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Utilization Management Assistant Jobs in Irvine, CA

Acadia Healthcare

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Pacific Grove

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Acadia Healthcare

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Advanced Medical Management

UM Coordinator

Long Beach, CA · On-site

$23 - $27/hr

Position Summary The Utilization Management (UM) Coordinator is responsible for coordinating prior ... Monitor worklists. * Assist nurses with non-clinical tasks. * Complete assigned production goals.

Advanced Medical Management

UM Coordinator

Long Beach, CA · On-site

$23 - $27/hr

Position Summary The Utilization Management (UM) Coordinator is responsible for coordinating prior ... Monitor worklists. * Assist nurses with non-clinical tasks. * Complete assigned production goals.

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All JobsUtilization Management JobsUtilization Management Assistant JobsUtilization Management Assistant Jobs in Irvine, CA

Utilization Management Assistant information

See Irvine, CA salary details

$31.1K

$51.9K

$74.6K

How much do utilization management assistant jobs pay per year?

As of Aug 29, 2026, the average yearly pay for utilization management assistant in Irvine, CA is $51,948.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,100.00 and $52,100.00 per year, depending on experience, location, and employer.

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 key skills and qualifications needed to thrive as a utilization management assistant?

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 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.

Is utilization management assistant a good job?

Utilization Management Assistants support healthcare organizations by reviewing medical records and authorizations to ensure appropriate care and cost management. The role typically requires attention to detail, knowledge of healthcare policies, and proficiency with electronic health records systems. It can offer stable employment with opportunities for advancement in healthcare administration.

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

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

What cities near Irvine, CA are hiring for Utilization Management Assistant jobs?

Cities near Irvine, CA with the most Utilization Management Assistant job openings:

Utilization Management Assistant jobs near you
Infographic showing various Utilization Management Assistant job openings in Irvine, CA as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $51,948 per year, or $25 per hour.

Care Management Assistant : Care Management

Hoag

Newport Beach, CA

Full-time

Posted 3 days ago

New

Job description

Primary Duties and Responsibilities

  • Under the supervision of the Supervisor, the Care Management Assistant performs essential duties to the provision of Care Management for Hoag Hospital and its affiliates (the "Organization"). The Care Management Assistant implements patient discharge plans, assists with coordination of clinical utilization review, and makes third party payer notifications in support of nursing and social work staff on the case management team.
  • The Case Management Assistant also interacts with representatives from insurance companies, health maintenance organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies. Collects and audits patient outcome data, prepares reports for utilization reviews. Documents activities and progress in medical charts and computer billing/utilization systems. Inputs clinical information into database systems. Prepares Medical Appeal paperwork.
  • The Care Management Assistant displays and practices a work-style reflecting the mission, vision and values of the Care Management team, as well as the Organization. Participates in the continuous quality improvement process. Maintains a working knowledge of departmental standard operating procedures, including the use of specialized instrumentation, Quality Control requirements, and preventive maintenance.

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag's awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Education and Experience

  • One (1) year acute care, home health or skilled nursing facility experience required.
  • Two years of college-level education in healthcare or related field preferred
  • Working knowledge of Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint, plus healthcare database systems preferred
  • Bachelor's degree in healthcare-related field preferred
  • Three (3) years administrative experience working in a healthcare environment preferred

License Preferred

Licensed Clinical Social Worker (LCSW) in good standing with the State of California

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