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Remote Utilization Management Jobs in Riverside, CA

BLEHEALTH, LLC

LICENSED VOCATIONAL NURSE-LCM

Pomona, CA · Remote

$30 - $32/hr

... management training • Promote timely access to appropriate care • Increase utilization of ... remote, there will be times when you will be required to report to our satellite office (or a ...

BLEHEALTH, LLC

LICENSED VOCATIONAL NURSE-LCM

Pomona, CA · Remote

$30 - $32/hr

... management training • Promote timely access to appropriate care • Increase utilization of ... remote, there will be times when you will be required to report to our satellite office (or a ...

Liberty Mutual

Associate Staff Attorney

Ontario, CA · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Orange, CA · On-site +1

... Utilization: Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Orange, CA · On-site +1

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Liberty Mutual

Associate Staff Attorney

Ontario, CA · On-site +1

... Utilization: Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Directive

Paid Media Manager (Remote US)

Irvine, CA · Remote

$70K - $95K/yr

Confirm lead routing is accurate within a CRM * Understand the value of Programmatic campaigns ... Responsible for personal productivity and utilization * Work directly with Associate Director to ...

Directive

Paid Social Manager (Remote US)

Irvine, CA · Remote

... a CRM * Responsible for personal productivity and utilization * Work directly with Associate ... remote-first company, you'll have the ability to work from anywhere in the US, with the option to ...

Directive

Paid Social Manager (Remote US)

Irvine, CA · Remote

... a CRM * Responsible for personal productivity and utilization * Work directly with Associate ... remote-first company, you'll have the ability to work from anywhere in the US, with the option to ...

PSC Biotech

Global Software Sales Manager

Pomona, CA · Remote

$140K - $160K/yr

This is a remote position. PSC Software, a division of PSC Biotech, is a leading provider of ... This role requires a strong combination of customer relationship management, technical expertise ...

HMC Architects

BIM Manager

Ontario, CA · On-site +1

This position is eligible for hybrid (office/remote) working arrangement and flexible working hours ... Establish, track, and report metrics related to major technology initiatives, software utilization ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Riverside, CA

Remote Utilization Management information

See Riverside, CA salary details

$22

$44

$71

How much do remote utilization management jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote utilization management 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.

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 are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

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.

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 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 popular job titles related to Remote Utilization Management jobs in Riverside, CA? For Remote Utilization Management jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Riverside, CA look for? The top searched job categories for Remote Utilization Management jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Utilization Management jobs? Cities near Riverside, CA with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Riverside, CA as of July 2026, with employment types broken down into 82% Full Time, 6% Part Time, and 12% Contract. Highlights an 71% In-person, and 29% Remote job distribution, with an average salary of $91,752 per year, or $44.1 per hour.
Data Analyst - Non-Remote

Data Analyst - Non-Remote

Loma Linda University Health

Loma Linda, CA • On-site, Remote

$78K - $102K/yr

Full-time

Posted 8 days ago

Loma Linda University Health rating

8.2

Company rating: 8.2 out of 10

Based on 88 frontline employees who took The Breakroom Quiz

95th of 1,020 rated hospitals

Job description


The Healthcare Operations Data Analyst should have an understanding of process improvement methodologies and the utilization of data analysis within those methodologies. A good understanding of the utilization of statistical analysis to identify healthcare process improve opportunities and to determine successful workflow modifications is important. The Healthcare Operations Data Analyst should be capable of making specific recommendations for process improvements based upon rigorous analysis.
Job Summary: The Data Analyst uses advanced analysis skills to enable the delivery of improved operational, clinical or business results. Is responsible for assisting members of the Operation Excellence department, as well as administrative and clinical operational leaders across LLUMC with achieving identified performance improvement initiatives. Is responsible for gathering, manipulating, analyzing and managing data to assist in the identification of operational opportunities that will have a positive impact on patient flow and/or the bottom line through reduction in cost or increase in revenue. Has excellent communication, analytical, quantitative, and problem-solving skills. Performs other duties as needed.
Education and Experience: Bachelor's Degree in Engineering, Business, Mathematics, Finance or related field required. Minimum two years of data analysis experience.
Knowledge and Skills: Advanced skills in using one or more data analysis software packages (e.g. MS Excel, SAS, Minitab, etc.). Specific expertise in Tableau, SQL and EPIC's Cogito environment. Ability to provide functional direction and insights based on the interpretation of data. Able to work efficiently with Visualization and ETL developers in preparing and presenting complex analyses using data from EPIC. Able to read; write legibly; speak in English with professional quality. Operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: None.
About Us
Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
About the Team
Loma Linda University Health is a Seventh-day Adventist, faith and values based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.
We are an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Management at (909) 651-4001.
Loma Linda University Medical Center is a religiously-qualified Equal Opportunity Employer under Title VII of Civil Rights Act of 1964. No question on this application is asked for the purpose of unlawfully limiting or excluding any applicant's consideration for employment because of race, color, religion, gender, age, national origin, disability, genetic information, or any other status protected by applicable law. If you need a reasonable accommodation in the hiring process, please notify Human Resource Management.
We appreciate your interest in Loma Linda and wish you success in your job search!

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About Loma Linda University Health

Sourced by ZipRecruiter

Loma Linda University Health (LLUH) is an esteemed healthcare organization situated in Loma Linda, California, US. Established in 1905, it was initially known as the College of Medical Evangelists, and it operated as the official medical institution of the Seventh-day Adventist Church until the name was changed to LLUH in 1961. LLUH is very much active in the healthcare and education sectors, providing a vast range of services such as medical treatment, research, and health education. The organization’s core mission is "to continue the teaching and healing ministry of Jesus Christ", which underlines its binding values of compassion, integrity, excellence, freedom, and justice.

Industry

Health care and social assistance and hospitality services

Company size

10,000+ Employees

Headquarters location

Loma Linda, CA, US

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