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Utilization Coordinator Jobs in Riverside, CA (NOW HIRING)

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

$52 - $76/hr

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

Care Partners

Authorization Coordinator

Irvine, CA · On-site

$24 - $29/hr

The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.

Care Partners

Authorization Coordinator

Irvine, CA · On-site

The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.

Care Partners

Authorization Coordinator

Irvine, CA · On-site

$24 - $29/hr

The Authorization Coordinator plays a pivotal role in managing the authorization lifecycle, ensuring service utilization is monitored, renewals are completed on time, and accurate hours are applied.

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Showing results 21-40

All JobsUtilization JobsUtilization Coordinator JobsUtilization Coordinator Jobs in Riverside, CA

Utilization Coordinator information

See Riverside, CA salary details

$16

$28

$58

How much do utilization coordinator jobs pay per hour?

As of Sep 4, 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.

COORDINATOR, INPATIENT ADMISSIONS

Pomona Valley Hospital Medical Center

Pomona, CA • On-site

$24.26 - $34.14/hr

Other

Re-posted 19 days ago

Pomona Valley Hospital Medical Center rating

9.2

Company rating: 9.2 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

6th of 1,065 rated hospitals

Job description

Position Summary:The Inpatient Admissions Coordinator is responsible for coordinating the inpatient admission process by verifying insurance eligibility and securing insurance authorizations (including the IPA/Medical Group/PPG), following post stabilization and or inpatient notification processes for all inpatient admissions, inpatient transfers, and observation admissions. Ensuring regulatory and payer compliance standards are met while securing timely inpatient admissions. Working with minimal supervision, the Inpatient Admissions Coordinator manages moderate to complex cases, communicates directly with payers, clinical teams, and case management, ensuring all information is documented accurately within the financial system. This position requires a strong understanding of payer policies, utilization review workflows, admission criteria, and hospital revenue cycle principles. The Inpatient Admissions Coordinator also serves asa resource and mentor to Patient Access team members for questions related to authorizations, workflows, and payer requirements. May perform other duties as assigned.
Required Qualifications: High school diploma or equivalent. Three years' experience in patient access, hospital admissions, utilization review, or insurance authorization. Strong communication, critical thinking, and problem-solving skills. Ability to work independently and manage time-sensitive authorization tasks.
Preferred Qualifications: Cerner/Soarian Financials or similar EMR experience; familiarity with hospital revenue cycle processes.
Salary range: $24.26 - $34.14 hourly. Salary will be commensurate with experience.
As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.

What Pomona Valley Hospital Medical Center employees say

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Hours and flexibility

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About Pomona Valley Hospital Medical Center

Sourced by ZipRecruiter

PVHMC is a nationally recognized and accredited 412-bed, not-for-profit community medical center, proudly serving residents in eastern Los Angeles and western San Bernardino counties. With four Centers of Excellence – The Robert and Beverly Lewis Family Cancer Care Center, Stead Heart and Vascular Center, Women and Children’s Center and Trauma Center – PVHMC offers residents specialized services close to home.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Pomona, CA, US

Year founded

1903

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