Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Competitive compensation packages Medical, dental, vision, and company-paid life insurance 401(k) ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Merced, CA · On-site
$107K - $140K/yr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Merced, CA · On-site
$107K - $140K/yr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Merced, CA · On-site
$107K - $140K/yr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Merced, CA · On-site
$107K - $140K/yr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Merced, CA · On-site
$107K - $140K/yr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Director of Rehabilitation
Merced, CA · On-site
$107K - $140K/yr
... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Pharmacist - $69-110 per hour
Modesto, CA · On-site
$69 - $110/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 ...
Pharmacist - $69-110 per hour
Modesto, CA · On-site
$69 - $110/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 ...
Pharmacist
Modesto, CA · On-site
$68.58 - $109.71/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 ...
Pharmacist
Modesto, CA · On-site
$68.58 - $109.71/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 ...
Pharmacist
Modesto, CA · On-site
$61.50 - $73.75/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 ...
Pharmacist
Modesto, CA · On-site
$61.50 - $73.75/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 ...
Pharmacist
Modesto, CA · On-site
$61.50 - $73.75/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 ...
Pharmacist
Modesto, CA · On-site
$61.50 - $73.75/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 ...
PSYCHIATRIST MD/DO
Merced, CA · On-site
$300K - $370K/yr
... utilization reviews; and remaining available for emergency consultations. * Improves staff ... Vision insurance Medical specialties: Psychiatry, Geriatrics Work Location: In person
Quick apply
PSYCHIATRIST MD/DO
Merced, CA · On-site
$300K - $370K/yr
... utilization reviews; and remaining available for emergency consultations. * Improves staff ... Vision insurance Medical specialties: Psychiatry, Geriatrics Work Location: In person
PSYCHIATRIST MD/DO
Merced, CA · On-site
$300K - $370K/yr
... utilization reviews; and remaining available for emergency consultations. * Improves staff ... Vision insurance Medical specialties: Psychiatry, Geriatrics Work Location: In person Salary ...
PSYCHIATRIST MD/DO
Merced, CA · On-site
$300K - $370K/yr
... utilization reviews; and remaining available for emergency consultations. * Improves staff ... Vision insurance Medical specialties: Psychiatry, Geriatrics Work Location: In person Salary ...
PSYCHIATRIST MD/DO
Merced, CA · On-site
$300K - $370K/yr
... utilization reviews; and remaining available for emergency consultations. * Improves staff ... Vision insurance Medical specialties: Psychiatry, Geriatrics Work Location: In person
PSYCHIATRIST MD/DO
Merced, CA · On-site
$300K - $370K/yr
... utilization reviews; and remaining available for emergency consultations. * Improves staff ... Vision insurance Medical specialties: Psychiatry, Geriatrics Work Location: In person
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 ...
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 ...
Clinic Physician - Endocrinologist
Merced, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Endocrinologist
Merced, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Quick apply
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Endocrinologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Endocrinologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Clinic Physician - Gastroenterologist
Livingston, CA · On-site
$250K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Malpractice insurance * Generous paid time off * 401(k) plan with employer matching * CME paid week ...
Physician - Primary Care Clinic
Gustine, CA · On-site
$300K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Life insurance * Loan forgiveness * Malpractice insurance * Paid time off * Professional ...
Physician - Primary Care Clinic
Gustine, CA · On-site
$300K - $350K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Life insurance * Loan forgiveness * Malpractice insurance * Paid time off * Professional ...
Physician - Pediatrics for Primary Care Clinic
Gustine, CA · On-site
$280K - $300K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Life insurance * Loan forgiveness * Malpractice insurance * Paid time off * Professional ...
Physician - Pediatrics for Primary Care Clinic
Gustine, CA · On-site
$280K - $300K/yr
... participating in utilization reviews; and remaining available for emergency consultations ... Life insurance * Loan forgiveness * Malpractice insurance * Paid time off * Professional ...
Insurance Utilization Review information
See Modesto, CA salary details
$22.57 - $27.14
2% of jobs
$27.14 - $31.70
9% of jobs
$34.82 is the 25th percentile. Wages below this are outliers.
