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Utilization Coordinator Jobs in Riverside, CA (NOW HIRING)

INL Corona

Utilization Clerk

Corona, CA · On-site

$23 - $26/hr

Utilization Clerk (Bilingual - Spanish Required) Location: Corona, California Schedule: Full-Time ... Care Coordination Our Mission At Inland Respite , we provide high-quality, compassionate respite ...

INL Corona

Utilization Clerk

Corona, CA · On-site

$23 - $26/hr

Utilization Clerk (Bilingual - Spanish Required) Location: Corona, California Schedule: Full-Time ... Care Coordination Our Mission At Inland Respite , we provide high-quality, compassionate respite ...

INL Corona

Utilization Clerk

Corona, CA · On-site

$23 - $26/hr

Utilization Clerk (Bilingual - Spanish Required) Location: Corona, California Schedule: Full-Time ... Care Coordination Our Mission At Inland Respite , we provide high-quality, compassionate respite ...

INL Corona

Utilization Clerk

Corona, CA · On-site

$23 - $26/hr

Utilization Clerk (Bilingual - Spanish Required) Location: Corona, California Schedule: Full-Time ... Care Coordination Our Mission At Inland Respite , we provide high-quality, compassionate respite ...

Inland Respite Inc

Care Coordinator

Corona, CA · On-site

$52 - $68/hr

Care Coordinator(Bilingual Spanish Required) Location: Corona, California Schedule: Full-Time ... Your role ensures accuracy in timekeeping, supports utilization monitoring, and provides technical ...

New

INL Corona

Care Coordinator

Corona, CA · On-site

$23 - $26/hr

Care Coordinator (Bilingual Spanish Required) Location: Corona, California Schedule: Full-Time ... Your role ensures accuracy in timekeeping, supports utilization monitoring, and provides technical ...

INL Corona

Care Coordinator

Corona, CA · On-site

$19.75 - $26.75/hr

Care Coordinator (Bilingual Spanish Required) Location: Corona, California Schedule: Full-Time ... Your role ensures accuracy in timekeeping, supports utilization monitoring, and provides technical ...

INL Corona

Care Coordinator

Corona, CA · On-site

$23 - $26/hr

Care Coordinator (Bilingual Spanish Required) Location: Corona, California Schedule: Full-Time ... Your role ensures accuracy in timekeeping, supports utilization monitoring, and provides technical ...

INL Corona

Care Coordinator

Corona, CA · On-site

$19.75 - $26.75/hr

Care Coordinator (Bilingual Spanish Required) Location: Corona, California Schedule: Full-Time ... Your role ensures accuracy in timekeeping, supports utilization monitoring, and provides technical ...

INL Corona

Care Coordinator

Corona, CA · On-site

$23 - $26/hr

Care Coordinator (Bilingual Spanish Required) Location: Corona, California Schedule: Full-Time ... Your role ensures accuracy in timekeeping, supports utilization monitoring, and provides technical ...

INL Corona

Care Coordinator

Corona, CA · On-site

$23 - $26/hr

Care Coordinator (Bilingual Spanish Required) Location: Corona, California Schedule: Full-Time ... Your role ensures accuracy in timekeeping, supports utilization monitoring, and provides technical ...

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Utilization Coordinator information

See Riverside, CA salary details

$16

$28

$58

How much do utilization coordinator jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization coordinator in Riverside, CA is $28.81, according to ZipRecruiter salary data. Most workers in this role earn between $20.34 and $32.60 per hour, depending on experience, location, and employer.

What is a utilization coordinator?

Utilization Coordinators are healthcare professionals responsible for reviewing and monitoring the use of medical services to ensure patients receive appropriate care efficiently and cost-effectively. They assess treatment plans, review medical records, and help coordinate care among providers to ensure compliance with insurance and regulatory guidelines. Utilization Coordinators also work with clinical staff to determine the medical necessity of procedures and help optimize patient outcomes while managing healthcare costs.

How does a utilization coordinator typically interact with clinical and administrative teams in a healthcare setting?

