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Part Time Utilization Review Jobs in Riverside, CA

Loma Linda University Health

Case Manager

Murrieta, CA · On-site

$59.18 - $79.60/hr

Case Management and Social- ( Part Time, Varied Shift) - Job Summary: The Case Manager serves as a ... Minimum two years of case management, utilization review, or discharge planning experience in acute ...

Encompass Health Corporation

Case Manager

Tustin, CA · On-site

$21.25 - $27.50/hr

Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.

Fuze Health

Pharmacist [PRN]- Fuze Rx

Irvine, CA · On-site

$57.60 - $72/hr

... utilization review and dispensing services. This includes: * Review content and accuracy of drug ... As a part-time, as-needed employee of the Company, you are eligible for all legally mandated ...

Bienestar Human Services

Nurse Practitioner

Pomona, CA

$75 - $90/hr

Review and implement guidelines and protocols as disseminated by administration. * Respond to ... HOURS: Full Time - 40 Hours a Week OR Part Time - 16 Hours (2 days) a week. Benefits for FULL TIME ...

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All JobsPart Time Utilization Review JobsPart Time Utilization Review Jobs in Riverside, CA

Part Time Utilization Review information

See Riverside, CA salary details

$22

$44

$71

How much do part time utilization review jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for part time utilization review in Riverside, CA is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.

What is a Part Time Utilization Review job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review Nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.
What are the most commonly searched types of Utilization Review jobs in Riverside, CA? The most popular types of Utilization Review jobs in Riverside, CA are:
What are popular job titles related to Part Time Utilization Review jobs in Riverside, CA? For Part Time Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review jobs in Riverside, CA look for? The top searched job categories for Part Time Utilization Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Part Time Utilization Review jobs? Cities near Riverside, CA with the most Part Time Utilization Review job openings:
Part Time Utilization Review jobs near you

Psychiatric Mental Health Nurse Practitioner PMHNP-BC CA

AC & CS ADVANCED COGNITIVE AND CLIN

Moreno Valley, CA

$187K - $215K/yr

Part-time

Posted 5 days ago

Job description

Overview
We are seeking a highly qualified, Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) to join our multidisciplinary behavioral health team serving California.
The candidate must have an active DEA registration for California or be willing to apply and obtain one before prescribing.
This role involves providing comprehensive psychiatric evaluations, medication management, clinical oversight, and therapeutic interventions for diverse patient populations with behavioral health needs. The position is an in-person, facility-based clinical role supporting outpatient behavioral health services across Riverside County facilities. The role emphasizes collaborative, patient-centered care in a fast-paced clinical environment.
The ideal candidate demonstrates strong clinical judgment, excellent documentation skills, and a commitment to teamwork, quality improvement, and continuity of care.
Responsibilities
Conduct comprehensive psychiatric evaluations and diagnostic assessments for patients across the lifespan.
Develop and implement individualized treatment plans, incorporating medication management, psychotherapy, and behavioral interventions.
Prescribe, monitor, and adjust psychotropic medications in compliance with HIPAA, state, and federal regulations.
Coordinate comprehensive patient care in collaboration with interdisciplinary clinical teams.
Provide clinical oversight and supervision to behavioral health staff, including bi-weekly clinical reviews as required.
Review, supervise, and sign off on clinical documentation to ensure accuracy, compliance, and quality standards.
Provide in-person psychiatric services at assigned Riverside County facilities.
Travel between assigned facilities as needed to support patient care and continuity of services.
Educate patients and families on:
  • Mental health diagnoses
  • Medication adherence and side-effect management
  • Lifestyle modifications and wellness strategies, including health coaching and nutrition awareness
Participate in discharge planning, case management, utilization review, and quality assurance activities aligned with NCQA and organizational standards.
Work as part of a team-based care model, including providing clinical coverage for teammates when needed to ensure continuity of patient care.
Required Skills & Qualifications
Board Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
Active or eligible licensure in California
Active DEA registration for California, or willingness to apply and obtain DEA registration before prescribing
Strong proficiency in clinical documentation and treatment planning
Experience in outpatient behavioral health settings; ER, urgent care, facility-based care, or acute settings is a plus
Demonstrated ability to work with individuals experiencing mental health and substance use disorders
Excellent communication skills for patient education and interdisciplinary collaboration
Ability to function effectively in a team-oriented environment, including flexibility to assist with coverage when required
Knowledge of infection control protocols and patient safety standards
Ability and willingness to travel to assigned facilities within Riverside County
Technology Requirements
Proficiency with Microsoft Teams is required for clinical collaboration, supervision, and meetings.
Experience with EClinicalWorks (eCW) EMR is preferred.
Comfort with electronic health record systems is required.
Position Details
Job Types: Full-time, Part-time, Permanent
Compensation: $187,000 $215,000 annually, commensurate with experience, licensure, and scope of responsibilities
Work Location: In-person, covering Riverside County facilities
Travel/Gas Reimbursement: Gas or mileage reimbursement provided for approved facility-related travel, in accordance with company policy