Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent communication and negotiation skills. * Ability to work independently and manage multiple priorities.
Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent communication and negotiation skills. * Ability to work independently and manage multiple priorities.
Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent communication and negotiation skills. * Ability to work independently and manage multiple priorities.
Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent communication and negotiation skills. * Ability to work independently and manage multiple priorities.
Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent communication and negotiation skills. * Ability to work independently and manage multiple priorities.
Quick apply
Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent communication and negotiation skills. * Ability to work independently and manage multiple priorities.
Case Manager
$20.25 - $26/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.25 - $26/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
LVN Discharge Planner
Ontario, CA · On-site
$25 - $28/hr
Under the direction of the Inpatient Review Nurse Manager and Supervisor, the incumbent will work ... utilization review, including, but not limited to Member specific needs for daily review in ...
LVN Discharge Planner
Ontario, CA · On-site
$25 - $28/hr
Under the direction of the Inpatient Review Nurse Manager and Supervisor, the incumbent will work ... utilization review, including, but not limited to Member specific needs for daily review in ...
Case Manager*
Murrieta, CA · On-site
$68.03 - $91.49/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager*
Murrieta, CA · On-site
$68.03 - $91.49/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Murrieta, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Murrieta, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager*
$20.50 - $26.25/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager*
$20.50 - $26.25/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Murrieta, CA · On-site
$20.50 - $26.25/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Murrieta, CA · On-site
$20.50 - $26.25/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Murrieta, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Murrieta, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.25 - $26/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.25 - $26/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.50 - $26.25/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.50 - $26.25/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager
Loma Linda, CA · On-site
$20.50 - $26.50/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager*
Murrieta, CA · On-site
$20.25 - $26/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Case Manager*
Murrieta, CA · On-site
$20.25 - $26/hr
Minimum two years of case management, utilization review, or discharge planning experience in acute care environment preferred. Knowledge and Skills: Basic knowledge of case and utilization ...
Manager Optum Utilization Review information
See Riverside, CA salary details
$40.7K - $52.9K
9% of jobs
$61.9K is the 25th percentile. Wages below this are outliers.
$52.9K - $65.1K
22% of jobs
$65.1K - $77.2K
11% of jobs
The median wage is $84.7K / yr.
$77.2K - $89.4K
14% of jobs
$89.4K - $101.6K
12% of jobs
$109.2K is the 75th percentile. Wages above this are outliers.
$101.6K - $113.8K
13% of jobs
$113.8K - $126K
13% of jobs
$126K - $138.2K
5% of jobs
$138.2K - $150.4K
2% of jobs
$150.4K - $162.6K
0% of jobs
$162.6K - $174.7K
0% of jobs
$40.7K
$94.9K
$174.7K
How much do manager optum utilization review jobs pay per year?
As of Jul 18, 2026, the average yearly pay for manager optum utilization review in Riverside, CA is $94,949.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,100.00 and $114,200.00 per year, depending on experience, location, and employer.
What does a Manager of Optum Utilization Review do?
A Manager of Optum Utilization Review oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that all reviews comply with regulatory standards, company policies, and clinical guidelines. Managers also collaborate with healthcare providers, monitor team performance, and help implement process improvements to optimize patient outcomes and resource use. Their role is vital in balancing quality patient care with cost-effective service delivery.
What are the key skills and qualifications needed to thrive as a Manager, Optum Utilization Review, and why are they important?
To thrive as a Manager, Optum Utilization Review, you need a background in healthcare management, clinical expertise (often as an RN or related field), and experience with utilization management processes. Familiarity with utilization review software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) or URAC accreditation is typically required. Strong leadership, analytical thinking, and effective communication skills help you guide teams and collaborate with providers and payers. These competencies are crucial for ensuring compliance, optimizing patient care, and achieving organizational goals in a complex healthcare environment.
How does a Manager in Optum Utilization Review typically collaborate with clinical and non-clinical teams to ensure effective case management?
