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Utilization Review Coordinator Prn Jobs (NOW HIRING)

PRN Utilization Review Coordinator, including weekends $26-$37 This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed ...

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 ...

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...

Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...

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Utilization Review Coordinator Prn information

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$15

$29

$46

How much do utilization review coordinator prn jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for utilization review coordinator prn 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.

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

AspectUtilization Review Coordinator PrnUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentFlexible, PRN (as-needed) basis, often in hospital or insurance settingsFull-time or part-time, hospital, insurance companies, or healthcare facilities
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance providers, healthcare organizations

The Utilization Review Coordinator Prn and Utilization Review Nurse roles both involve evaluating healthcare services for appropriateness and necessity. The main difference lies in the employment status and certification requirements: the Coordinator Prn works on an as-needed basis and may require a healthcare-related license, while the Nurse role typically requires an RN license and involves more direct patient care oversight. Both roles are essential in healthcare utilization management but differ in scheduling and scope of responsibilities.

More about Utilization Review Coordinator Prn jobs
What cities are hiring for Utilization Review Coordinator Prn jobs? Cities with the most Utilization Review Coordinator Prn job openings:
What states have the most Utilization Review Coordinator Prn jobs? States with the most job openings for Utilization Review Coordinator Prn jobs include:
Infographic showing various Utilization Review Coordinator Prn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.

Utilization Review Coordinator

Firetree Ltd

Williamsport, PA • On-site

$42K - $46K/yr

Other

Posted yesterday

New


Job description

Description
The Utilization Review Coordinator performs a variety of duties to ensure the best possible utilization of clinical/behavioral healthcare resources related to the delivery of substance use disorder treatment.
Essential Duties and Responsibilities
  • Facilitates communications between facility intake, billing, and clinical department as related to obtaining and maintaining client funding for clinical services.
  • Prepares and facilitates client pre-certification enrollments, continued stay, transition of care, and discharge reviews in a timely manner.
  • Maintains case files in prescribed manner.
  • Completes admission, continued stay and discharge ASAMs for residents admitted to the facility during work hours.
  • Acts as the point of contact with MCO and SCA agencies on matters related to obtaining funding and continuation of funding for clients.
  • Assists counseling staff with identifying client discharge options to include continuing care placement, outpatient services, and other community-based services.
  • Updates and maintains an on-going database of referral agencies and discharge referral sources and the appropriate contacts within those agencies.
  • Acts as the facility liaison in resolving any funding issues that may arise with the MCO/SCA or DOC and maintain detailed records of any communications between the facility and funding agency (e.g. documents when, where and to whom ASAM forms are sent, records receipt of funding authorizations, etc.
  • Coordinates data entry in the WITS and funder-specific systems.
  • Complies with all H.I.PA.A. and confidentiality requirements.
  • Performs other duties as assigned.

Requirements
Education and/or Experience
Bachelor's Degree in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in the human services) or related field(s) and a minimum of 1 year of clinical experience in a health or human service agency, preferably in a drug and alcohol setting, OR Associate's Degree in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in the human services) or related field(s) and a minimum of 2 years of clinical experience in a health or human service agency, preferably in a drug and alcohol setting. An equivalent combination of education, training, and experience may be considered. A high school diploma or GED equivalent with related experience.