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Utilization Review Coordinator Jobs (NOW HIRING)

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120 ...

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...

Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals ...

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

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Utilization Review Coordinator information

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$15

$29

$46

How much do utilization review coordinator jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for utilization review coordinator in the United States is $29.61, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $34.62 per hour, depending on experience, location, and employer.

How does a Utilization Review Coordinator typically collaborate with healthcare providers and insurance companies?

A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.

Is utilization review work from home?

Utilization Review Coordinators often have the option to work remotely, especially in organizations that support telecommuting. However, some employers may require in-office presence for certain tasks or meetings, and remote work policies can vary by company and role requirements. Strong communication skills and familiarity with electronic health records are important for remote utilization review work.

What degree do I need for utilization review?

Utilization Review Coordinators typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some positions may require a registered nurse (RN) license or relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ). Experience in medical coding, insurance, or clinical settings can also be beneficial.

What does a utilization management coordinator do?

A utilization management coordinator reviews medical records and treatment plans to ensure they meet insurance and healthcare guidelines. They assess the necessity and appropriateness of services, often using healthcare management software, to facilitate approval or denial of claims and support cost-effective patient care. Strong knowledge of healthcare policies and attention to detail are essential for this role.

What does a Utilization Review Coordinator do?

A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.

What is the difference between Utilization Review Coordinator vs Utilization Review Nurse?

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves clinical assessment and patient care considerations

While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.

What are the key skills and qualifications needed to thrive as a Utilization Review Coordinator, and why are they important?

To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.

What is the highest paying job as a coordinator?

The highest paying roles for utilization review coordinators often include senior or managerial positions such as Utilization Review Manager or Director, which can offer higher salaries due to increased responsibilities and experience requirements. Advanced certifications like Certified Professional in Healthcare Quality (CPHQ) or extensive experience can also lead to higher compensation within the field.
More about Utilization Review Coordinator jobs
What cities are hiring for Utilization Review Coordinator jobs? Cities with the most Utilization Review Coordinator job openings:
What are the most commonly searched types of Utilization Review jobs? The most popular types of Utilization Review jobs are:
Who are the top companies hiring for Utilization Review Coordinator jobs? The top employers for Utilization Review Coordinator jobs are:
What states have the most Utilization Review Coordinator jobs? States with the most job openings for Utilization Review Coordinator jobs include:
Infographic showing various Utilization Review Coordinator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.
Utilization Review Coordinator

Utilization Review Coordinator

UHS

Mountain City, TN

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

494th of 890 rated healthcare providers


Job description

Responsibilities

Now Hiring: Utilization Review Coordinator

Position Summary

Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120-bed residential treatment facility and assist in the evaluation, diagnosis, and treatment of a wide range of behavioral health issues for our young adolescent patients. We are seeking a meticulous and compassionate Utilization Review Coordinator to join our team.We are seeking a detail-oriented and organized Utilization Review Coordinator to join our Business Office team. This position plays a vital role in ensuring our students receive uninterrupted insurance coverage by coordinating timely insurance reviews, maintaining utilization management records, and serving as a liaison between insurance providers, referral sources, and internal departments.

The ideal candidate is highly organized, possesses excellent communication and customer service skills, and thrives in a fast-paced healthcare environment.

What You’ll Do:

  • Submit initial and concurrent insurance reviews to ensure continued authorization and coverage.
  • Complete insurance eligibility verifications twice monthly.
  • Coordinate daily and weekly admission and discharge utilization processes.
  • Maintain utilization management databases and spreadsheets.
  • Prepare weekly, monthly, and quarterly utilization reports, including reports for the Utilization Management Committee.
  • Communicate effectively with insurance representatives, referral sources, and internal leadership.
  • Participate in monthly Zoom meetings and other department meetings.
  • Perform additional duties as assigned.

Qualifications

Minimum Experience and/or Training: 

  • High school diploma or GED.
  • 1+ year(s) of related administrative or healthcare experience.
  • Strong computer proficiency, including Microsoft Office (Excel and Word).
  • Excellent verbal and written communication skills.
  • Strong customer service and organizational skills.
  • Experience navigating multiple web-based portals.
  • Knowledge of insurance authorization processes is preferred.

Why Join Mountain Youth Academy?

At Mountain Youth Academy, every team member plays an important role in helping young people receive the care they need. We foster a collaborative environment built on professionalism, accountability, teamwork, and exceptional service. If you’re looking for a meaningful career where your work directly supports patient care and organizational success, we’d love to hear from you.

Physical Requirements

This position is primarily sedentary and requires prolonged sitting and frequent keyboard use. Occasional standing and walking are required.

Additional Benefit:

  • Challenging and rewarding work environment 
  • Competitive Compensation & Generous Paid Time Off 
  • Excellent Medical, Dental, Vision and Prescription Drug Plans 
  • 401(K) with company match and discounted stock plan 
  • SoFi Student Loan Refinancing Program 
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Free Meals
  • Attendance Incentives
  • Shift Differential Pay
  • Tuition Reimbursement 

For a full preview of benefits, please visit UHS Benefits Service Center (ehr.com)

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay Transparency:

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.

Qualifications:

Minimum Experience and/or Training: 

  • High school diploma or GED.
  • 1+ year(s) of related administrative or healthcare experience.
  • Strong computer proficiency, including Microsoft Office (Excel and Word).
  • Excellent verbal and written communication skills.
  • Strong customer service and organizational skills.
  • Experience navigating multiple web-based portals.
  • Knowledge of insurance authorization processes is preferred.

Why Join Mountain Youth Academy?

At Mountain Youth Academy, every team member plays an important role in helping young people receive the care they need. We foster a collaborative environment built on professionalism, accountability, teamwork, and exceptional service. If you’re looking for a meaningful career where your work directly supports patient care and organizational success, we’d love to hear from you.

Physical Requirements

This position is primarily sedentary and requires prolonged sitting and frequent keyboard use. Occasional standing and walking are required.

Additional Benefit:

  • Challenging and rewarding work environment 
  • Competitive Compensation & Generous Paid Time Off 
  • Excellent Medical, Dental, Vision and Prescription Drug Plans 
  • 401(K) with company match and discounted stock plan 
  • SoFi Student Loan Refinancing Program 
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Free Meals
  • Attendance Incentives
  • Shift Differential Pay
  • Tuition Reimbursement 

For a full preview of benefits, please visit UHS Benefits Service Center (ehr.com)

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay Transparency:

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US