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Utilization Coordinator Jobs in Rochester, NY (NOW HIRING)

Highland Hospital

RN Case Manager (Hospital)

Rochester, NY · On-site

$77K - $93K/yr

... Coordinator/Case Manager's role is to coordinate interdisciplinary care planning to achieve timely and safe discharge and/or to coordinate access and utilization management, proactive patient ...

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Utilization Coordinator information

See Rochester, NY salary details

$15

$28

$58

How much do utilization coordinator jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for utilization coordinator in Rochester, NY is $28.59, according to ZipRecruiter salary data. Most workers in this role earn between $20.14 and $32.36 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 Rochester, NY? The most popular types of Utilization jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Utilization Coordinator jobs? Cities near Rochester, NY with the most Utilization Coordinator job openings:
Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 83% Physical, 1% Hybrid, and 16% Remote job distribution, with an average salary of $56,683 per year, or $27.3 per hour.

RN Case Manager (Hospital)

University of Rochester Medical Center

Rochester, NY

$77K - $93K/yr

Full-time, Part-time

Re-posted 4 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

126th of 618 rated colleges and universities

Job description

Highland Hospital is seeking a full time Case Manager to join the team. Hours will be Monday-Friday from 8am-4:30pm.
Under general direction, the Clinical Care Coordinator/Case Manager's role is to coordinate interdisciplinary care planning to achieve timely and safe discharge and/or to coordinate access and utilization management, proactive patient management, care facilitation and treatment planning functions. The Clinical Care Coordinator/Care Manager coordinates care along with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at discharge to assist in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.
Essential functions include, but are not limited to:

  • Identify patient discharge needs and potential barriers
  • Assists with closing gaps in medical care upon discharge by utilizing community resources
  • Communication with in-network PCP offices to ensure a transition of care to the community setting
  • Identify resources for patient self-management planning and discharge
  • Assist in developing and implementing care plans for medically complex patients
  • Prepares patient for discharge by referring for home care services (skilled nursing, PT, OT, SLP) and DME
  • Complete the Patient Review Instrument 
  • Other duties as assigned

Salary Range:
$77,220.15- $93,600
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations

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