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Insurance Utilization Review Jobs in Modesto, CA

Nexus HR Services

Physical Therapist

Manteca, CA

$80K - $95K/yr

Company-paid life insurance and long-term disability * 401(k) plan * Up to $20,000 for relocation ... Attend facility meetings as directed by the Center Manager, including utilization review and ...

Nexus HR Services

​Physical Therapist

Tracy, CA

$80K - $95K/yr

Company-paid life insurance and long-term disability * 401(k) plan * Up to $20,000 for relocation ... Attend facility meetings as directed by the Center Manager, including utilization review and ...

Nexus HR

Physical Therapist

Manteca, CA · On-site

$80K - $95K/yr

Company-paid life insurance and long-term disability * 401(k) plan * Up to $20,000 for relocation ... Attend facility meetings as directed by the Center Manager, including utilization review and ...

Nexus HR Services

Physical Therapist

Tracy, CA · On-site

$80K - $95K/yr

Company-paid life insurance and long-term disability * 401(k) plan * Up to $20,000 for relocation ... Attend facility meetings as directed by the Center Manager, including utilization review and ...

Nexus HR Services

Physical Therapist

Manteca, CA

$80K - $95K/yr

Company-paid life insurance and long-term disability * 401(k) plan * Up to $20,000 for relocation ... Attend facility meetings as directed by the Center Manager, including utilization review and ...

Nexus HR

Physical Therapist

Tracy, CA · On-site

$80K - $95K/yr

Company-paid life insurance and long-term disability * 401(k) plan * Up to $20,000 for relocation ... Attend facility meetings as directed by the Center Manager, including utilization review and ...

Tenet North Cal

Pharmacist

Modesto, CA · On-site

$60.75 - $73/hr

Additional benefits life insurance, supplemental health protection plans, auto and home insurance ... May also advise physicians on medication utilization. Review and monitor patient's medication ...

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Insurance Utilization Review information

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How much do insurance utilization review jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for insurance utilization review in Modesto, CA is $44.61, according to ZipRecruiter salary data. Most workers in this role earn between $35.24 and $51.25 per hour, depending on experience, location, and employer.

What are the most common challenges faced by Insurance Utilization Review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an Insurance Utilization Review job?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are popular job titles related to Insurance Utilization Review jobs in Modesto, CA? For Insurance Utilization Review jobs in Modesto, CA, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Modesto, CA look for? The top searched job categories for Insurance Utilization Review jobs in Modesto, CA are:
What cities near Modesto, CA are hiring for Insurance Utilization Review jobs? Cities near Modesto, CA with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Modesto, CA as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 26% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $92,784 per year, or $44.6 per hour.
Physical Therapist

Physical Therapist

Nexus HR Services

Manteca, CA

$80K - $95K/yr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 3 days ago

Job description

Physical Therapist - Manteca, CA

Locations available: Arizona, California Bay Area, California Central Valley, California Sacramento, New Mexico

Compensation:  $80k to $95k per year, depending on experience/location

Benefits:

  • Medical, Vision, Dental

  • Flexible Spending Account (FSA).

  • Dependent care assistance.

  • Company-paid life insurance and long-term disability

  • 401(k) plan

  • Up to $20,000 for relocation, sign-on bonuses, and/or student loan assistance

Overview: Nexus HR is looking for an experienced Physical Therapist for a reputable clinic in for a reputable rehabilitation facility with locations in the following states: New Mexico, Arizona, California, Washington, Alaska, and Texas. 

About the Job

The ideal candidate will provide high-quality physical therapy services with minimal supervision, develop individualized treatment plans, supervise staff, and contribute to case management. The role emphasizes positive interactions with facilities and clients, fostering strong professional relationships to enhance patient care. If you're passionate about delivering exceptional therapy services, we encourage you to apply.

Duties and Responsibilities:

  • Adhere to state Practice Act laws governing Physical Therapists and supervision of staff.

  • Review and comply with the Clinical Operations Policies and Procedures Manual annually.

  • Complete all required Medicare compliance and OSHA training each year.

  • Evaluate, treat, and direct skilled treatment for patients needing physical therapy; document medical necessity clearly.

  • Maintain ongoing documentation of goals, progress, and medical necessity, ensuring timely completion of all required forms (e.g., pre-certifications, daily notes).

  • Communicate effectively with co-workers, physicians, patients, and third-party payers.

  • Attend facility meetings as directed by the Center Manager, including utilization review and disaster preparedness.

  • Complete continuing education courses to meet state licensure requirements.

  • Maintain current CPR certification.

Qualifications:

  • Graduate of Physical Therapy programs in the US

  • Graduates from non-CAPTE programs with equivalent education are welcome to apply

  • Current state licensure/registration as a physical therapist.

  • Strong leadership skills to supervise assistants and aides effectively.

  • Excellent organizational, time management, and clinical problem-solving abilities.

  • Effective oral and written communication skills.

  • Proficient in clinical documentation and management reporting.

  • Fine motor skills for accurate writing and handling of therapeutic equipment.

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