A Utilization Coordinator regularly collaborates with both clinical teams, such as physicians and nurses, and administrative staff to ensure that patient care services are medically necessary and efficiently delivered. They review medical records, coordinate pre-authorizations, and communicate with insurance providers to support appropriate resource use. Effective communication and teamwork are essential, as Utilization Coordinators often serve as a liaison between departments, helping to resolve discrepancies and streamline processes for optimal patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization coordinator, and why are they important?

To thrive as a Utilization Coordinator, you need a background in healthcare or social services, strong analytical skills, and familiarity with medical terminology, often supported by a relevant degree or certification. Proficiency in case management software, electronic health records (EHRs), and knowledge of insurance policies and regulatory requirements is typically required. Excellent communication, organizational, and problem-solving abilities help you effectively coordinate care and advocate for patient needs. These skills ensure efficient resource utilization, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What is the difference between Utilization Coordinator vs Utilization Review Specialist?

AspectUtilization CoordinatorUtilization Review Specialist
CredentialsTypically requires healthcare-related certifications or licenses, such as a Registered Nurse (RN) or healthcare administration backgroundOften requires similar healthcare credentials, including RN, licensed practical nurse (LPN), or medical reviewer certifications
Work EnvironmentWorks in hospitals, clinics, or insurance companies, coordinating patient services and resource allocationWorks mainly in insurance companies or healthcare facilities, reviewing medical necessity and treatment plans
Employer & Industry UsageCommonly employed by healthcare providers and insurance companies to optimize resource usePrimarily employed by insurance companies and third-party payers for case reviews

While both roles involve healthcare coordination and require similar credentials, the Utilization Coordinator focuses on managing patient services and resource allocation, whereas the Utilization Review Specialist primarily reviews medical necessity and treatment plans for approval or denial.

What degree do I need for utilization review?

Utilization coordinators typically need at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data management tools is also important.

What are the most commonly searched types of Utilization jobs in Riverside, CA?

The most popular types of Utilization jobs in Riverside, CA are:

What are popular job titles related to Utilization Coordinator jobs in Riverside, CA?

For Utilization Coordinator jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Utilization Coordinator jobs in Riverside, CA look for?

The top searched job categories for Utilization Coordinator jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Utilization Coordinator jobs?

Cities near Riverside, CA with the most Utilization Coordinator job openings:

Utilization Coordinator jobs near you
Infographic showing various Utilization Coordinator job openings in Riverside, CA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $59,934 per year, or $28.8 per hour.

Utilization Review Technician III

Prime Healthcare Management Inc

Ontario, CA • On-site, Remote

$24.65 - $30.03/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Key responsibilities

  • Coordinate the utilization review and appeals process, including phone calls, data entry, mailing/faxing appeals, and tracking data from insurance providers and health plans.

  • Document and track all communication attempts with insurance providers and health plans, and scan related correspondence to the EMR or tracking tools.

  • Follow up on denials and support the maintenance of government review audits and other payer audits as assigned.

Prime Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 287 frontline employees who took The Breakroom Quiz

613th of 898 rated healthcare providers

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! 

Responsibilities

The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This position will also serve as a liaison and own the coordination with other UR techs in the team while being responsible for coordinating phone calls, data entry, mailing/faxing appeals and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while working closely with the Corporate/Facility Utilization review teams, Business Office and Case Managers. The Utilization review tech will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO/Medicaid) and other payer audits as assigned. UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the department needs for Release of Information through faxing and mailing, discharge coordination or other duties as assigned.

Qualifications
  • Bachelor's degree or four years of relevant experience required.
  • Microsoft office proficiency.
  • Good communication skills

    • Preferred qualifications:

  • Completion of a medical terminology course; preferred.
  • Knowledge of HIPAA regulations preferred.
    • Pay Transparency

    Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $24.65 to $30.03. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    Employment StatusFull TimeShiftDaysEqual Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

     Privacy Notice

    Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

    Employment Type: FULL_TIME

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