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Day Bcba Autism Utilization Review Jobs in Riverside, CA

Medix

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete ... 60 days into your assignment, depending on plan selection(s)). * 401k (Eligible on the first 401k ...

Prime Healthcare

Utilization Review RN

Ontario, CA · On-site

$71K - $104K/yr

At least 3 years of experience in utilization review, referrals, authorizations, denials and ... Full Time Days Company is an equal employment opportunity employer. Company prohibits ...

Prime Healthcare

Utilization Review RN

Ontario, CA · On-site

$71K - $104K/yr

At least 3 years of experience in utilization review, referrals, authorizations, denials and ... Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment ...

Prime Healthcare

Utilization Review Nurse LVN

Ontario, CA · On-site

$71K - $99K/yr

Utilization Management experience required. * Excellent interpersonal relationship skills with ... Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment ...

Acadia Healthcare

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... days (including identified causes and appeal information), discharges and quality of services, as ...

Acadia Healthcare

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... days (including identified causes and appeal information), discharges and quality of services, as ...

Pacific Grove

Utilization Specialist PRN

Riverside, CA

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... days (including identified causes and appeal information), discharges and quality of services, as ...

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All JobsDay Bcba Autism Utilization Review JobsDay Bcba Autism Utilization Review Jobs in Riverside, CA

Day Bcba Autism Utilization Review information

See Riverside, CA salary details

$49.6K

$92.9K

$155.4K

How much do day bcba autism utilization review jobs pay per year?

As of Aug 28, 2026, the average yearly pay for day bcba autism utilization review in Riverside, CA is $92,929.00, according to ZipRecruiter salary data. Most workers in this role earn between $77,200.00 and $94,400.00 per year, depending on experience, location, and employer.

What is the difference between Day Bcba Autism Utilization Review vs Day Bcba Autism Case Manager?

AspectDay Bcba Autism Utilization ReviewDay Bcba Autism Case Manager
CertificationsBCBA, relevant autism-specific certificationsBCBA, autism-specific certifications, case management credentials
Work EnvironmentReviewing treatment plans, insurance authorizations, documentationCoordinating care, client advocacy, case management meetings
Employer & Industry UsageInsurance companies, healthcare providers, autism treatment centersAutism service providers, healthcare agencies, community programs

Both roles involve working with individuals with autism and require BCBA certification. The main difference is that the Day Bcba Autism Utilization Review focuses on reviewing treatment plans and insurance authorizations, while the Day Bcba Autism Case Manager emphasizes coordinating care and client advocacy. Understanding these distinctions helps professionals choose the right career path within autism services.

What cities near Riverside, CA are hiring for Day Bcba Autism Utilization Review jobs?

Cities near Riverside, CA with the most Day Bcba Autism Utilization Review job openings:

Day Bcba Autism Utilization Review jobs near you
Infographic showing various Day Bcba Autism Utilization Review job openings in Riverside, CA as of July 2026, with employment types broken down into 1% As Needed, 65% Full Time, 32% Part Time, and 2% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $92,929 per year, or $44.7 per hour.

Utilization Review Nurse

Orange, CA • On-site

Medix
Recruiting and Staffing Services • 1 - 5K employees
Learn more about Medixexternal

$38 - $53/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 19 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Utilization Review Nurse responsible for managing the complete Utilization Management (UM) process, from admission through discharge planning. The primary goal is to conduct daily inpatient reviews, concurrent reviews, discharge planning, and coordinating care for DME, Home Health, and Skilled Nursing Facility (SNF) placements.
Responsibilities / Job Duties
  • Manage the beginning-to-end Utilization Management (UM) process through Discharge Planning.
  • Conduct daily inpatient review, concurrent review, discharge planning, and coordinate care for DME, Home Health, and SNF placements.
  • Utilize MCG criteria for clinical reviews and write formal denial letters.
  • Apply LCD/NCD to pre-service authorizations when determining appropriate clinical tiers.
  • Communicate confidently and effectively with Medical Directors, physicians, and hospital counterparts.
  • Provide clear, concise clinical case reports during daily multidisciplinary rounds.

Minimum Education and Experience Qualification Requirements
Qualifications
  • Active and unencumbered California RN or LVN License.
  • Strongly prefer 5+ years of concurrent Inpatient UM experience.
  • Direct experience working within an IPA, MSO, Delegation model, or Health Plan setting.
  • Proven, hands-on experience navigating and applying MCG criteria for inpatient acute/SNF reviews.
  • Experience in handling complex discharge planning, writing denial letters, and applying Medicare guidelines for SNF and ARU.
  • Proficiency with standard digital workspace tools (Microsoft Excel, Word, and PDFs).

Skills
  • Proficiency with MCG criteria and guidelines.
  • Effective communication with medical staff and hospital counterparts.
  • Technical skills with software tools such as Microsoft Excel, Word, and PDFs.

Schedule / Shift
Standard Shift: 8:00 AM - 5:00 PM PST, Monday through Friday, including a 1-hour lunch break, a morning break, and an afternoon break.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient's residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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