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Director Of Utilization Review Jobs in Riverside, CA

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 ...

UHS

Case Manager - FT Days

Riverside, CA · On-site

$44.74 - $64.88/hr

Under the general direction of the Director of Utilization Management, the Population Health RN ... review, clinical review plan approvals, discharge planning, and transitional case management ...

Qcells

Director of EPC Warranties

Irvine, CA · On-site +1

Reviews and analyzes contract records to advice technical and Commercial SMEs to determine ... Ensures accurate utilization of approved systems for document control and updates of war- ranty ...

Qcells

Director of EPC Warranties

Irvine, CA · On-site

Reviews and analyzes contract records to advice technical and Commercial SMEs to determine ... Ensures accurate utilization of approved systems for document control and updates of war- ranty ...

UHS

Director of Radiology

Riverside, CA · On-site

$117K - $169K/yr

... utilization, patient wait time, add-on capacity, no-show rates, and quality outcomes). • ... review support, contrast safety, and critical results communication standards. • Oversee ...

UHS

Director of Radiology

Riverside, CA · On-site

Establish and monitor productivity and access metrics (e.g., turnaround time, utilization, patient ... peer review support, contrast safety, and critical results communication standards. Oversee ...

UHS

Director of Radiology

Riverside, CA

Establish and monitor productivity and access metrics (e.g., turnaround time, utilization, patient ... peer review support, contrast safety, and critical results communication standards. Oversee ...

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Director Of Utilization Review information

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$44

$71

How much do director of utilization review jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for director of utilization review in Riverside, CA is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.

What are some common challenges faced by a Director of Utilization Review, and how can they be addressed?

Directors of Utilization Review often encounter challenges such as balancing regulatory compliance with operational efficiency, managing diverse teams, and ensuring consistent application of utilization management criteria. Addressing these challenges typically involves staying up to date with changing healthcare regulations, fostering open communication within multidisciplinary teams, and implementing robust training programs. Leveraging data analytics tools can also help streamline review processes and improve decision-making, which supports both patient care quality and organizational goals.

What is a Director of Utilization Review?

A Director of Utilization Review is a healthcare management professional responsible for overseeing the utilization review process in hospitals or healthcare organizations. This role ensures that medical services provided to patients are necessary, appropriate, and efficient, while also complying with regulatory and insurance requirements. The Director supervises a team, manages policies, analyzes data, and collaborates with medical staff to optimize patient care and resource use. They play a key role in balancing quality care with cost-effective practices.

What is the difference between Director Of Utilization Review vs Utilization Review Nurse?

AspectDirector Of Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a registered nurse (RN) license, often with management experienceRequires an RN license and clinical experience
Work EnvironmentOversees utilization review teams, manages policies, and collaborates with healthcare providersPerforms clinical reviews, assesses patient records, and makes utilization decisions
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, clinics, insurance companies

The main difference is that the Director Of Utilization Review manages teams and policies, focusing on strategic oversight, while the Utilization Review Nurse conducts clinical assessments and reviews patient cases. Both roles require nursing credentials but differ in scope and responsibilities.

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

To thrive as a Director of Utilization Review, you need strong clinical expertise, analytical skills, and an advanced degree in nursing or a related healthcare field—often with RN licensure and significant case management experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory standards like CMS and Joint Commission are typically required. Leadership, effective communication, and critical thinking are vital soft skills for overseeing teams and collaborating with healthcare providers. These skills and qualifications ensure efficient resource use, regulatory compliance, and optimal patient care outcomes.
What are popular job titles related to Director Of Utilization Review jobs in Riverside, CA? For Director Of Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Director Of Utilization Review jobs in Riverside, CA look for? The top searched job categories for Director Of Utilization Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Director Of Utilization Review jobs? Cities near Riverside, CA with the most Director Of Utilization Review job openings:
Director Of Utilization Review jobs near you
Infographic showing various Director Of Utilization Review job openings in Riverside, CA as of June 2026, with employment types broken down into 19% Full Time, and 81% Part Time. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $91,752 per year, or $44.1 per hour.

