Pomona, CA · On-site
$26.69 - $37.55/hr
Three years' experience in patient access, hospital admissions, utilization review, or insurance authorization. Strong communication, critical thinking, and problem-solving skills. Ability to work ...
Pomona, CA · On-site
$26.69 - $37.55/hr
Three years' experience in patient access, hospital admissions, utilization review, or insurance authorization. Strong communication, critical thinking, and problem-solving skills. Ability to work ...
Pomona, CA · On-site
$26.69 - $37.55/hr
Three years' experience in patient access, hospital admissions, utilization review, or insurance authorization. Strong communication, critical thinking, and problem-solving skills. Ability to work ...
Pomona, CA · On-site
$26.69 - $37.55/hr
Three years' experience in patient access, hospital admissions, utilization review, or insurance authorization. Strong communication, critical thinking, and problem-solving skills. Ability to work ...
San Diego, CA · On-site
$35 - $38/hr
Outpatient Primary Therapist Part Time Non-exempt, part time, 20 hours per week Monday 10:30am-6pm ... Utilization Review team to ensure adequate insurance coverage is obtained. * Support clients and ...
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San Diego, CA · On-site
$35 - $38/hr
Outpatient Primary Therapist Part Time Non-exempt, part time, 20 hours per week Monday 10:30am-6pm ... Utilization Review team to ensure adequate insurance coverage is obtained. * Support clients and ...
San Diego, CA · On-site
$35 - $38/hr
Outpatient Primary Therapist Part Time Non-exempt, part time, 20 hours per week Monday 10:30am-6pm ... Utilization Review team to ensure adequate insurance coverage is obtained. * Support clients and ...
San Diego, CA · On-site
$35 - $38/hr
Outpatient Primary Therapist Part Time Non-exempt, part time, 20 hours per week Monday 10:30am-6pm ... Utilization Review team to ensure adequate insurance coverage is obtained. * Support clients and ...
Torrance, CA · On-site
$36.06 - $39.42/hr
Provides utilization reviews to insurance companies, providing appropriate clinical information to ... Must possess a current driver's license and be in good standing Employment Status: Part-Time ...
Torrance, CA · On-site
$36.06 - $39.42/hr
Provides utilization reviews to insurance companies, providing appropriate clinical information to ... Must possess a current driver's license and be in good standing Employment Status: Part-Time ...
Experience and current knowledge of Quality Assurance, Utilization Review, Peer Review and programs ... and Insurance Administrator, Utilization Management staff and Quality Assurance Staff.
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Experience and current knowledge of Quality Assurance, Utilization Review, Peer Review and programs ... and Insurance Administrator, Utilization Management staff and Quality Assurance Staff.
$20.25 - $26.25/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
$20.25 - $26.25/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
Irvine, CA · On-site
$20.50 - $26.50/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
Irvine, CA · On-site
$20.50 - $26.50/hr
Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... Insurance billing requirements. Medical terminology knowledge of ICD-9, CPT-4 and HCPCS coding.
San Leandro, CA · On-site
$64.55 - $81.87/hr
Utilization Management * Conducts medical necessity review for appropriate utilization of services ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
San Leandro, CA · On-site
$64.55 - $81.87/hr
Utilization Management * Conducts medical necessity review for appropriate utilization of services ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
Los Angeles, CA · On-site
$31.88 - $45.66/hr
Interact with hospital departments such as Insurance Verification, Financial Counseling, Utilization Review and Patient Business Services to ensure correct and timely reimbursement Salary Range: $31 ...
Los Angeles, CA · On-site
$31.88 - $45.66/hr
Interact with hospital departments such as Insurance Verification, Financial Counseling, Utilization Review and Patient Business Services to ensure correct and timely reimbursement Salary Range: $31 ...
Sacramento, CA · On-site
$41 - $43.51/hr
Represents the agency at County utilization review; participates in off-site trainings and provides ... California driver's license & current vehicle insurance/registration * Reliable means of ...
Sacramento, CA · On-site
$41 - $43.51/hr
Represents the agency at County utilization review; participates in off-site trainings and provides ... California driver's license & current vehicle insurance/registration * Reliable means of ...
