ZipRecruiter

Log In

2

Remote Supervisor Utilization Management Jobs in Riverside, CA

Dragonfly Recruiting

Be Seen First

Utilization Management Inpatient Coordinator

Orange, CA · Remote

$23 - $26/hr

Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent Hire | Medicare Advantage We are seeking an experienced Utilization Management Coordinator ...

LIBERTY DENTAL

System Configuration Analyst

Tustin, CA · On-site +1

Are you energized by solving complex Utilization Management (UM) and claims scenarios while ... Primarily remote, office-based work * Role involves extensive computer use, data review, and system ...

next page

Showing results 1-20

People also search for

All JobsSupervisor Utilization Management JobsRemote Supervisor Utilization Management JobsRemote Supervisor Utilization Management Jobs in Riverside, CA

Remote Supervisor Utilization Management information

See Riverside, CA salary details

$40.7K

$94.9K

$174.7K

How much do remote supervisor utilization management jobs pay per year?

As of Jun 3, 2026, the average yearly pay for remote supervisor utilization management 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 is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What are popular job titles related to Remote Supervisor Utilization Management jobs in Riverside, CA? For Remote Supervisor Utilization Management jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Supervisor Utilization Management jobs in Riverside, CA look for? The top searched job categories for Remote Supervisor Utilization Management jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Supervisor Utilization Management jobs? Cities near Riverside, CA with the most Remote Supervisor Utilization Management job openings:
Remote Supervisor Utilization Management jobs near you
Utilization Management Inpatient Coordinator

Utilization Management Inpatient Coordinator

Dragonfly Recruiting

Orange, CA • Remote

$23 - $26/hr

Full-time

Medical, Dental, PTO

Posted 5 days ago

Be Seen First

After you apply to this job, you can share why you’re interested to jump to the top of the candidate list.

Job description

Utilization Management Coordinator – Inpatient Review (Health Plan)

Remote | Contract-to-Permanent Hire | Medicare Advantage

We are seeking an experienced Utilization Management Coordinator – Inpatient Review to support a Health Plan Care Management team. This role supports inpatient, and skilled nursing facility (SNF) utilization review workflows, including census tracking, admissions coordination, medical record collection, transition of care and concurrent review support.

The ideal candidate has health plan experience supporting inpatient review or care management, strong documentation skills, and experience working with referrals, authorizations, and Medicare Advantage populations.

This position is fully remote and offers a contract-to-permanent hire opportunity based on performance and business needs.

Schedule: Monday–Friday, 8:00 AM – 5:00 PM PST
Employment Type: Contract-to-Hire
Location: Remote (must work Pacific Time hours). May reside in any state.

Key Responsibilities

  • Maintain and update daily inpatient and skilled nursing facility census activity.
  • Enter and manage inpatient referrals, authorizations, and member information within health plan systems.
  • Obtain and upload hospital and SNF medical records for concurrent utilization review.
  • Support Utilization Management nurses and case managers by gathering documentation for inpatient concurrent review.
  • Track member admissions, transfers, and discharges and communicate updates to the care management team.
  • Communicate with hospital utilization review departments, case managers, and facility staff regarding documentation and member status.
  • Enter and review ICD-10 and CPT codes related to inpatient referrals and authorizations.
  • Maintain detailed documentation of facility outreach and care coordination activities.
  • Ensure compliance with HIPAA and health plan documentation standards.
  • Assist nurses and case managers with urgent requests and time-sensitive workflows.

Required Qualifications

  • 1–2+ years of Utilization Management Coordinator experience within a Health Plan.
  • Experience supporting inpatient concurrent review or inpatient utilization management workflows.
  • Experience processing referrals, authorizations, or prior authorizations.
  • Experience working with Medicare Advantage members.
  • Basic understanding of medical terminology, ICD-10 codes, CPT codes, and diagnostic coding.
  • Ability to work within multiple health plan systems and provider portals.
  • Strong organizational, documentation, and communication skills.

Preferred Qualifications

  • Experience supporting discharge planning coordination.
  • Familiarity with managed care models (Medicare Advantage, HMO, PPO/MMO).
  • Experience working with hospital admissions departments or utilization review teams.
  • Experience with Epic or provider portals such as Access Express.

Required Skills

  • Microsoft Outlook, Excel, and Word
  • Typing speed of 50+ WPM
  • Strong attention to detail and organizational skills
  • Ability to manage multiple systems and high-volume documentation
  • Strong verbal, written, and phone communication skills

Education

High School Diploma or GED required.

Equal Opportunity Employer

We are an Equal Opportunity Employer and welcome applicants from all backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, veteran status, age, or any other protected status under applicable law

Company Description

Dragonfly Recruiting was founded with a vision to revolutionize the staffing industry. From our humble beginnings, we have grown into a trusted partner for businesses and job seekers alike. Our journey began with a small team of passionate recruiters who believed in the power of personalized service and the importance of building strong relationships.
Recently, we have expanded our services and our team, always staying true to our core values of integrity, excellence, and commitment to quality. Our growth has been driven by our dedication to understanding the unique needs of our clients and candidates, and our ability to adapt to the ever-changing landscape of the job market.
Dragonfly Recruiting is proud to be a leader in the staffing industry, known for our innovative solutions and our unwavering commitment to helping businesses and individuals achieve their goals.