinator What You'll Do * Coordinate daily maintenance ... Manage labor utilization and support technician productivity * Help drive maintenance agreement ...

Ob Gyn Inc

Scheduling Coordinator

Norfolk, VA · On-site

$17.25 - $21.75/hr

Job Title Physician And Allied Health Professional Scheduling Coordinator This position is ... Analyze provider utilization and scheduling trends, recommending improvements to maximize provider ...

Long Term Healthcare

Scheduling Coordinator

Roanoke, VA · On-site

$20 - $27/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Scheduling Coordinator Location: Roanoke, VA Setting: Long-Term Care / Skilled Nursing Position ... Track overtime, agency utilization, and staffing trends. * Collaborate with nursing leadership to ...

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All JobsUtilization JobsUtilization Coordinator JobsUtilization Coordinator Jobs in Virginia

Utilization Coordinator information

See Virginia salary details

$15

$27

$56

How much do utilization coordinator jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for utilization coordinator in Virginia is $27.38, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $30.96 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.

What are the most commonly searched types of Utilization jobs in Virginia?

The most popular types of Utilization jobs in Virginia are:

What cities in Virginia are hiring for Utilization Coordinator jobs?

Cities in Virginia with the most Utilization Coordinator job openings:

Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $56,956 per year, or $27.4 per hour.

Clinical Care Coordinator

Mary Washington Healthcare

Fredericksburg, VA • On-site

Full-time

Re-posted 17 days ago

Mary Washington Healthcare rating

7.3

Company rating: 7.3 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

270th of 887 rated healthcare providers

Job description

Start the day excited to make a difference...end the day knowing you did. Come join our team.
Job Summary:
The Unit Clinical Care Coordinator (Unit C3) is responsible for the management of unit-level patient progression through status determination, DRG and target length of stay (TLOS) assignment, timely patient progression, discharge planning, and care coordination to achieve system efficiency. This position serves as a spoke of the Hub providing unit progression leadership and serving as the primary liaison between emergency and surgical services, clinical and ancillary teams, and service departments to ensure patient care needs are met and treatment plans are executed timely. The Unit C3 leads and collaborates with members of the healthcare team to improve patient throughput, resulting in effective patient-focused outcomes and LOS performance of the organization.
Essential Functions and Responsibilities:
  • Coordinates patient care activities in collaboration with the Clinical Care Coordinators (C3s) to ensure appropriate level of care, patient progression, and patient flow at the unit level
  • Identifies and removes unit barriers that may impede department or system-wide patient flow
  • Assesses patients' clinical presentation against Milliman Care Guidelines (MCG) to identify admission status, working DRG and target LOS; validates admission order matches determined status and level of care; collaborates with Clinical Documentation Improvement Specialist (CDI Nurse) when further evaluation is warranted.
  • Assesses patients in observation and outpatient status to determine if clinical presentation warrants status change; progresses patient as clinically indicated.
  • Coordinates with Utilization Review (UR) Nurse to align payor and status requirements with patient's clinical progression; verifies appropriate regulatory letters are delivered to patient and family when indicated.
  • Consults and educates medical and nursing staff regarding status, placement, payor requirements, and utilization of resources.
  • Assesses patient's discharge needs, develops, and arranges for a comprehensive discharge plan that addresses patient needs, barriers, and readmission risk; consults ancillary services (i.e., PT, OT, Social Work) when indicated.
  • Collaborates with physicians (which may include participation in patient rounds) to ensure patient progression and discharge needs are identified and a plan is developed to address barriers.
  • Leads clinical care team (RN, physician, ancillary staff and social worker) in daily SNAP huddle to identify patient progression and discharge barriers; assigns barriers to appropriate team member for resolution; identifies and escalates unresolved barriers to senior leadership; aligns care team towards discharge goals
  • Manages all aspects of patient progression and discharge in Care Advance software (i.e., DRG, TLOS, patient progression plan, barriers, escalated barriers, barrier resolution, discharge planning, alerts) and communicates to ensure timely, ongoing communication of patient status with the Hub.
  • Coordinates plan of care in collaboration with appropriate clinicians for appropriate sequencing of care/interventions; ensures appropriate clinical pathways, protocols or standards of care are initiated.
  • Communicates plan of care and discharge plan to patient and/or their family in coordination with the patient's primary care team (RN, physician).
  • Oversees and ensures care team's timely compliance with patient's preprocedural requirements for service department diagnostics and procedures; ensures communication of service event issues with care team.
  • Serves as a resource on patient status, progression, and care coordination for the unit Associates.
  • Performs other duties as assigned

Qualifications
Required:
  • Minimum of three (3) years recent acute care nursing experience
  • Bachelor of Science in Nursing is preferred (applicable to all external and internal placements.)
  • Minimum two (2) years of critical care experience
  • Able to work independently, managing time, multiple priorities, and resources to achieve goals.
  • Able to maintain a calm demeanor and command during time of crisis management.
  • Able to assimilate information quickly to produce sound decisions and recognize situations that require immediate intervention.
  • Able to articulate information and ideas clearly through both written and verbal communication.

Preferred:
  • One (1) year supervisory experience strongly preferred
  • Utilization review experience

License and/or Certifications
Required:
  • Valid RN License from Virginia or reciprocal compact state required.

Preferred:
  • Certification in nursing, case management or utilization review

MWHC will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.
Required
Physical Requirements: Constant (67-100% of workday) use of arms and hands; frequent (34-66% of workday) standing, walking, and sitting; occasional (0-33% of workday) bending, stooping, and squatting; ability to lift 35 lbs.; ability to push and pull up to 20 lbs.; auditory and visual skills to include color determination.
Mental Requirements: Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team. Capacity to cope with difficult situations. Ability to tolerate irregular hours including evenings, nights, and weekends.
Environmental Requirements and Exposure Hazards: Potential risk of exposure to radiation and toxic chemicals. Potential for exposure to bloodborne pathogens; must be able to wear appropriate personal protective equipment.
"It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates."
Compensation Pay Range:
$39.44 - $59.15

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About Mary Washington Healthcare

Sourced by ZipRecruiter

Join Mary Washington Healthcare, one of Virginia's fastest-growing healthcare systems and the region's premier healthcare provider. Our nursing jobs, allied health, and physician jobs promote growth through career advancement and support in an environment designed for success.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Fredericksburg, VA, US

Year founded

1899

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