Antioch, CA · On-site
$230K - $240K/yr
Support quality improvement initiatives, utilization review activities, and ongoing patient care ... Flexible Full-Time or Part-Time opportunities available. Monday through Friday schedule. No call ...
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Antioch, CA · On-site
$230K - $240K/yr
Support quality improvement initiatives, utilization review activities, and ongoing patient care ... Flexible Full-Time or Part-Time opportunities available. Monday through Friday schedule. No call ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
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Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Antioch, CA · On-site
$138K - $177K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Antioch, CA · On-site
$138K - $177K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Antioch, CA · On-site
$105K - $129K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Antioch, CA · On-site
$105K - $129K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Antioch, CA · On-site
$138K - $177K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Quick apply
Antioch, CA · On-site
$138K - $177K/yr
Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...
Walnut Creek, CA · On-site
... utilization management (UM) reviews across all levels of care. Key responsibilities include ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...
Walnut Creek, CA · On-site
... utilization management (UM) reviews across all levels of care. Key responsibilities include ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...
Palo Alto, CA · On-site
... utilization management (UM) reviews across all levels of care. Key responsibilities include ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...
Palo Alto, CA · On-site
... utilization management (UM) reviews across all levels of care. Key responsibilities include ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...
... utilization management (UM) reviews across all levels of care. Key responsibilities include ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...
... utilization management (UM) reviews across all levels of care. Key responsibilities include ... insurance, wellness programs and financial education resources, to name a few. Elevance Health ...
| Aspect | Part Time Insurance Utilization Review | Part Time Claims Reviewer |
|---|---|---|
| Credentials | Typically requires insurance or healthcare-related certifications | Often requires insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or third-party administrators | Insurance companies, claims processing centers, or third-party administrators |
| Job Focus | Evaluating medical necessity and appropriateness of services | Reviewing and processing insurance claims for accuracy and coverage |
Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.
The most popular types of Insurance Utilization Review jobs in California are:
Cities in California with the most Part Time Insurance Utilization Review job openings:
Pomona, CA • On-site
$26.69 - $37.55/hr
Part-time
Posted 18 days ago
9.2
Based on 26 frontline employees who took The Breakroom Quiz
Position Summary:The Inpatient Admissions Coordinator is responsible for coordinating the inpatient admission process by verifying insurance eligibility and securing insurance authorizations (including the IPA/Medical Group/PPG), following post stabilization and or inpatient notification processes for all inpatient admissions, inpatient transfers, and observation admissions. Ensuring regulatory and payer compliance standards are met while securing timely inpatient admissions. Working with minimal supervision, the Inpatient Admissions Coordinator manages moderate to complex cases, communicates directly with payers, clinical teams, and case management, ensuring all information is documented accurately within the financial system. This position requires a strong understanding of payer policies, utilization review workflows, admission criteria, and hospital revenue cycle principles. The Inpatient Admissions Coordinator also serves asa resource and mentor to Patient Access team members for questions related to authorizations, workflows, and payer requirements. May perform other duties as assigned.
Required Qualifications: High school diploma or equivalent. Three years’ experience in patient access, hospital admissions, utilization review, or insurance authorization. Strong communication, critical thinking, and problem-solving skills. Ability to work independently and manage time-sensitive authorization tasks.
Preferred Qualifications: Cerner/Soarian Financials or similar EMR experience; familiarity with hospital revenue cycle processes.
Salary range: $26.69 - $37.55 hourly. Salary will be commensurate with experience.
SALARY RANGE INCLUDES EVENING SHIFT DIFFERENTIAL
As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.
Get the full story on Breakroom
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PVHMC is a nationally recognized and accredited 412-bed, not-for-profit community medical center, proudly serving residents in eastern Los Angeles and western San Bernardino counties. With four Centers of Excellence – The Robert and Beverly Lewis Family Cancer Care Center, Stead Heart and Vascular Center, Women and Children’s Center and Trauma Center – PVHMC offers residents specialized services close to home.
Health care and social assistance
1,001 - 5,000 Employees
Pomona, CA, US
1903
