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What is a utilization review coordinator and how to become one

Updated January 8, 2025
4 min read
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A utilization review coordinator works in the healthcare industry to ensure that patients receive appropriate care. They review records and treatment plans to align them with medical policies. The coordinator communicates with medical staff and insurance companies to ensure that patients receive care without unnecessary expenses. In addition, they record patient information and monitor quality. A utilization review coordinator ensures efficient and effective healthcare services that benefit patients and providers.

ScoreUtilization Review CoordinatorUS Average
Salary
4.1

Avg. Salary $52,117

Avg. Salary $59,228

Stability level
-

Growth rate 6%

Growth rate 0.3%

Diversity
7.1
Race

American Indian and Alaska Native 1.52%

Asian 8.33%

Black or African American 10.15%

Hispanic or Latino 14.82%

Unknown 3.94%

White 61.25%

Gender

female 83.15%

male 16.85%

Age - 38
Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 38

What are the pros and cons of being a utilization review coordinator?

Pros

  • Potential for remote work or flexible schedule

  • Opportunities for career advancement and growth

  • Competitive salary and benefits package

  • Ability to work independently and as part of a team

  • Opportunity to learn about the healthcare industry

Cons

  • High workload and pressure to meet deadlines

  • Requires frequent communication with physicians and other healthcare providers, some of whom may be difficult to work with

  • May require some travel or on-call availability

  • Can be emotionally taxing due to exposure to illness, injuries, and death

  • May require working with limited resources or budget constraints

Utilization review coordinator career paths

Key steps to become a utilization review coordinator

  1. Explore utilization review coordinator education requirements

    Most common utilization review coordinator degrees

    Bachelor's

    48.1 %

    Associate

    23.2 %

    Master's

    14.0 %
  2. Start to develop specific utilization review coordinator skills

    SkillsPercentages
    Patients18.42%
    Patient Care6.42%
    Acute Care5.45%
    Utilization Management5.37%
    Discharge Planning5.26%
  3. Research utilization review coordinator duties and responsibilities

    • Initial triage of members, administrative intake of members and managing the admission/discharge information post-notification.
    • Identify and access Medicare entitlement benefits for those patients who meet eligibility requirements both prior to admission and during concurrent review.
    • Include inpatient/outpatient acute setting, SNF, DME.
    • Maintain a preventative maintenance schedule on all HVAC equipment.
  4. Prepare your utilization review coordinator resume

    When your background is strong enough, you can start writing your utilization review coordinator resume.

    You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a utilization review coordinator resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

    Choose from 10+ customizable utilization review coordinator resume templates

    Build a professional utilization review coordinator resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your utilization review coordinator resume.
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
    Utilization Review Coordinator Resume
  5. Apply for utilization review coordinator jobs

    Now it's time to start searching for a utilization review coordinator job. Consider the tips below for a successful job search:

    1. Browse job boards for relevant postings
    2. Consult your professional network
    3. Reach out to companies you're interested in working for directly
    4. Watch out for job scams

How did you land your first utilization review coordinator job

Zippi

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Average utilization review coordinator salary

The average utilization review coordinator salary in the United States is $52,117 per year or $25 per hour. Utilization review coordinator salaries range between $32,000 and $83,000 per year.

Average utilization review coordinator salary
$52,117 Yearly
$25.06 hourly

What am I worth?

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How do utilization review coordinators rate their job?

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Utilization review coordinator reviews

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A zippia user wrote a review on Aug 2023
Pros

Fulfilling, has a flexible schedule, and very team-oriented environment.

Cons

It can be stressful, with a heavy workload. Talking to patients who are in crisis or who are displeased with services can be emotionally draining.


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Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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