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Behavioral Utilization Review Jobs in Temecula, CA

... demonstrate behaviors that model the Southwest Healthcare Rancho Springs and Inland Valley ... Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an ...

... demonstrate behaviors that model the Southwest Healthcare Rancho Springs and Inland Valley ... Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an ...

... demonstrate behaviors that model the Southwest Healthcare Rancho Springs and Inland Valley ... Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an ...

Physician

Vista, CA · On-site

$290 - $300/hr

Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for ... Participate in utilization and peer review programs which evaluates the quality of the medical ...

... behavior * Oversees staff and volunteer schedules, scheduling and territory assignments to assure ... Performs utilization review of continuous care and inpatient levels of care for all patients on ...

Case Manager

Murrieta, CA · On-site

$20.25 - $26/hr

Minimum two years of case management, utilization review, or discharge planning experience in acute ... Relate and communicate positively, effectively and exhibit professional behavior at all times; work ...

Case Manager*

Murrieta, CA · On-site

$68.03 - $91.49/hr

Minimum two years of case management, utilization review, or discharge planning experience in acute ... Relate and communicate positively, effectively and exhibit professional behavior at all times; work ...

Case Manager

Murrieta, CA · On-site

$20.50 - $26.25/hr

Minimum two years of case management, utilization review, or discharge planning experience in acute ... Relate and communicate positively, effectively and exhibit professional behavior at all times; work ...

Case Manager*

Murrieta, CA · On-site

$90 - $115/hr

Minimum two years of case management, utilization review, or discharge planning experience in acute ... Relate and communicate positively, effectively and exhibit professional behavior at all times; work ...

New

Case Manager*

Murrieta, CA · On-site

$68.03 - $91.49/hr

Minimum two years of case management, utilization review, or discharge planning experience in acute ... Relate and communicate positively, effectively and exhibit professional behavior at all times; work ...

Minimum two years of case management, utilization review, or discharge planning experience in acute ... Relate and communicate positively, effectively and exhibit professional behavior at all times; work ...

Case Manager*

Murrieta, CA · On-site

$20.25 - $26/hr

Minimum two years of case management, utilization review, or discharge planning experience in acute ... Relate and communicate positively, effectively and exhibit professional behavior at all times; work ...

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Behavioral Utilization Review information

See Temecula, CA salary details

$21

$42

$68

How much do behavioral utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for behavioral utilization review in Temecula, CA is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 per hour, depending on experience, location, and employer.

What is the difference between Behavioral Utilization Review vs Behavioral Case Manager?

AspectBehavioral Utilization ReviewBehavioral Case Manager
CredentialsLicensed mental health professionals, certifications varyLicensed clinical social workers, counselors, or therapists
Work EnvironmentReview settings, insurance companies, healthcare facilitiesDirect patient interaction, hospitals, outpatient clinics
Employer & IndustryInsurance companies, healthcare organizationsHospitals, mental health agencies, managed care
Primary FocusAssessing medical necessity, reviewing treatment plansCoordinating care, supporting treatment adherence

Behavioral Utilization Review primarily involves evaluating the necessity of mental health services through review processes, while Behavioral Case Managers focus on coordinating patient care and supporting treatment plans. Both roles require mental health credentials but differ in daily tasks and work settings.

How to become a behavioral utilization review?

To become a behavioral utilization review specialist, candidates typically need a bachelor's degree in psychology, social work, nursing, or a related field. Relevant experience in mental health or healthcare settings, along with knowledge of insurance policies and utilization review processes, is important; some roles may require certification such as the Certified Professional in Utilization Review (CPUR).

Is behavioral utilization review a stressful job?

Behavioral utilization review can be stressful due to the need to evaluate complex mental health cases, meet strict deadlines, and handle sensitive patient information. The role often requires strong attention to detail, critical thinking, and emotional resilience, which can contribute to job-related stress.

What are popular job titles related to Behavioral Utilization Review jobs in Temecula, CA?

