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Utilization Review Intake Coordinator Jobs (NOW HIRING)

UHS

Utilization Review Coordinator

Champaign, IL · On-site

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

UHS

Utilization Review Coordinator

Scottsdale, AZ

Responsibilities Utilization Review Coordinator Full Time Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and ...

UHS

Utilization Review Coordinator

Champaign, IL · On-site

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

UHS

Utilization Review Coordinator

West Columbia, SC

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

UHS

Utilization Review Coordinator

West Columbia, SC

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

UHS

Utilization Review Coordinator

West Columbia, SC · On-site

Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations ...

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Utilization Review Intake Coordinator information

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How much do utilization review intake coordinator jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for utilization review intake coordinator in the United States is $21.23, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.56 per hour, depending on experience, location, and employer.

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 job makes $10,000 a month without a degree?

In the field of utilization review, experienced senior roles such as senior utilization review coordinators or managers can earn around $10,000 per month, especially with specialized knowledge and certifications like the Certified Professional in Healthcare Quality (CPHQ). These positions often require extensive experience, strong analytical skills, and familiarity with healthcare policies, but may not always require a traditional college degree.

What are the key skills and qualifications needed to thrive as a Utilization Review Intake Coordinator, and why are they important?

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.
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Utilization Review Intake Coordinator jobs near you
Utilization Review Coordinator

Utilization Review Coordinator

Nascentia Health

Syracuse, NY • On-site

$19.96 - $24.96/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Nascentia Health rating

7.3

Company rating: 7.3 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

The Utilization Review Coordinator provides a broad range of clerical and technical support for Utilization Management and Home Safety Modifications.
Performance Responsibilities and Standards
  • Provides a wide range of administrative support-related tasks.
  • Review and tracking of Notice of Action letters.
  • Printing and mailing of member letters.
  • Send prior service authorization acknowledgment letters
  • Manage calendar for grievance, concurrent, and prior service authorization decision letters.
  • Track Home Safety Modification Requests.
  • Follow-up with vendors, landlords, etc. as needed.
  • Responsible for assisting with reporting requirements for Utilization Review.
  • Demonstrate effective interpersonal skills, exercising good judgment in a variety of situations.
  • Demonstrate critical thinking and common-sense resolution.
  • Meet routine deadlines and work schedules with accurate completion of work.
  • Other duties as assigned.

Requirements:
  1. High School Diploma or equivalent required. Associate's degree preferred.
  2. Minimum of one year customer service experience required, preferably in a health care setting.
  3. Proficiency with computer systems, working knowledge of Microsoft Office, the internet, and various software applications.
  4. Demonstrate the ability to work independently and collaboratively with the ability to adapt to shifting priorities, demands, and timelines.
  5. Demonstrates discretion in handling confidential and sensitive information.
  6. Accuracy, attention to detail, and follow through.
  7. Exceptional customer service skills.
  8. Excellent communication skills, verbal and written.

Physical Requirements:
  • Speaking/visual/hearing ability sufficient to comprehend and express written/verbal communication
  • Frequent sitting, standing, walking.
  • Pushing, pulling, reaching and kneeling frequently.
  • Ability to lift and move objects up to 40lbs.
  • Extended periods of computer use

Compensation & Benefits
Competitive Salary [This position is an H06 non-exempt position with a min-max rate of: $19.96-$24.96/hour] with:
  • Retention Bonuses
  • Internal Mentoring Program
  • 401K with generous Employer match
  • On-Site Gym (free for all employees)
  • Medical, Dental, Vision plans
  • Tuition Reimbursement
  • Partially funded HSA
  • Employee Recognition Platform
  • Paid Time Off, Holidays, Sick and Extended Sick Leave
  • Short/Long term Disability
  • Employee Assistance Program (EAP)
  • Much More!

About Nascentia Health:
Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.
Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.
Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen and background check

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