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Entry Level Utilization Review Nurse Jobs in Riverside, CA

Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...

Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

Develop professional working relationships with payer representatives and utilization review nurses. * Respond to requests for additional information. * Participate in peer-to-peer review ...

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

Develop professional working relationships with payer representatives and utilization review nurses. * Respond to requests for additional information. * Participate in peer-to-peer review ...

Inpatient Case Manager

Perris, CA · On-site

$49.83 - $63.20/hr

Utilization Management * Conducts medical necessity review for appropriate utilization of services ... Graduate of an accredited program required for RN. * BSN preferred or MSW/BSW with licensure as ...

Case Manager*

Loma Linda, CA · On-site

$68.03 - $91.49/hr

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 ...

The LVN Lead Care Manager will play a vital role in coordinating patient care across healthcare ... utilization reviews to ensure appropriate levels of care Educate patients and families on treatment ...

Case Manager

Loma Linda, CA · On-site

$59.18 - $79.60/hr

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 ...

Case Manager

Loma Linda, CA · On-site

$20.50 - $26.50/hr

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 ...

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 ...

Case Manager

Loma Linda, CA · On-site

$20.50 - $26.50/hr

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 ...

Showing results 41-60

Entry Level Utilization Review Nurse information

See Riverside, CA salary details

$22

$44

$71

How much do entry level utilization review nurse jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for entry level utilization review nurse 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 is an entry level utilization review nurse?

An Entry Level Utilization Review Nurse is a registered nurse (RN) who is new to the field of utilization review. Their main responsibilities include assessing medical records, ensuring that patients receive appropriate and necessary care, and verifying that health services are delivered according to established guidelines and insurance requirements. They typically work for hospitals, insurance companies, or managed care organizations and collaborate with healthcare providers to support quality patient outcomes while managing costs. This role often serves as a stepping stone to more advanced positions in healthcare administration or case management.

What are the key skills and qualifications needed to thrive as an entry level utilization review nurse, and why are they important?

To thrive as an Entry Level Utilization Review Nurse, you need a registered nurse (RN) license, knowledge of clinical guidelines, and an understanding of healthcare regulations. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) are often beneficial. Strong analytical thinking, attention to detail, and effective communication skills help you review cases accurately and collaborate with providers. These skills ensure appropriate care decisions, compliance with payer requirements, and optimal patient outcomes.

What are some common challenges faced by entry level utilization review nurses, and how can they overcome them?

Entry level Utilization Review Nurses often encounter challenges such as adapting to complex insurance policies, learning to review medical records efficiently, and communicating effectively with physicians and case managers. To overcome these challenges, new nurses should seek mentorship from experienced colleagues, participate in ongoing training sessions, and familiarize themselves with the organization's review protocols and documentation systems. Building strong communication skills and staying up to date with regulatory changes will also help in navigating the learning curve and ensuring successful case reviews.

What is the difference between Entry Level Utilization Review Nurse vs Utilization Review Nurse?

AspectEntry Level Utilization Review NurseUtilization Review Nurse
CredentialsRN license, possibly some certificationRN license, often with additional certifications
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare organizations
Job ResponsibilitiesAssist in reviewing patient cases, gather data, support senior staffEvaluate medical necessity, review patient records, make coverage decisions

The Entry Level Utilization Review Nurse typically supports the more experienced Utilization Review Nurse by gathering information and assisting in case reviews. Both roles require an RN license and work within healthcare or insurance settings, but the entry-level position involves more support tasks, while the Utilization Review Nurse makes critical coverage decisions.

What are popular job titles related to Entry Level Utilization Review Nurse jobs in Riverside, CA?

For Entry Level Utilization Review Nurse jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Entry Level Utilization Review Nurse jobs in Riverside, CA look for?

The top searched job categories for Entry Level Utilization Review Nurse jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Entry Level Utilization Review Nurse jobs?

Cities near Riverside, CA with the most Entry Level Utilization Review Nurse job openings:

Infographic showing various Entry Level Utilization Review Nurse job openings in Riverside, CA as of August 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $91,752 per year, or $44.1 per hour.

CASE MANAGER (RN/LIC) - Full Time

UHS

Wildomar, CA

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

495th of 887 rated healthcare providers


Job description

Responsibilities

Southwest Healthcare Inland Valley Hospital in Wildomar, California, is a licensed 122-bed facility accredited by the Joint Commission. It is Southwest Riverside County's only designated Trauma Center and a county-designated Paramedic Base Station. The hospital performs more than 4,000 surgeries a year, and has an average of 4,000 Emergency Department visits per month. The hospital features a Bariatric Weight-Loss Surgery Center of Excellence and the region’s only Total Joint Center.

Southwest Healthcare Rancho Springs Hospital in Murrieta, California, is a 120 bed acute-care hospital with the region's only Pediatric Emergency Services team (for children 14 and under) provided by board certified Rady Children’s emergency medicine physicians. Rancho Springs Hospital also provides the area's only OB/Emergency Department program, which gives expectant mothers 24/7 on-site access to OB/GYN physician coverage. The Childbirth Center at Rancho Springs Hospital is the largest in the region and features spacious family-friendly private suites. Rancho's Neonatal Intensive Care Unit (NICU) is operated by Rady Children’s.

Case Managers are responsible for identifing and prioritizing the need for further assessment based on the patient’s clinical presentation/diagnosis, care setting, desire for care and responses to any previous care. Initiates discharge planning for each patient upon admission as appropriate. Demonstrates sound judgment and effective decision making in following the nursing process. Case Managers will also practice in accordance with all regulatory, professional, legal and hospital policies as well as consistently demonstrate behaviors that model the Southwest Healthcare Rancho Springs and Inland Valley Hospitals’ Core Values and the hospitals mission statement.

Employees may be required to float to the other facility within Southwest Health Rancho Springs and Inland Valley Hospital based on operational needs, with appropriate orientation and competency validation provided.


Qualifications

Minimum three (3) years of acute care clinical experience.

Two (2) years’ experience clinical Case Management or Utilization Review preferred
Completion of an accredited Registered Nursing program.


REQUIRED LICENSURE / CERTIFICATIONS

Current California Registered Nurse license
CCM and/or CPUR certification preferred

BENEFIT HIGHLIGHTS

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries! 

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient facilities and ambulatory care access points in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Qualifications:

Minimum three (3) years of acute care clinical experience.

Two (2) years’ experience clinical Case Management or Utilization Review preferred
Completion of an accredited Registered Nursing program.


REQUIRED LICENSURE / CERTIFICATIONS

Current California Registered Nurse license
CCM and/or CPUR certification preferred

BENEFIT HIGHLIGHTS

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries! 

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient facilities and ambulatory care access points in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US