For Behavioral Utilization Review jobs in Temecula, CA, the most frequently searched job titles are:

What cities near Temecula, CA are hiring for Behavioral Utilization Review jobs?

Cities near Temecula, CA with the most Behavioral Utilization Review job openings:

Infographic showing various Behavioral Utilization Review job openings in Temecula, CA as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% In-person job distribution, with an average salary of $87,375 per year, or $42 per hour.

Case Manager (Utilization Management)

Loma Linda University Health

Murrieta, CA • On-site

Full-time

Posted 23 days ago


Loma Linda University Health rating

8.2

Company rating: 8.2 out of 10

Based on 88 frontline employees who took The Breakroom Quiz

100th of 1,065 rated hospitals


Job description

Primary Work Location Medical Center-Murrieta

Job Summary: The Case Manager serves as a key member of the patient care delivery team in a Magnet Recognized large tertiary academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving center designation, and Comprehensive Stroke Center and Chest Pain Center accreditation.  Works efficiently in a fast-paced environment and utilized clinical expertise, discretion and independent judgement in performing the nursing process (assessment, care planning, intervention, evaluation) within a patient-centered care professional practice model (Duffy's Quality-Caring Model) and  as it relates to case management functions. Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria (medical necessity) are met for level of care provided and is documented from admission through discharge. Practices in a collaborative health care environment to oversee implementation of a well-thought-out interdisciplinary plan of care with an individualized discharge plan that is comprehensive and best meets the continuing healthcare needs of the patient. Reevaluates plan of care and ensures continued appropriateness based on the patients changing needs and condition. Functions within the expectations of a professional nurse and meets nursing excellence standards to achieve and maintain Magnet Recognition as outlined by the American Nurses Credentialing Center. Represents nursing as an empowered profession and readily embraces new knowledge, innovations and improvements. Exhibits positivity and serves as an instrumental change agent and expertly minimizes resistance to change in the workforce, clinical practice and operational setting. Engages in opportunities to directly and/or indirectly influence decision-making for bedside clinical practice by participating in professional governance councils, committees, taskforces and staff meetings.  Performs other duties as needed. and practices. Demonstrates ability to be an effective change-agent for implementation of new processes to achieve desired outcomes/performance measures. Performs other duties as needed.
Education and Experience: Bachelor of Science degree in nursing (BSN) required. Minimum two years of hospital nursing experience required. Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. 
Knowledge and Skills: Basic knowledge of case and utilization management practice and methodologies and state and federal healthcare regulations and accreditation required.  Able to: speak, read and write legibly in English (and Spanish preferred) with professional quality; use computer, printer and software programs necessary to the position, e.g., Microsoft Office Suite, Outlook, electronic medical record, electronic event reporting program. Relate and communicate positively, effectively and exhibit professional behavior at all times; work calmly and respond courteously when under pressure; be assertive and consistent in following policies; teach, and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records, and written documents necessary to position.
Licensures and Certifications: Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life Support (BLS) certification issued by the American Heart Association required. Nationally recognized certification in Utilization Management or Case Management preferred.

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001.

Loma Linda University Medical Center is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant's consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.

We appreciate your interest in Loma Linda and wish you success in your job search!

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About Loma Linda University Health

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Loma Linda University Health (LLUH) is an esteemed healthcare organization situated in Loma Linda, California, US. Established in 1905, it was initially known as the College of Medical Evangelists, and it operated as the official medical institution of the Seventh-day Adventist Church until the name was changed to LLUH in 1961. LLUH is very much active in the healthcare and education sectors, providing a vast range of services such as medical treatment, research, and health education. The organization’s core mission is "to continue the teaching and healing ministry of Jesus Christ", which underlines its binding values of compassion, integrity, excellence, freedom, and justice.

Industry

Health care and social assistance and hospitality services

Company size

10,000+ Employees

Headquarters location

Loma Linda, CA, US