ZipRecruiter

Log In

1

Utilization Review Intake Coordinator Jobs in Virginia

Hampton University

Intake Coordinator

Hampton, VA · On-site

$40K - $56K/yr

With support from other team members, the Intake Coordinator reviews applications, interviews applicants, requests additional information as needed, and recommends appropriate steps to follow. The ...

Summit BHC

$18 - $24.50/hr

Intake Coordinator | Stone River Recovery Center | San Antonio, Texas About the Job: PURPOSE ... Reviews prospective admissions against approved admission criteria, policies, and procedures.

Lincare

Intake Coordinator

Virginia Beach, VA · On-site

$15 - $20/hr

The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a ... Once verification is complete and admission criteria is reviewed/approved by clinical staff ...

Cooley

BIC Intake Specialist

Reston, VA · On-site

$72K - $99K/yr

Review data quality issues (errors, inconsistencies, gaps) and changes / additions made in between ... Prior experience as a paralegal, intake coordinator, or conflicts analyst Competencies: * Excellent ...

Cooley LLP

BIC Intake Specialist

Reston, VA · On-site

$72K - $99K/yr

Review data quality issues (errors, inconsistencies, gaps) and changes / additions made in between ... Prior experience as a paralegal, intake coordinator, or conflicts analyst Competencies: * Excellent ...

Cooley

BIC Intake Specialist

Reston, VA · On-site

$72K - $99K/yr

Review data quality issues (errors, inconsistencies, gaps) and changes / additions made in between ... Prior experience as a paralegal, intake coordinator, or conflicts analyst Competencies: * Excellent ...

Cooley

BIC Intake Specialist

Reston, VA · On-site

$72K - $99K/yr

Review data quality issues (errors, inconsistencies, gaps) and changes / additions made in between ... Prior experience as a paralegal, intake coordinator, or conflicts analyst Competencies: * Excellent ...

Cooley LLP

BIC Intake Specialist

Reston, VA · On-site

$72K - $99K/yr

Review data quality issues (errors, inconsistencies, gaps) and changes / additions made in between ... Prior experience as a paralegal, intake coordinator, or conflicts analyst Competencies: * Excellent ...

Summit BHC

Utilization Specialist

Williamsburg, VA · On-site

Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...

Summit BHC

Utilization Specialist - Acute

Williamsburg, VA · On-site

$24 - $28/hr

Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization ...

next page

Showing results 1-20

All JobsUtilization Review Intake JobsUtilization Review Intake Coordinator JobsUtilization Review Intake Coordinator Jobs in Virginia

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 Virginia?

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

What job categories do people searching Utilization Review Intake Coordinator jobs in Virginia look for?

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

Utilization Review Intake Coordinator jobs near you
Infographic showing various Utilization Review Intake Coordinator job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Clinical Coordinator - Utilization Review

Hampton-Newport News Community Services Board

Hampton, VA • On-site

$62K - $66K/yr

Full-time

Dental, Vision, Life, Retirement

Re-posted 16 days ago

Job description

Clinical Coordinator - Utilization ReviewAnnual Salary: $62,406 - $66,000Work Schedule: Monday - Friday 8:30 am - 5:00 pmThe Hampton-Newport News Community Services Board (CSB) is seeking a Clinical Coordinator - Utilization Review to join the Region 5 Reinvestment Initiative. This full-time position plays an important role in ensuring individuals receive timely, appropriate, and effective behavioral health services while supporting regional efforts to improve access to care and coordinate treatment placements.The Clinical Coordinator - Utilization Review conducts utilization reviews of acute and intermediate levels of care, evaluates medical necessity and appropriateness of services, and manages behavioral health bed utilization on a daily basis. This position works closely with hospitals, treatment facilities, CSB staff, and regional partners to support timely movement to the most appropriate level of care.Minimum QualificationsTo qualify for this position, candidates must have:Master's degree in Human Services or a related field.Three (3) years of experience in behavioral health, including utilization management.Key ResponsibilitiesConduct utilization reviews of acute and intermediate levels of care to assess medical necessity, appropriateness of treatment, and continued stay criteria.Manage and monitor acute care bed availability and placements to support timely and appropriate transitions in care.Conduct face-to-face assessments and gather information regarding an individual's treatment needs, progress, and current level of functioning.Review treatment progress and outcomes and make recommendations regarding the most appropriate level of care.Coordinate communication among hospitals, facilities, CSB staff, and regional partners regarding admissions, continued stays, discharges, and placements.Provide guidance and recommendations related to acute, sub-acute, crisis stabilization, and community-based services.Monitor consumer placements and assist with identifying appropriate and least restrictive treatment options.Communicate findings, recommendations, and utilization concerns to appropriate stakeholders.Prepare utilization reports and provide data-driven recommendations to support regional behavioral health planning and resource management.Promote quality, cost-effective care while supporting timely access to appropriate services.Participate in regional initiatives and activities designed to improve behavioral health system coordination and outcomes.BENEFITSHealth, Vision, and Dental InsuranceVirginia Retirement SystemFlexible Spending Account (FSA)Life Insurance11 Paid Holidays The selected candidate must successfully pass a criminal history fingerprint background investigation, DMV record check, Child Registry search, drug screening test and employment reference checks.
Job Posted by ApplicantPro