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Utilization Review Intake Coordinator Jobs in Washington

Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...

Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...

Six months psychiatric utilization review either for hospital or external review organization preferred. * Candidates must meet the company's hiring criteria to include a pre-employment verifications ...

Intake Coordinator

Gaithersburg, MD · On-site

$19.50 - $26.50/hr

The Intake Coordinator is the point person responsible for the overall coordination and ... Enter, review, and update authorizations for all PA individuals. * Weekly generating of Attendance ...

Intake Coordinator

Gaithersburg, MD · On-site

$19.50 - $26.50/hr

The Intake Coordinator is the point person responsible for the overall coordination and ... Enter, review, and update authorizations for all PA individuals. * Weekly generating of Attendance ...

Intake Coordinator - Full Time

Washington, DC · On-site

$20 - $27/hr

Major responsibilities include, but are not limited to, achieving program utilization goals and ... Work is reviewed and Supervised by Admissions or Program Director, to whom this individual reports.

Oversees the orientation of new UR Coordinators by establishing the plan and monitoring progress in ... utilization review/management. Educates members of health care team through in-services staff ...

Oversees the orientation of new UR Coordinators by establishing the plan and monitoring progress in ... utilization review/management. Educates members of health care team through in-services staff ...

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 ...

BIC Intake Specialist

Washington, DC · 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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

BIC Intake Specialist

Washington, DC · 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 ...

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

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

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

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

Infographic showing various Utilization Review Intake Coordinator job openings in Washington as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Utilization Review Coordinator

UHS

Washington, DC • On-site

$33.60 - $50.40/hr

Per diem

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

456th of 889 rated healthcare providers


Job description

Responsibilities
The Psychiatric Institute of Washington is a152-bed facility with inpatient, outpatient and partial hospitalization programs. Excellence in behavioral health programs for children, adolescents and adults has been the mission of The Psychiatric Institute of Washington since it opened nearly 50 years ago. As the first and only free standing psychiatric care facilities in Washington, DC, our team has a reputation for providing innovative treatment and care. We strive for excellence, never losing sight of providing patients with hope - hope that although their stay is relatively brief, they may find their way to a brighter future.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Tracks new admissions or transfers to assigned area and is responsible for knowing and following through with certification requirements from admission through discharge. Serves as liaison to on-site external reviewers.
  • Uses Midas for recording reviews and tracking denials. Adds to Midas databases as needed.
  • Teaches staff to document medical necessity through in-services or individual meetings. Monitors quality of records and notifies staff and program director of problems. Available to program director to develop plan for improvement as needed.
  • Supports and guides treatment planning as needed. Continues to bring to staff awareness the need for documentation to flow from and correlate with treatment plan.
  • Informs department director of changes in managed care companies. Maintains awareness of unique status to propose out of plan benefits or to open the door to increase hospital's opportunity to provide services to a larger group.
  • Works appropriately and professionally with all staff and demonstrates a supportive attitude toward the goals of the hospital. Makes recommendations for the hospital based on identified trends.
  • Arranges schedule in consideration of needs of the department, participates in arranging coverage for planned absences and demonstrates a supportive attitude toward the goals of the department.
  • Performs other job related duties as assigned.
Benefit Highlights:
Our employees are our most valuable asset and we are dedicated to provide a challenging and rewarding work environment to all our employees.
  • Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • UHS employee discounted stock option plan
  • Tuition Reimbursement and Student Loan Repay Program
  • Employee Assistant Program (EAP)
  • Life Insurance and Disability Insurances
  • Flexible Spending Account
  • Pre-tax Metro SmartTrip Benefits
  • Career development opportunities within UHS and its 300+ Subsidiaries!

Who we are:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.' Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
  • Bachelor's degree in applicable field of study required
  • Six months psychiatric utilization review either for hospital or external review organization preferred.
  • Candidates must meet the company's hiring criteria to include a pre-employment verifications, background investigation and drug test.
COVID Requirements
PIW requires its staff to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.
E-VERIFY Statement
PIW participates in E-Verify. We will provide the Social Security Administration, and if necessary, the Department of Homeland Security, with information from each new employee's Form I-9 to confirm work authorization. Please note that we do not use this information to pre-screen job applicants.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852- 3449.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US