Clinical Director

Discovery Behavioral Health

Orange, CA • On-site

$100K - $120K/yr

Full-time

Posted 28 days ago

Discovery Behavioral Health rating

5.8

Company rating: 5.8 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

145th of 239 rated social care providers

Job description

Discovery Mood & Anxiety
Discovery Mood and Anxiety Program is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with mental health and places a high priority on seeking employees who share our passion for improving the lives we serve.
Since 1997, Discovery Mood and Anxiety Programs, DBH's Mental Health Disorder Division, has helped thousands of patients discover their path to the full and rewarding lives they deserve with evidence-based and inclusive treatment options.
Position Summary:
The Clinical Director works in a dynamic multidisciplinary team providing treatment services according to the Center for Discovery Clinical Model. Clinical Director responsibilities include ensuring patient safety, providing milieu interventions, leading psychoeducational and process-oriented therapy groups, facilitating clinical assessments, and clinical supervision and oversight of the program.
Essential Job Functions:
  • Oversee and ensure quality of clinical aspects of the program and takes the initiative to make improvements.
  • Facilitates weekly treatment team meetings to ensure consistent and effective communication, including proper oversight of patient progress and ensures a team approach is being utilized.
  • Assists in admission processes and understands role in ensuring expeditious access to care for those seeking services.
  • Trains all new clinical employees within their scope and coordinates training with clinical team members.
  • Provides support to milieu staff to ensure patients are receiving the highest level of clinical care, at all times.
  • Conducts with the Executive Director all 90-day, annual performance reviews, and growth plans for therapists within the program.
  • Manages clinical employees' schedules to ensure appropriate clinical presence.
  • Provides adequate and ongoing training of facility employees, and sufficient oversight/supervision to ensure that all services are in keeping with the Discovery Mission Statement.
  • Supports in facilitating monthly employee training courses ensuring that all mandated trainings are completed throughout the year.
  • Completes utilization reviews, oversees primary therapist process of utilization review and assists in the process of assuring that all patient stays are authorized (i.e. insurance, private pay, etc.).
  • Maintains a patient caseload as dictated by census and assigns cases based upon the appropriate clinical match with each therapist.
  • Leads or co-leads 3-4 process groups and/or any additional clinically oriented groups every week. Provides oversight of all other groups conducted.
  • Communicates with referral sources and outpatient providers for continuity of care upon admission, midpoint, and discharge, including the use of Discovery Connect.
  • Attends outreach events and supports relationship management in the community
  • Facilitates patient transfers to a higher level of care, as needed.
  • Ensure discharge planning is adequate and complete for all discharging patients.
  • Participates in clinical outreach and facilitates program tours as needed.
  • Facilitates Multi-Family, Family Program and/or Family Weekend.
  • Supervises all therapists within the program and provides clinical consultation, as needed.
  • RTC Only: Provides on-call support to the facility at least 1x per month and communicates with the On-Call Administrator and returns all phone calls within 20 minutes.

Knowledge, Education, and Experience:
  • Master's or Doctorate degree in relevant field, required
  • License, and ability to provide clinical supervision, required
  • Minimum of two years of experience working with eating disorders, required
  • Obtain CPI certification within 90 days of hire
  • Obtain CPR, AED, and First Aid certification within 90 days of hire
  • Obtain ServSafe certification within 90 day of hire
  • Must possess a current driver's license and be in good standing

Employment Status: full time
Schedule: Monday-Friday
Work Location: On Site - Orange, CA
Compensation: Pay Range: $100,000-$120,000
Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.
We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.

What Discovery Behavioral Health employees say

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About Discovery Behavioral Health

Sourced by ZipRecruiter

Discovery Behavioral Health (DBH) is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with eating, mental health, and substance use disorders, and places a high priority on seeking employees who share our passion for improving the lives we serve. Since 1997, Center for Discovery, DBH's eating disorder division, has helped thousands of patients discover their path to the full and rewarding lives they deserve with evidence-based and inclusive treatment options.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Irvine, CA, US

Year founded

1998

Social media

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