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Utilization Coordinator Jobs in Raleigh, NC (NOW HIRING)

Maintains effective communication with health care team members related to care coordination and utilization management. * Contributes to a positive working environment and performs other duties as ...

Maintains effective communication with health care team members related to care coordination and utilization management. * Contributes to a positive working environment and performs other duties as ...

Maintains effective communication with health care team members related to care coordination and utilization management. * Contributes to a positive working environment and performs other duties as ...

Maintains effective communication with health care team members related to care coordination and utilization management. * Contributes to a positive working environment and performs other duties as ...

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Utilization Coordinator information

See Raleigh, NC salary details

$14

$26

$54

How much do utilization coordinator jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for utilization coordinator in Raleigh, NC is $26.85, according to ZipRecruiter salary data. Most workers in this role earn between $18.94 and $30.38 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 Certified Professional Utilization Review (CPUR), can enhance job prospects and demonstrate expertise in the review process.

What is the highest paying job as a coordinator?

The highest paying coordinator roles are often in specialized fields such as project management, healthcare, or IT, where seniority, certifications, and industry experience significantly impact salary. For example, Program Coordinators or Project Coordinators with advanced certifications like PMP can earn higher salaries, especially in industries with complex or large-scale projects.

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.

What jobs make $3,000 a month without a degree?

Utilization Coordinators typically earn between $3,000 and $4,500 per month depending on experience and location, often without requiring a college degree. Other jobs that can pay around $3,000 monthly without a degree include administrative assistants, sales representatives, and certain skilled trades like HVAC technicians or commercial drivers, especially with certifications and experience. These roles often involve on-the-job training or vocational programs rather than formal degrees.

What does a utilization management coordinator do?

A utilization management coordinator reviews and approves healthcare services to ensure they are medically necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, apply clinical guidelines, and use healthcare management tools to facilitate efficient resource use and cost control.
What are the most commonly searched types of Utilization jobs in Raleigh, NC? The most popular types of Utilization jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Utilization Coordinator jobs? Cities near Raleigh, NC with the most Utilization Coordinator job openings:
Infographic showing various Utilization Coordinator job openings in Raleigh, NC as of July 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $55,841 per year, or $26.8 per hour.
Nursing Coordinator VAD - VAD Program

Nursing Coordinator VAD - VAD Program

UNC HEALTH

Chapel Hill, NC • On-site

$38.55 - $55.43/hr

Full-time

Re-posted 11 days ago


Job description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
The VAD (Ventricular Assist Device) Nurse Coordinator coordinates the VAD care of all pediatric and adult VAD patients. The VAD Coordinator provides follow-up and care across the continuum from pre-VAD, during VAD implant admission and post VAD. S/he collaborates with members of the health care team to enhance patient care by developing, supporting and educating nursing staff. S/he is a clinician, educator, investigator, consultant and leader. S/he makes clinical judgments based upon a synthesis of current research, concepts, principles, theories, and outcomes to solve complex problems. The VAD Nurse Coordinator is an integral member of a larger multi-disciplinary team contributing to excellence in
patient care, research, teaching, and in providing leadership to the organization.
Responsibilities:
Collaborates with the VAD program administrator in short, intermediate, and long range planning for the VAD program through regularly scheduled staff and individual program meetings
Continuous Quality Improvement. Participates in the development, implementation and evaluation of the VAD program's CQI efforts that focus on maximizing the outcomes for patient survival and quality of life. Reviews patient resource utilization with administrative and clinical staff to identify areas for improvement. Participates in the development and improvement of clinical pathways.
Education. Educates patients and their families about the VAD process and what to expect during each phase of care (pre, peri, and post). Responsible for planning and acquiring or designing educational materials, and presenting educational programs to patients and staff, other professionals, the community and outside agencies.
Patient Care- Oversees and/or coordinates the clinical, psychosocial and financial needs of the VAD patient. Coordinates evaluation tests and consults to determine VAD candidacy and facilitates VAD by organizing patient and VAD team. Monitors inpatient status, discharge needs and follow-up care per program standards
Regulatory Compliance. Documents and maintains patient VAD information in the electronic medical record with current data and required information to ensure regulatory compliance.
Other Information
Other information:
Education Requirements:
• Bachelor's degree in Nursing (BSN) from a state-accredited school of professional nursing.
Licensure/Certification Requirements:
• Licensed to practice as a Registered Nurse in the state of North Carolina.
Professional Experience Requirements:
• Three (3) years of professional nursing experience to include two (2) years in VAD or transplant, critical care, disease specific area.
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: STATE
Entity: UNC Medical Center
Organization Unit: Lung Pre-Transplant
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $38.55 - $55.43 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.