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Director Chiropractic Utilization Review Jobs in Riverside, CA

KPC Health

Utilization Review Tech

Santa Ana, CA · On-site

Performs administrative duties for the Utilization Management Department, and directed in several ... Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement ...

KPC Global MSO

Utilization Review Tech

Santa Ana, CA · On-site

Reviews treatment plans and status of approvals from insurers. Collects and compiles data as ... Performs administrative duties for the Utilization Management Department, and directed in several ...

Medix

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

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.

Prime Healthcare

Utilization Review Nurse LVN

Ontario, CA · On-site

$71K - $99K/yr

Assists Director of UR Dept. in providing oversight and monitoring productivity of UR Coordinators ... Utilization Management experience required. * Excellent interpersonal relationship skills with ...

Discovery Behavioral Health

Clinical Director

Orange, CA · On-site

$100K - $120K/yr

The Clinical Director works in a dynamic multidisciplinary team providing treatment services ... Completes utilization reviews, oversees primary therapist process of utilization review and assists ...

Center for Discovery

Clinical Director

Orange, CA · On-site

$100 - $120/hr

Position Summary The Clinical Director works in a dynamic multidisciplinary team providing ... Completes utilization reviews, oversees primary therapist process of utilization review and assists ...

New

HealthRIGHT 360

Medical Director

Pomona, CA · On-site

$273K - $348K/yr

Orient new staff, monitor performance through peer review, chart audits, utilization review, and ... Medical Director will report administratively to the VP of Behavioral Health Medical Services (VP ...

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All JobsChiropractic Utilization Review JobsDirector Chiropractic Utilization Review JobsDirector Chiropractic Utilization Review Jobs in Riverside, CA

Director Chiropractic Utilization Review information

See Riverside, CA salary details

$29.7K

$54.6K

$84K

How much do director chiropractic utilization review jobs pay per year?

As of Aug 7, 2026, the average yearly pay for director chiropractic utilization review in Riverside, CA is $54,591.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,800.00 and $59,500.00 per year, depending on experience, location, and employer.

What is the difference between Director Chiropractic Utilization Review vs Chiropractic Utilization Review?

AspectDirector Chiropractic Utilization ReviewChiropractic Utilization Review
CredentialsTypically requires advanced degrees, certifications, and leadership experienceRequires chiropractic license and certification, with less emphasis on leadership
Work EnvironmentOversees teams, manages policies, and strategic planningPerforms case reviews, evaluates claims, and ensures compliance
Employer & Industry UsageUsed in insurance companies, healthcare organizations, and large clinicsCommonly employed in insurance companies, third-party administrators, and healthcare providers

The main difference is that the Director Chiropractic Utilization Review holds a leadership role overseeing review teams and policies, while Chiropractic Utilization Review focuses on performing case evaluations and claims assessments. The director's role involves strategic management, whereas the review role is more operational and case-specific.

What are popular job titles related to Director Chiropractic Utilization Review jobs in Riverside, CA? For Director Chiropractic Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Director Chiropractic Utilization Review jobs in Riverside, CA look for? The top searched job categories for Director Chiropractic Utilization Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Director Chiropractic Utilization Review jobs? Cities near Riverside, CA with the most Director Chiropractic Utilization Review job openings:
Director Chiropractic Utilization Review jobs near you
Infographic showing various Director Chiropractic Utilization Review job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $54,591 per year, or $26.2 per hour.

Utilization Review Tech

KPC Health

Santa Ana, CA • On-site

Other

Posted 4 days ago

Job description

Utilization Review Technician

Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests, upkeeps data entry, organizes denials and mailing/faxing appeals, tracking data from various insurance providers and health plans regarding authorization and/or denials, expedite reviews and documentation to insurance providers. Monitors patient charts and records to provide to responsible parties and request for authorization for hospital admission. Reviews treatment plans and status of approvals from insurers. Collects and compiles data as required and according to applicable policies and regulations. Performs administrative duties for the Utilization Management Department, and directed in several aspects of duties. Position is non-RN/LVN.

Requirements
  • Ability to establish and maintain effective working relationships across the Health System
  • Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage
  • Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution
  • Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement for medical claims
  • Responsible for working payer correspondence, edits and aged account receivable, and identifying and correcting billing errors
  • Pull daily reports utilizing Microsoft Excel and providing correct correspondence to payer
  • Research payer rules and regulations to maintain current payer knowledge
  • Comply with HIPAA and other compliance requirements to protect patient confidentiality
  • Manage data in internal and external databases with accuracy
  • Provide high-level administrative support and assistance to the Director and Supervisor or other assigned leadership staff
  • Perform clerical and administrative tasks including drafting letters, memos, invoices, reports, and other documents for senior staff
  • Prepare patient charts for medical audits
Education & Experience Requirements:
  • High School Diploma
  • Healthcare experience strongly preferred
Skills & Abilities Requirements:
  • Excellent verbal and written communication skills
  • Excellent organizational skills and attention to detail
  • Excellent time management skills with a proven ability to meet deadlines
  • Ability to function well in a high-paced and at times stressful environment
  • Extensive knowledge of office administration, clerical procedures, and recordkeeping systems
  • Able to type minimum of 50 words per minute
  • Knowledge of CMS, State Regulations, URAC and NCQA guidelines preferred.
  • ICD-10 and CPT coding experience a plus
  • Experienced computer skills with Microsoft Word, Microsoft Outlook, Excel and experience working in a health plan medical management documentation system a plus
  • Extremely proficient with Microsoft Office Suite or similar software with the ability to learn new or updated software
  • Medical Terminology preferred
Physical Requirements:
  • Body Positions: Sitting and standing for prolonged periods.
  • Body Movements: Arm and hand dexterity.
  • Body Senses: Must have command of close and distant sight, color perception and hearing.
  • Strength: Ability to lift and move up to 25-pounds.
Working Environment:
  • Work in an office, where the climate is controlled.
  • OSHA exposure category: II
  • Category I – Position includes tasks that involve exposure to Blood borne Pathogens.
  • Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
  • Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.
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About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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