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Utilization Management Assistant Jobs in California

Utilization Management RN Los Angeles, CA, USA At WelbeHealth, we are transforming the reality of ... Direct oversight of day-to-day operations within the designated UM team * Assist the team in ...

Direct oversight of day-to-day operations within the designated UM team * Assist the team in ... any utilization management issues Job Requirements: * Minimum of three (3) years of relevant ...

Direct oversight of day-to-day operations within the designated UM team * Assist the team in ... any utilization management issues Job Requirements: * Minimum of three (3) years of relevant ...

Direct oversight of day-to-day operations within the designated UM team * Assist the team in ... any utilization management issues Job Requirements: * Minimum of three (3) years of relevant ...

Direct oversight of day-to-day operations within the designated UM team * Assist the team in ... any utilization management issues Job Requirements: * Minimum of three (3) years of relevant ...

Direct oversight of day-to-day operations within the designated UM team * Assist the team in ... any utilization management issues Job Requirements: * Minimum of three (3) years of relevant ...

Direct oversight of day-to-day operations within the designated UM team * Assist the team in ... any utilization management issues Job Requirements: * Minimum of three (3) years of relevant ...

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Showing results 1-20

Utilization Management Assistant information

See California salary details

$28.6K

$47.8K

$68.6K

How much do utilization management assistant jobs pay per year?

As of Jun 17, 2026, the average yearly pay for utilization management assistant in California is $47,763.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,400.00 and $47,900.00 per year, depending on experience, location, and employer.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered a good entry-level job in healthcare, as it provides foundational skills in administrative tasks, patient communication, and medical record management. It typically requires minimal prior experience and can serve as a stepping stone to more advanced healthcare positions or certifications.

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

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What jobs pay 2000 a day?

Jobs that can pay around $2,000 a day typically include specialized roles such as surgeons, anesthesiologists, corporate lawyers, or high-level consultants, often requiring advanced degrees, certifications, and significant experience. Freelance or contract work in fields like software development, project management, or executive consulting can also reach this level with the right client base and project scope.

What does a utilization review assistant do?

A utilization review assistant supports healthcare providers by reviewing patient cases to determine the necessity, appropriateness, and efficiency of medical services. They collect and analyze medical records, assist in coordinating care, and ensure compliance with insurance and healthcare policies, often using specialized software. This role requires attention to detail and knowledge of healthcare regulations.

What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is the highest paid assistant job?

Among assistant roles, executive assistants and administrative assistants with specialized skills or experience in industries like finance or law tend to have the highest salaries. Senior or executive assistants often earn higher wages, especially when supporting top executives and requiring advanced organizational or technical skills.

What is a Utilization Management Assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in California? The most popular types of Utilization Management jobs in California are:
What cities in California are hiring for Utilization Management Assistant jobs? Cities in California with the most Utilization Management Assistant job openings:
Infographic showing various Utilization Management Assistant job openings in California as of June 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $47,763 per year, or $23 per hour.
Utilization Management Assistant Director - RN

Utilization Management Assistant Director - RN

UCLA Health

Los Angeles, CA • On-site

$116K - $264K/yr

Full-time

Posted 17 days ago


UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 134 frontline employees who took The Breakroom Quiz

6th of 872 rated healthcare providers


Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 8:00am - 5:00pm PST; schedule may vary including weekends and holidays
Posted Date
05/29/2026
Salary Range: $116300 - 264600 Annually
Employment Type
2 - Staff: Career
Duration
indefinite
Job #
30668
Primary Duties and Responsibilities
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Join a world-class healthcare organization and play a key leadership role in delivering high-quality, patient-centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to oversee Intensive Case Management (ICM) and Utilization Management (UM) operations focused on high-risk and complex patient populations.
In this leadership role, you will supervise a multidisciplinary team supporting patients across the continuum of care while driving operational excellence, regulatory compliance, and improved patient outcomes. This is an exciting opportunity for a collaborative healthcare leader passionate about care coordination, utilization management, and value-based care.
Key Responsibilities
  • Provide day-to-day leadership and oversight of Intensive Case Management (ICM) and Utilization Management (UM) programs
  • Supervise and mentor a multidisciplinary team including Registered Nurses, Social Workers, and care coordination staff
  • Oversee care coordination activities for high-risk, high-utilizer, oncology, Medicare Advantage, and specialty patient populations
  • Lead transitions of care, discharge planning, readmission prevention, and emergency department tracking initiatives
  • Ensure compliance with CMS, NCQA, and organizational policies related to utilization management and case management
  • Monitor operational and clinical performance metrics including readmission rates, ED utilization, and length of stay
  • Conduct staff coaching, onboarding, training, and performance evaluations
  • Collaborate with physicians, hospital leadership, post-acute providers, and community agencies to ensure seamless patient care transitions
  • Support utilization review activities for hospital, rehabilitation, skilled nursing, and home health settings
  • Partner with revenue cycle and appeals teams to support denial prevention and medical necessity documentation
  • Drive process improvement initiatives focused on quality outcomes, patient experience, and cost-effective care delivery
  • Promote patient-centered, culturally competent, and holistic care across all care settings

Salary Range: $116,300 - $264,600/Annually
Job Qualifications
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All items are required:
  • Current unrestricted RN licensure in CA required
  • Bachelors of Science, Nursing (BSN) degree required
  • Experience Minimum 5-7 years of clinical experience, with at least 3 years in case management or utilization management
  • Minimum 3-5 years in a leadership or supervisory role
  • Experience in Managed Care Organization, Medical Group or Health Plan
  • Strong knowledge of CMS guidelines, utilization management, and care coordination
  • Ability to multi-task, work with frequent interruptions, and meet deadlines. Must be detailed, oriented, attentive, organized, and able to follow directions.
  • Proficient computer skills including working knowledge of Microsoft Excel, Visio, Power P and Word.
  • Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment.
  • Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally.
  • Highly organized, reliable, consistently seeking learning opportunities and new challenges, High EQ, communication skills, problem solving ability, and teamwork, humble yet confident, peers feel comfortable requesting your assistance.

Preferred:
  • Experience in Medicare Advantage or value-based care models

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

Sourced by ZipRecruiter

UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955