As a Manager in Optum Utilization Review, you will regularly coordinate with clinical teams such as nurses, physicians, and case managers to review patient cases for medical necessity and compliance with policies. You’ll also work closely with non-clinical staff, including data analysts and administrative professionals, to streamline workflows and support accurate documentation. Effective collaboration ensures timely decision-making, helps resolve escalated cases, and supports continuous quality improvement initiatives. This role often requires strong communication and leadership skills to align multidisciplinary teams and achieve organizational goals.
What is the difference between Manager Optum Utilization Review vs Utilization Review Nurse?
| Aspect | Manager Optum Utilization Review | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certifications in case management or utilization review | Registered Nurse (RN) license, certifications in case management or utilization review |
| Work Environment | Supervises teams, manages review processes, collaborates with healthcare providers | Conducts patient reviews, assesses medical necessity, documents findings |
| Employer & Industry Usage | Common in health insurance companies, managed care organizations, healthcare providers | Primarily in hospitals, insurance companies, healthcare organizations |
The main difference is that the Manager Optum Utilization Review oversees the review process and team management, while the Utilization Review Nurse focuses on conducting individual patient assessments and reviews. Both roles require nursing credentials and knowledge of healthcare policies, but the manager has additional responsibilities in leadership and process oversight.
What are popular job titles related to Manager Optum Utilization Review jobs in Riverside, CA? For Manager Optum Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Manager Optum Utilization Review jobs in Riverside, CA look for? The top searched job categories for Manager Optum Utilization Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Manager Optum Utilization Review jobs? Cities near Riverside, CA with the most Manager Optum Utilization Review job openings:
$2.4K/wk
Other
Medical, Dental, Vision, Retirement
Re-posted 6 days ago
Job description
Registered Nurse (RN) – Case Manager - Travel Position (with $7,500 Completion Bonus)
Location:Â Irvine, CA
Job Type:Â Travel Contract
Duration:Â 13 weeks
Shift:Â 5x8 Days
Pay: $2,484/week (plus $2,500 completion bonus per contract, up to $7,500 after three contracts)Â
Job Summary:
The RN Case Manager coordinates patient care across the continuum, ensuring safe, efficient, and cost-effective services. This role involves assessing patient needs, developing care plans, facilitating transitions, and collaborating with healthcare providers, payers, and community resources to optimize outcomes.
Key Responsibilities:
- Conduct comprehensive assessments of patients’ medical, psychosocial, and discharge needs.
- Develop individualized care plans in collaboration with the healthcare team.
- Coordinate services including home health, rehabilitation, and community resources.
- Monitor patient progress and adjust care plans as needed.
- Facilitate communication between patients, families, providers, and insurance companies.
- Ensure compliance with regulatory requirements and documentation standards.
- Advocate for patients to ensure quality care and resource utilization.
- Educate patients and families on care plans, discharge instructions, and available resources.
Qualifications:
- Education: Graduate of an accredited nursing program (Associate or Bachelor’s degree in Nursing).
- Licensure: Current RN license in [State].
- Certifications:
- Basic Life Support (BLS) – Required
- Case Management Certification (CCM or ACM) – Preferred
- Experience:
- Minimum 2 years of clinical nursing experience; prior case management or discharge planning experience preferred.
Skills & Competencies:
- Strong knowledge of care coordination, discharge planning, and utilization review.
- Excellent communication and negotiation skills.
- Ability to work independently and manage multiple priorities.
- Proficiency in electronic health records and case management software.
Physical Requirements:
- Ability to sit, stand, and walk for extended periods.
- Manual dexterity for documentation and computer use.
Benefits:
- Weekly pay with competitive rates
- Health, dental, and vision insurance
- 401(k) retirement plan with company match
- Referral bonuses for referring talented professionals into our network
- Flexible schedules and personalized career support
About ATC Healthcare
ATC Healthcare has been a leader in healthcare staffing for nearly 40 years, offering personalized placement and support to healthcare professionals nationwide. With over 60 locations, we are committed to connecting skilled nurses, therapists, and clinicians with rewarding career opportunities.
Other Duties: Please note this job summary is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may vary by assignment and may change at any time with or without notice.
Reference: 3155011