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Utilization Review Coordinator Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

West Columbia, SC

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

UHS

Utilization Review Coordinator

West Columbia, SC

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

Prime Healthcare

Utilization Review Coordinator

Ontario, CA · On-site +1

$30 - $40.50/hr

The Utilization Review Coordinator (URC) essentially functions as a Subject Matter Expert (SME) with regards to coordinating the UR and appeals process as part of the denial management initiatives ...

New

UHS

Utilization Review Coordinator

West Columbia, SC

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

UHS

Utilization Review Coordinator

West Columbia, SC

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

UHS

Utilization Review Coordinator

West Columbia, SC

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

TheraMatrix

Be Seen First

Utilization Review Coordinator

Sterling Heights, MI · On-site

Reviews and authorizes services that meet criteria, along with supporting documentation. It is the responsibility of the URC to ensure outpatient physical therapy services are provided at the ...

UHS

Utilization Review Coordinator PRN

Greer, SC · On-site

Responsibilities Utilization Review Coordinator The Carolina Center for Behavioral Health is currently hiring utilization review coordinators to join our team of dedicated professionals. Who We Are ...

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All JobsUtilization Review Coordinator Jobs

Utilization Review Coordinator information

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$15

$29

$46

How much do utilization review coordinator jobs pay per hour?

As of Jun 11, 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.
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:
What job categories do people searching Utilization Review Coordinator jobs look for? The top searched job categories for Utilization Review Coordinator jobs are:
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

Freemanhealth

Inglewood, CA

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago

Job description

Our Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Schedule | Full - Time

9:30 AM - 6:00 PM

Onsite

What You'll Do

Provide Utilization Review and Case Management to the Emergency Department population who present with social and or discharge needs which may prevent them from returning to their current environment. Will provide hospital wide Utilization Review and Case Management coverage as needed and time allows.

Requirements:

Current Missouri Registered Nurse, Respiratory Therapist or LPN.

If LPN, current Missouri Practical Nurse license or current Practical Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence.
If RN, current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence.

Preferred Requirements

3-5 years of total nursing experience preferred.

Freeman Perks and Programs

  • For eligible full-time and part-time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one!

  • Health, vision, dental insurance

  • Retirement with employer match

  • Wellness program with discounts to Health Insurance or Cash Bonus with Participation

  • Milestone payments with longevity of employment

  • Paid time off(PTO)

  • Extended Sick pay

  • Disability pay

  • Learning Center designated only for Freeman Family members

  • Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.

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