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Utilization Coordinator Jobs in Raleigh, NC (NOW HIRING)

HireNetworks

Office & Facilities Coordinator

Durham, NC

$17.50 - $23.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Office and Facilities Coordinator ( permanent position) - Durham , NC Our client is seeking an ... Partner with HR and Operations on space planning, utilization tracking, and on-site infrastructure ...

VIVA USA INC

Customer Service Coordinator

Cary, NC · On-site

$17.75 - $23/hr

As a Customer Service Coordinator, you will be responsible for: Owning the E2E planning for the ... utilization of field resources. Owning customer communications E2E for all service events.

Lifepoint Health

Office Coordinator

Raleigh, NC · On-site

$15.50 - $20.50/hr

Office Coordinator This position is responsible for supporting the needs of the department with a ... Work with the business office and the utilization review department to ensure payment for services

House-Autry Mills

Schedule Coordinator

Four Oaks, NC · On-site

$24 - $28/hr

... utilization. This position serves as a key link between Production, Inventory Control, Procurement, Customer Service, and Warehouse Operations to ensure the timely availability of raw materials and ...

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All JobsUtilization JobsUtilization Coordinator JobsUtilization Coordinator Jobs in Raleigh, NC

Utilization Coordinator information

See Raleigh, NC salary details

$14

$26

$54

How much do utilization coordinator jobs pay per hour?

As of Aug 12, 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 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 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:
Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in Raleigh, NC as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $55,841 per year, or $26.8 per hour.

Patient Care Coordinator Bilingual Preferred

Ortho Sport and Spine Physicians

Raleigh, NC • On-site

$15.50 - $20.50/hr

Full-time

Posted 17 days ago

Job description

Ortho Sport and Spine Physicians is a rapidly expanding orthopedic practice, with clinics throughout the United States. The practice specializes in providing state-of-the-art, minimally invasive treatment of complex neck and spine problems, as well as sports related injuries and conditions. The Patient Care Coordinator position is responsible for welcoming patients, setting appointments, and checking patients in and out, while maximizing patient satisfaction and utilization of treatment rooms. We're searching for a compassionate and organized individual to join our exceptional crew. If you have a knack for providing stellar patient care, a passion for helping others, and a desire to grow professionally, keep reading because we have the perfect opportunity for you!

Job Title: Patient Care Coordinator
Essential Duties and Responsibilities:

  • Welcome patients and visitors by greeting them in person or on the telephone; answering or referring inquiries 
  • Optimize patient satisfaction, provider time, and treatment room utilization by checking in the patient in a timely fashion 
  • Maintain patient accounts by obtaining, recording, and updating demographic and financial information 
  • Schedule patient appointments at the end of the visit 
  • Maintain open communication with pre-cert team regarding orders for daily patients 
  • Tracking and follow-up with patient cancellations and no shows 
  • Performing daily audit of tasks assigned 
  • Checking patients in by EMR and verifying demographics and insurance information 
  • Following up on outpatient referrals and surgical referrals 
  • Provides the patient with printout of appointments 
  • Other duties as assigned

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • HIPPA and OSHA compliance; promote a safe work environment at all times 
  • Excellent communication skills with the ability to communicate effectively with the patient, medical staff, insurance companies and others as relates to the case 
  • Caring demeanor toward patients and co-workers 
  • Clinical knowledge and familiarity with medical terminology 
  • Working knowledge of computers, fax, copiers and other technology
  • Strong knowledge and understanding of electronic medical records software
  • Prior medical receptionist experience, preferably in an orthopedic setting is a plus
  • Strong administrative skills, with attention to detail in accuracy
  • Bilingual (English/Spanish) is a plus


Education/Experience: 

  • High School Diploma or GED required 
  • Associate or higher degree preferred 
  • 1 year medical front desk experience 
  • Customer service background

Our Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Will work in office spaces and commercial buildings. Ortho Sport and Spine Physicians are not subject to inclement weather or outdoor work. 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Prolonged periods sitting at a desk and working on a computer. 
  • Must be able to lift up to 20 pounds at times.

Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or state law.