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Utilization Review Intake Coordinator Jobs in Florida

Banyan Treatment Centers - Texas

Intake Coordinator

Seminole, FL · On-site

$16.75 - $22.75/hr

Intake Coordinator |Seminole, FL| Full-Time | Schedule - TBD | Onsite Banyan Treatment Centers is ... Communicate effectively with referral sources, utilization reviewers, and case managers to support ...

UHS

PRN UTILIZATION REVIEW COORDINATOR

Jacksonville, FL · On-site

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 ...

Larkin Community Hospital

Intake Coordinator

South Miami, FL · On-site

$17.25 - $23.50/hr

... review * Notifies the Registered Nurse of the patient's desire for treatment and the patient ... The Intake Coordinator utilizes strong communication skills daily to interact effectively with ...

UHS

PT UTILIZATION REVIEW COORDINATOR

Jacksonville, FL · On-site

PT 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 ...

Unified Care Services

Intake Coordinator

Doral, FL · On-site

$18 - $22/hr

The Intake Specialist plays a critical role as the first point of contact for patients, caregivers ... Collect, review, and verify patient/client information, prescriptions, insurance details, and ...

NHC

LPN Intake Coordinator

Tallahassee, FL · On-site

$15.25 - $20.75/hr

Intake Coordinator, LPN - NHC HomeCare Tallahassee NHC HomeCare is looking for a LPN Intake ... Reviews physicians' orders with DON/RN designee, before ordered care is provided. * Facilitates ...

Slate Healthcare

RN - Utilization Review

Fort Myers, FL · On-site

Overview In this role, you will manage utilization review processes, ensuring quality patient care ... Your responsibilities include assessing patient eligibility, coordinating with healthcare teams ...

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Utilization Review Intake Coordinator information

What does a utilization review intake coordinator do?

A Utilization Review Intake Coordinator is responsible for reviewing and processing incoming referrals and requests for healthcare services to ensure they meet clinical guidelines and payer requirements. They collect and verify patient information, coordinate with healthcare providers, and initiate case reviews for medical necessity and insurance authorization. Their work is vital in ensuring patients receive appropriate care while adhering to insurance and regulatory policies.

What are the key skills and qualifications needed to thrive as a utilization review intake coordinator?

To thrive as a Utilization Review Intake Coordinator, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by a background in healthcare administration or nursing. Familiarity with electronic medical records (EMR) systems, insurance verification tools, and authorization management software is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this position. These competencies ensure accurate and timely processing of patient cases, compliance with regulations, and coordination among patients, providers, and payers.

What are some common challenges faced by utilization review intake coordinators, and how can they be managed?

Utilization Review Intake Coordinators often face the challenge of managing high volumes of case referrals while ensuring accuracy and timeliness in processing. Balancing multiple priorities, such as coordinating with clinical staff, verifying insurance information, and meeting regulatory deadlines, can be demanding. Effective time management, strong communication skills, and familiarity with electronic health record (EHR) systems are essential for handling these challenges. Staying organized and building strong working relationships with both internal teams and external stakeholders also helps streamline workflows and reduce stress.

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

AspectUtilization Review Intake CoordinatorUtilization Review Nurse
CredentialsHigh school diploma or equivalent; certification may be preferredRN license; certification in case management or utilization review often required
Work EnvironmentOffice setting, administrative tasks, patient data intakeClinical setting, reviewing medical records, patient care coordination
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, insurance companies
Search & Comparison IntentFocus on administrative and intake responsibilitiesFocus on clinical review and patient care decisions

The Utilization Review Intake Coordinator primarily handles administrative tasks related to patient data intake and initial review, often requiring administrative credentials. In contrast, the Utilization Review Nurse performs clinical assessments, reviews medical records, and makes patient care decisions, requiring an RN license. Both roles are essential in healthcare utilization management but differ in their focus and qualifications.

What are popular job titles related to Utilization Review Intake Coordinator jobs in Florida?

