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Lvn Utilization Review Jobs in Riverside, CA (NOW HIRING)

Medix

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete ... Active and unencumbered California RN or LVN License. * Strongly prefer 5+ years of concurrent ...

Sowing Seeds Health Inc

LVN Lead Care Manager

Irvine, CA · On-site

$35/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization reviews to ensure appropriate levels of care Educate patients and families on treatment ... LVN license in California Minimum of 2 years of clinical nursing experience, with at least 1 year ...

La Casa Health Care

Licensed Vocational Nurse - LVN

Perris, CA

$30 - $31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Licensed Vocational Nurse - LVN ID: LC-1094 Location: Perris Discipline: Licensed Vocational Nurse (LVN) Salary Range: $30.00 - $31.00 / hr Time of Shift: AM, Mid-Day, PM Job Status: Full Time Days:

La Casa Health Care

Licensed Vocational Nurse - LVN

Orange, CA

$30 - $31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Licensed Vocational Nurse - LVN ID: LC-1097 Location: Orange Discipline: Licensed Vocational Nurse (LVN) Salary Range: $30.00 - $31.00 / hr Time of Shift: AM, Mid-Day, PM Job Status: Full Time Days:

La Casa Health Care

Licensed Vocational Nurse - LVN

Corona, CA

$30 - $31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Licensed Vocational Nurse - LVN ID: LC-1107 Location: Corona Discipline: Licensed Vocational Nurse (LVN) Salary Range: $30.00 - $31.00 / hr Time of Shift: AM, Mid-Day, PM Job Status: Full Time Days:

La Casa Health Care

Licensed Vocational Nurse - LVN

Anaheim, CA

$30 - $31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Licensed Vocational Nurse - LVN ID: LC-1014 Location: Anaheim Discipline: Licensed Vocational Nurse (LVN) Salary Range: $30.00 - $31.00 / hr Time of Shift: AM, Mid-Day, PM Job Status: Full Time Days:

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Showing results 21-40

All JobsLvn Utilization Review JobsLvn Utilization Review Jobs in Riverside, CA

Lvn Utilization Review information

See Riverside, CA salary details

$17

$33

$50

How much do lvn utilization review jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for lvn utilization review in Riverside, CA is $33.23, according to ZipRecruiter salary data. Most workers in this role earn between $27.60 and $37.12 per hour, depending on experience, location, and employer.

What is an LVN Utilization Review?

LVN Utilization Review nurses are Licensed Vocational Nurses who specialize in evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and help ensure that treatments meet established guidelines and insurance requirements. By assessing the quality and cost-effectiveness of care, they play a vital role in managing healthcare resources and supporting patient advocacy.

What are some common challenges faced by LVNs in Utilization Review positions, and how can they be managed?

LVNs in Utilization Review often encounter challenges such as balancing clinical knowledge with administrative tasks, adapting to evolving insurance guidelines, and managing high caseloads. Navigating frequent policy updates and documentation requirements can be demanding, but staying organized and proactively communicating with healthcare teams helps maintain efficiency. Utilizing available training resources and collaborating closely with RNs, physicians, and insurance representatives can also ease the transition and support professional growth in the role.

What is the difference between Lvn Utilization Review vs Lvn Case Manager?

AspectLvn Utilization ReviewLvn Case Manager
CertificationsLicensed Vocational Nurse (LVN)Licensed Vocational Nurse (LVN)
Work EnvironmentReviewing medical records, insurance, and treatment plans in office or hospital settingsCoordinating patient care, communicating with providers and families, often in clinical or home settings
Employer & IndustryInsurance companies, healthcare facilities, utilization review organizations

While both roles require LVN licensure, Lvn Utilization Review focuses on evaluating medical necessity and reviewing records, whereas Lvn Case Managers actively coordinate patient care and support treatment plans. The roles differ mainly in daily responsibilities but share similar credentials and work environments.

What are the key skills and qualifications needed to thrive as an LVN Utilization Review nurse?

To thrive as an LVN Utilization Review nurse, you need a strong clinical background, current LVN licensure, and knowledge of medical terminology and care standards. Familiarity with utilization management software, electronic health records (EHRs), and insurance guidelines is typically required. Strong analytical skills, attention to detail, and effective communication are vital soft skills for collaborating with healthcare teams and ensuring accurate reviews. These skills ensure that patient care is both appropriate and cost-effective while maintaining compliance with regulatory and payer requirements.

What are popular job titles related to Lvn Utilization Review jobs in Riverside, CA?

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

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

The top searched job categories for Lvn Utilization Review jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Lvn Utilization Review jobs?

Cities near Riverside, CA with the most Lvn Utilization Review job openings:

Lvn Utilization Review jobs near you
Infographic showing various Lvn Utilization Review job openings in Riverside, CA as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $69,109 per year, or $33.2 per hour.

Utilization Review Nurse

Medix

Orange, CA • On-site

$38 - $53/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 7 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Utilization Review Nurse responsible for managing the complete Utilization Management (UM) process, from admission through discharge planning. The primary goal is to conduct daily inpatient reviews, concurrent reviews, discharge planning, and coordinating care for DME, Home Health, and Skilled Nursing Facility (SNF) placements.
Responsibilities / Job Duties
  • Manage the beginning-to-end Utilization Management (UM) process through Discharge Planning.
  • Conduct daily inpatient review, concurrent review, discharge planning, and coordinate care for DME, Home Health, and SNF placements.
  • Utilize MCG criteria for clinical reviews and write formal denial letters.
  • Apply LCD/NCD to pre-service authorizations when determining appropriate clinical tiers.
  • Communicate confidently and effectively with Medical Directors, physicians, and hospital counterparts.
  • Provide clear, concise clinical case reports during daily multidisciplinary rounds.

Minimum Education and Experience Qualification Requirements
Qualifications
  • Active and unencumbered California RN or LVN License.
  • Strongly prefer 5+ years of concurrent Inpatient UM experience.
  • 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.
  • Experience in handling complex discharge planning, writing denial letters, and applying Medicare guidelines for SNF and ARU.
  • Proficiency with standard digital workspace tools (Microsoft Excel, Word, and PDFs).

Skills
  • Proficiency with MCG criteria and guidelines.
  • Effective communication with medical staff and hospital counterparts.
  • Technical skills with software tools such as Microsoft Excel, Word, and PDFs.

Schedule / Shift
Standard Shift: 8:00 AM - 5:00 PM PST, Monday through Friday, including a 1-hour lunch break, a morning break, and an afternoon break.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient's residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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