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Utilization Review Intake Coordinator Jobs in Virginia

UHS

UTILIZATION COORDINATOR

Danville, VA

... review and respond to concerns expressed by customers. Together with the appropriate Department ... · Assist in preparing Utilization Review Reports as necessary. · Coordinates and makes ...

Summit BHC

Intake Clinician-Nights

Williamsburg, VA · On-site

$28 - $34/hr

The Pavilion is looking for a Utilization Specialist to join our team! -Pay Range: $28-$34/hour ... duties reviewing and accepting patients, verifies insurance, and assists with insurance pre ...

UHS

UR COORDINATOR

Danville, VA · On-site

$26 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Utilization Review Reports as necessary. • Coordinates and makes Retrospective Appeals to third party payers. • Meets weekly with Administrator on appropriate issues. • Other duties as assigned ...

Amedisys, Inc.

Patient Serv Coord - Clin

Chesapeake, VA · On-site

$30 - $32/hr

Reviews clinician schedules daily or more frequently as needed to determine capacity opportunities ... In the absence of an Intake Coordinator, may be responsible for the referral and intake process ...

Mainspring Recovery

Admissions Coordinator

Triangle, VA · On-site

$20 - $25/hr

Admissions Coordinator Reports To: VP of Admissions and Utilization Review Department: Admissions ... Managing the Intake Process: * Assess potential clients' treatment needs. * Complete preadmission ...

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Utilization Review Intake Coordinator information

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 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 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 100% Full Time. Highlights an 84% In-person, and 16% Remote job distribution.

Intake Coordinator (Part Time)

Pyramid Healthcare

Radford, VA • On-site

$20/hr

Part-time

Posted 15 days ago

Pyramid Healthcare rating

4.8

Company rating: 4.8 out of 10

Based on 58 frontline employees who took The Breakroom Quiz

870th of 887 rated healthcare providers

Job description

At Pyramid Healthcare New River Valley Inpatient in Radford we specialize in Substance Use Disorder Treatment. Pyramid Healthcare Inc. has been in operations since 1999 and currently operate over 80 programs in 8 different states, offering a full continuum of high-quality behavioral health care for individuals suffering from substance use disorders, mental health concerns, and other behavioral health issues. If you would like to use your experience and education, to create a positive footprint at our program, we invite you to apply to this wonderful opportunity. 

  • Address: 6226 University Park Drive, Radford, VA 24141
  • Schedule: Part time evenings, days, or weekends
  • Hourly Rate: $20.00/hour

Essential Duties and Responsibilities:

  • Facilitate the admission process by completing and reviewing admission paperwork, copying necessary documentation (e.g., photo ID, insurance), and coordinating with nursing when the client is ready.
  • Conduct level-of-care assessments for all clients and complete PCPC or ASAM documentation for admission, continued stay, and discharge, ensuring timely entry into the electronic health record or appropriate charting system.
  • Manage insurance and authorization tasks including precertification, UR notes, and coordination with Managed Care Organizations (MCOs) and Single County Authorities (SCAs).
  • Support SCA clients with the Medical Assistance application process by coordinating with the appropriate representatives, signing and faxing necessary documentation.
  • Maintain communication with probation/parole officers and employers when client consent is provided, ensuring documentation is filed in the clinical log.
  • Distribute and collect client photos, labeling with client name and medical record (MR) number and distributing as needed.
  • Ensure discharge tasks are completed for detox-only clients, including setting up outpatient appointments, AA meetings, and completing discharge summaries within required timeframes.
  • Provide family surveys as needed and communicate with nursing staff for discharge coordination.
  • Conduct prescreens via phone and in-person, entering data into the electronic clinical record, scheduling assessments, or referring to appropriate services.
  • Must exercise discretion and maintain confidentiality with regard to all company information
  • Completion of all required trainings as designated by the company and accreditation/licensing entities.
  • Other duties as assigned. 

Education, Licensure, & Experience

  • High school diploma or equivalent required.
  •  Experience with the population served preferred.

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