For Utilization Review Intake Coordinator jobs in Florida, the most frequently searched job titles are:

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The top searched job categories for Utilization Review Intake Coordinator jobs in Florida are:

What cities in Florida are hiring for Utilization Review Intake Coordinator jobs?

Cities in Florida with the most Utilization Review Intake Coordinator job openings:

Utilization Review Intake Coordinator jobs near you
Infographic showing various Utilization Review Intake Coordinator job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 84% In-person, and 16% Remote job distribution.

Utilization Review Coordinator

Port Saint Lucie, FL

Port St. Lucie Hospital
51 - 200 employees
Learn more about Port St. Lucie Hospitalexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Job description

Utilization Review Coordinator

Location: Everwell Port St. Lucie Hospital, Inc

Position Summary

Everwell Port St. Lucie Hospital is seeking a detail-oriented Utilization Review Coordinator to coordinate insurance reviews, monitor patient authorizations, and support effective communication between the hospital, physicians, and insurance providers.

Key Responsibilities

  • Review all patients’ admissions on a daily basis to determine necessity and appropriateness of placement services as outlined in Plans and Procedures.

  • Assigns continued stay reviews according to criteria; reviews continued stay at least every ten (10) to fourteen (14) days and certified pursuant to approved criteria.

  • Maintains a system for monitoring all admissions to assure timely reviews; collects and records all necessary information/data for review of admission, continued stay, and utilization of services.

  • Reviews patient records upon request of insurance companies and communicates patient condition and treatment to external utilization review offices.

  • Contacts physicians and primary Nurses for clarification of information as necessary.

  • Assures appropriate Authorization of Release of Information forms are obtained prior to releasing information to insurance companies.

  • Completes mental health treatment reports and other reports, including appeal letters, required by insurance companies for review of patient care and treatment as requested.

  • Monitors information that is copied and sent per request to insurance companies for inpatient and assures that only required information is disseminated.

  • Contacts physicians, primary Nurses and other appropriate staff regarding potential problems or questions related to documentation of patient care issues.

  • Coordinates and schedules all PRO reconsideration hearings and schedules appropriate staff to attend hearings.

  • Coordinates the assemblage of records for review by Federal State, Professional and appropriate hospital groups.

  • Performs special projects or other related work as required or requested.

  • Shows ability to communicate in a clear and concise manner.                       

  • Demonstrates ability to work with others.

  • Adapt to changing situations or work assignments.

  • Demonstrates willingness to rotate to other areas of hospital within the limits of preparation and skill level.

  • Conform to uniform and dress code, personal hygiene and good grooming.

  • Wear and properly display name badge.                                                                 

  • Positively respond to guidance or counseling and attempts to benefit by it.

  • Adept in identifying potential problems within the department and seeks management guidance.

  • Demonstrates excellent organizational skills and originator of new ideas and methods.

  • Use verbal and non-verbal communication with others, i.e., courtesy, tone of voice, facial expressions, gestures, etc.

  • Demonstrates an understanding of and adherence to the Code of Conduct

  • Conduct reflects Oglethorpe’s values and a commitment to the Code of Conduct

Qualifications and Education

  • RN, LPN or Master's Level Clinician with experience

  • CPR Certification required

  • Minimum 2 years of healthcare experience preferred

  • Knowledge of utilization review processes and medical terminology

  • Experience working with insurance companies and behavioral health

    documentation preferred

  • Ability to use data collection techniques, and statistical computations.

  • Strong communication, organizational, and analytical skills

  • Familiarity with DSM criteria and healthcare compliance standards preferred

  • Thorough knowledge of effective and appropriate charting principles

    Work Environment

    • Primarily indoor, temperature-controlled healthcare environment

    • Collaborative team-focused setting

      Benefits

    • Medical, Dental and Vision insurance

    • 401K

    • PTO and Sick time

    This position requires a pre-employment Level 2 Background check: https://info.flclearinghouse.com