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Utilization Review Intake Coordinator Jobs in Ohio

UHS

Intake Assessment Coordinator

Willoughby, OH · On-site

$16.75 - $22.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review organizations or comparable entities, and working effectively with people of diverse ... Clean, well-lit environment, intake coordinators can sit or stand for long periods of time, high ...

Armada Recovery

Intake Therapist

Dayton, OH

$60K - $70K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Admission Coordination * Facilitate intake scheduling, admission interviews, and pre-admission screenings. * Assist new clients through the admissions process, including review of program ...

Nationwide Children's Hospital

Maintains knowledge of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning. * Assists in ...

Nationwide Children's Hospital

Maintains knowledge of current concepts, researches needs and research strategies related to care coordination including case management, utilization review, and discharge planning. * Assists in ...

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All JobsUtilization Review Intake JobsUtilization Review Intake Coordinator JobsUtilization Review Intake Coordinator Jobs in Ohio

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 Ohio?

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

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

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

Cities in Ohio 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 Ohio as of August 2026, with employment types broken down into 100% Full Time. Highlights an 84% In-person, and 16% Remote job distribution.

RN Intake Coordinator

Sojourn at Seneca Behavioral Hospital

Tiffin, OH

Full-time

Posted 13 days ago

Job description

SUMMARY PERFORMANCE DESCRIPTION:  To coordinate the intake admissions, insurance precertification and reviews of treatment.  To develop strategies that result in a positive community relationships and image that assists the facility in meeting its goals. To work closely with the Director of Business Development and Admissions Manager to enhance the goals of the hospital.

EDUCATION:  Nursing License in the state of Ohio required.

SPECIAL KNOWLEDGE AND SKILLS:  Knowledge of or experience in behavioral health and chemical dependency fields.  Ability to work under pressure, meet deadlines and adapt to workload demands. Provide a positive and professional presentation to build rapport quickly with referral sources and program staff. Must have good communication and organizational skills.  Clinical experience sufficient to perform required assessment services. 

PRIOR EXPERIENCE:  Minimum of 3-5 years of experience in the behavioral health/Detox field or hospital setting preferred.

ESSENTIAL JOB RESPONSIBLITIES

  • Provide clinical evaluations of prospective referrals determining patients’ appropriateness for the program.

  • Coordinate the psychiatric assessment process with the attending psychiatrists.

  • Identify age-appropriate developmental tasks and needs as evidenced in the development of care and the treatment planning sessions.

  • Maintain contact with personal care homes, nursing homes (assisted living/long term care facilities), medical-surgical units, local Emergency Departments, local Mental Health Clinic and other facilities and agencies to promote the program and to provide education regarding services available for their patients/clients/residents

  • Complete appropriate medical necessity documents for insurance reviews and precertification.

  • Aide in developing strategies to seek HMO/PPO and other third-party Utilization Review success including reporting regulatory or poor quality indications such as readmission, insurance denials, extended length of stay, and any other issues / needs as appropriate. 

  • Participate and provide appropriate reporting from Intake in all director/manager level and staff level meetings.

  • Coordinate the announcement of new processes or referral changes to all referral sources as needed.

  • Maintain referral logs and reports as needed.

  • Aide in maintaining ongoing contact with community agencies to provide information on the program and assist in coordinating referrals.

  • Comply in a timely, honest and quality manner with all Corporate and management reporting requirements, including, but not limited to, Quality reporting, HR and Finance reporting requirements.

WORKING ENVIRONMENT:  Moderate physical activity.  Will be located in and around the inpatient Hospital.  Some hazard potential from possibility of physical acting out behavior of patient and health related communicable disease.

PHYSICAL AND MENTAL REQUIREMENTS OF JOB:

Must be able to work and concentrate amidst distractions such as noise, conversations, and foot traffic; ability to handle interruptions often and be able to move from one task to another. Must be professional when dealing with referral sources. Ability to exercise self-control in potentially volatile situations such as being verbally or physically confronted by patients in a threatening or aggressive manner.