$31.70 - $36.27
21% of jobs
The median wage is $39.96 / hr.
$36.27 - $40.83
23% of jobs
$40.83 - $45.40
13% of jobs
$48.95 is the 75th percentile. Wages above this are outliers.
$45.40 - $49.96
10% of jobs
$49.96 - $54.53
8% of jobs
$54.53 - $59.09
5% of jobs
$59.09 - $63.66
5% of jobs
$63.66 - $68.22
2% of jobs
$68.22 - $72.79
2% of jobs
$22
$44
$72
How much do insurance utilization review jobs pay per hour?
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 insurance utilization review?
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?
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.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 10 days ago
Reliant Rehabilitation rating
6.3
Based on 45 frontline employees who took The Breakroom Quiz
668th of 887 rated healthcare providers
Job description
#LI-JM1
Open to PT, OT, COTA or SLP
Open to H1B Transfer
Why Join Reliant Rehabilitation?
Joining Reliant means becoming part of a team that makes a real difference in the lives of patients and residents across a variety of care communities. As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical support, professional development, and growth opportunities.
Our leadership team began their careers as therapists, and we take pride in promoting from within. You'll be supported by a dedicated clinical team that provides ongoing training, proven protocols, and hands-on guidance - ensuring therapy is delivered effectively for patients and in full compliance to support our partners.
With operations in 44 states and more than 900 communities nationwide, Reliant can match your location, schedule, and career goals, wherever your path leads.
What We Offer:
Competitive compensation packages
Medical, dental, vision, and company-paid life insurance
401(k) with employer match
PTO Share and Buy-Back Programs
Maternity and Paternity support program
Continuing education, mentorship programs and clinical leadership development
Tuition loan repayment assistance Program
Flexible scheduling options
ResponsibilitiesPosition Summary:
The Director of Rehabilitation (DOR) is responsible for leading and managing the rehabilitation department to ensure resident care needs are met while aligning with the company's financial goals and regulatory requirements. Through effective leadership and strategic oversight of staff, clients, and referral sources, the DOR drives excellence in patient care, employee engagement, customer service, and financial performance. This role upholds professional standards and fosters positive relationships with facility staff and clients, representing Reliant Rehabilitation's commitment to quality and service.
Key Responsibilities:
Assign patient scheduling and delegate departmental responsibilities to staff as needed
Supervise, train, evaluate, and support team members to enhance performance and maintain high standards of care, in collaboration with the Regional Director of Operations and Human Resources
Participate in the recruitment and interview process for departmental staff
Ensure compliance with Reliant Rehabilitation and facility-specific policies and procedures
Oversee documentation practices to ensure accuracy, clarity, compliance with payer requirements, and a comprehensive reflection of patient status and outcomes
Promote collaboration and effective communication across departments to support team cohesion and operational efficiency
Maintain open communication with facility administration regarding departmental goals, initiatives, risks, and achievements
Represent Reliant Rehabilitation's therapy services to the public and medical community
Participate in interdisciplinary meetings including utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning
Monitor and manage departmental revenue and expenses to meet budgetary targets
Establish and implement departmental goals and strategies to drive success
Ensure timely and accurate completion of MDS reporting and billing documentation
Foster professional growth through collaboration, self-study, and continuing education
Maintain a valid state license (as applicable) and stay informed on industry trends and regulatory changes
Provide or oversee therapy services as needed, including resident screenings, evaluations, treatments, and documentation in accordance with state and federal guidelines
Maintaining confidentiality as appropriate and ensuring compliance with the state practice act in the state(s) where you are licensed.
QualificationsQualifications/Licenses:
Must hold a degree in Physical Therapy, Occupational Therapy, or Speech-Language Pathology from an accredited institution; OR For Rehab Technicians: a high school diploma, GED, or equivalent is required
(2) years of experience as a Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy Assistant, Speech-Language Pathologist, or Rehab Tech.
Must possess a current and active license in one of the following disciplines, if serving as a therapist: Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy Assistant, or Speech-Language Pathologist
Please note rate range is an estimate and may vary based on skill set and location(s).
Employment Type: FULL_TIMEWhat Reliant Rehabilitation employees say
Pay
Benefits
Hours and flexibility
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