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Utilization Review Coordinator Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

Augusta, GA · On-site

The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...

UHS

Utilization Review Coordinator

Augusta, GA · On-site

The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

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 ...

UHS

Utilization Review Coordinator

Scottsdale, AZ · On-site

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and ...

UHS

Utilization Review Coordinator

Champaign, IL

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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How much do utilization review coordinator jobs pay per hour?

As of Jun 12, 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.

What jobs pay 2000 a day?

Jobs that can pay around $2,000 a day typically include specialized roles such as anesthesiologists, surgeons, corporate executives, or certain high-level consultants. These positions often require advanced education, extensive experience, and sometimes certification or licensing, and they may involve long hours or high responsibility levels.

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 or prefer a master's degree or professional certification such as the Certified Professional in Healthcare Quality (CPHQ). Relevant experience and knowledge of medical coding, insurance processes, and healthcare regulations are also important.

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 a utilization coordinator?

A utilization review coordinator is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services and treatments. They review patient cases, ensure compliance with insurance and healthcare policies, and often use medical records and guidelines to make decisions, supporting cost-effective and quality care. Strong analytical skills and knowledge of healthcare regulations are essential in this role.

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 a Utilization Review Coordinator typically involve advanced positions such as Utilization Review Manager or Director, which require extensive experience and certifications like Certified Professional Coder (CPC) or Certified Utilization Review Professional (CURP). These roles often offer higher salaries due to increased responsibilities in overseeing review processes and team management.
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Utilization Review Coordinator jobs near you
Infographic showing various Utilization Review Coordinator job openings in the United States as of June 2026, with employment types broken down into 1% Internship, 1% As Needed, 74% Full Time, 20% Part Time, 2% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.

Utilization Review Coordinator

NRT |Foundry Treatment Center

Steamboat Springs, CO • On-site

$63K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Description:

Utilization Review Coordinator


Reports to: Utilization Review Manager

Job Category: Salaried | Exempt | Full-Time

Salary Range: $63,000-$85,000 per year (depending on experience and licensure)

Job Site: Remote

Schedule: Business hours, with potential for weekend rotation


Job Summary:

The Utilization Review Coordinator supports utilization review functions by obtaining and tracking authorizations, maintaining accurate documentation, and ensuring timely communication with payors and clinical staff. This role plays a key part in supporting continuity of care, regulatory compliance, and reimbursement for behavioral health services.


Education and Experience:

  • Bachelor’s degree required, Master’s degree preferred.
  • Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN).
  • Experience in utilization review, care coordination, or healthcare administration preferred.
  • Behavioral health experience strongly preferred.
  • Knowledge of insurance authorization processes and medical necessity criteria a plus.

Required Skills/Abilities:

  • Strong organizational and time management skills.
  • Attention to detail and accuracy.
  • Ability to manage multiple tasks and deadlines.
  • Clear and professional communication skills.
  • Ability to work collaboratively with clinical and administrative teams.
  • Problem-solving and follow-up skills.
  • Familiarity with electronic health records and healthcare documentation standards.
  • Proficient with Google Workspace or related software.

Duties/Responsibilities:

  • Submit initial and continued stay authorization requests to insurance payors.
  • Track authorization approvals, denials, and expiration dates.
  • Maintain accurate and timely documentation in the electronic health record.
  • Communicate authorization status to clinical and administrative staff.
  • Assist with gathering clinical information for utilization reviews and audits.
  • Follow up with insurance companies to ensure timely determinations.
  • Support peer-to-peer reviews by coordinating required documentation and scheduling.
  • Identify potential authorization issues and escalate to the Utilization Review Manager as needed.
  • Ensure compliance with payor requirements, timelines, and internal policies.
  • Assist with data tracking and reporting related to utilization and denials.
  • Other duties as assigned.

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Standing, sitting, bending, reaching.
  • Must be able to see, hear, talk, read, write, type.
  • Exposure to clinical and medical environments.

Benefits & Perks:

Health and Wellness

  • Medical, dental and vision insurance*
  • Supplemental accident and hospital indemnity coverage*
  • Voluntary Term Life insurance*
  • Employee Assistance Program
  • Monthly wellness reimbursement*

Financial

  • Competitive salary
  • Employee recognition and rewards programs
  • Employee referral incentive program
  • Employer-sponsored 401(k) plan

Work/Life Perks

  • Professional growth and development
  • Continuing education reimbursement
  • Unlimited paid time off (exempt employees) + sick days
  • Paid time off policy (non-exempt employees) + sick days
  • Paid holidays (exempt) or ability to earn 1.5x base hourly rate (non-exempt)

*Full-time employees


This description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.


Requirements: