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Remote Utilization Management Jobs in Rancho Cucamonga, CA

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Remote Utilization Management information

See Rancho Cucamonga, CA salary details

$21

$43

$70

How much do remote utilization management jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote utilization management in Rancho Cucamonga, CA is $43.21, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $49.62 per hour, depending on experience, location, and employer.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Rancho Cucamonga, CA?

The most popular types of Utilization Management jobs in Rancho Cucamonga, CA are:

What are popular job titles related to Remote Utilization Management jobs in Rancho Cucamonga, CA?

For Remote Utilization Management jobs in Rancho Cucamonga, CA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Rancho Cucamonga, CA look for?

The top searched job categories for Remote Utilization Management jobs in Rancho Cucamonga, CA are:

What cities near Rancho Cucamonga, CA are hiring for Remote Utilization Management jobs?

Cities near Rancho Cucamonga, CA with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Rancho Cucamonga, CA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $89,874 per year, or $43.2 per hour.

Immunology Sales Specialist (Inland Empire)- Rheumatology, Pulmonology

Therakos

San Bernardino, CA • Remote

$138K - $198K/yr

Full-time

Posted 26 days ago


Job description

Job Title

Immunology Sales Specialist (Inland Empire)- Rheumatology, Pulmonology

Requisition

JR000015920 Immunology Sales Specialist (Inland Empire)- Rheumatology, Pulmonology (Open)

Location

Irvine, CA

Additional Locations

Anaheim, CA, Huntington Beach, CA, Inland Empire, CA, Orange County, CA, San Bernardino, CA, Santa Ana, CA

Job Description Summary

Join Keenova's Immunology Sales Force Team, where we work to become a valued partner in serving patients with autoimmune and rare diseases. The successful candidate will be able to show documented success as a top producer using superior clinical selling skills, while effectively managing their territory operating within all compliance and company policies and procedures, as a results-oriented salesperson, business partner and consultant. Develop strategically targeted accounts and specific business plans that reflect an in-depth understanding of local, regional and national market forces impacting product sales. The incumbent will skillfully deal with the concepts and complexities associated with the products and adjunctive therapies and must demonstrate an in-depth understanding of the clinical data.

Job Description

Essential Functions

  • Meet or exceed all established territory sales plan and expense plan goals and objectives, by developing and implementing strategies specific to the assigned territory.
  • Establish and maintain professional relationships with targeted opinion leaders and physicians
  • Maintain an updated working knowledge of Company products and relevant disease states.
  • Effectively develops a Territory Business Plan, plans all workdays and weeks, established call plans and prepares for all sales calls so as to meet or exceed goals and objectives.
  • Develop and implement special programs within territory to maximize sales opportunities, i.e. speakers' bureau programs, symposia, etc.
  • Develop and/or maintain permanent customer records.
  • Complete assigned administrative tasks in a timely, accurate, legible, and organized manner.
  • Communicate a current, effective, and accurate sales presentation to customers.
  • Present a professional sales image in all business matters.
  • Carry out duties and responsibilities in compliance with applicable regulations and Pharma guidelines and operate assigned sales territory within established sales and/or corporate policies, procedures, and standards
  • Attend regional and national conferences throughout the year

Skills & Competencies

  • Selling skills - Ability to profitably build new business and expand existing customer relationships
  • Clinical Acumen - Possesses strong clinical and disease state knowledge that enables impactful clinical selling and strong decision making, while showing a deep understanding of the market and customers patients/practice
  • Business Acumen - Understands industry trends, economic sectors and market dynamics to drive strategy
  • Communications and Teamwork - Communicates accurately, concisely and compellingly to a variety of audiences and adapts communication style as needed; ability to forge and maintain effective relationships with internal employees and external customers
  • Resource Utilization - Identifies available resources and solves problems by utilizing best available information and support resources

Qualifications:

  • Bachelor's Degree, and 3 + years' experience required in one or more of the following areas: Rheumatology, Pulmonology
  • In lieu of a Bachelor's degree, will consider either an Associate's Degree and 5+ years, OR 7+ years, of successful, proven pharmaceutical or industry equivalent experience within one of the above listed Therapeutic Areas. Current experience within the territory and customer knowledge highly preferred.
  • Experience Selling Biologics to Specialty Physicians in rare disease areas preferred.
  • A valid motor vehicle operator's license.
  • Local travel; some overnight required, may vary depending on the region

Keenova offers employees a Total Rewards package which includes competitive pay and benefits. To learn more about our Total Rewards benefits please visit: Keenova Careers | Serve and Grow with Purpose | Keenova

Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.

The expected base pay range for this position is $138K - $198K. Please note that base pay offered may vary depending on factors including job-related knowledge, skills, and experience.

This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company's discretion.

#LI-REMOTE

#LI-GN1

At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support-showing up in big moments and small to help patients find comfort and confidence.

We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology,men's health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.

We are Keenova-keen to solve, keen to serve. Learn more atwww.keenova.com.