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Utilization Management Coordinator Jobs in Rialto, CA

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$15

$29

$46

How much do utilization management coordinator jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization management coordinator in Rialto, CA is $29.69, according to ZipRecruiter salary data. Most workers in this role earn between $21.44 and $34.71 per hour, depending on experience, location, and employer.

What does a utilization management coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization management coordinator?

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.

What degree do you need for utilization management coordinator?

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

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

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

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

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

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Rialto, CA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $61,756 per year, or $29.7 per hour.

Concurrent Care Management Coordinator

LSMA Management Inc

San Bernardino, CA • On-site

$26 - $29/hr

Full-time

Posted 12 days ago

Job description

JOB SUMMARY
The Concurrent Care Coordinator provides administrative and care coordination support for inpatient and post-acute care management activities within a California Managed Services Organization (MSO). This role supports Concurrent Care Management LVNs and leadership by facilitating care coordination workflows, managing referrals and authorizations, tracking inpatient and post-acute cases, coordinating documentation, and assisting with transitions of care.
The Coordinator serves as a key liaison between hospitals, post-acute facilities, providers, and internal departments to ensure timely processing of referrals, accurate documentation, and efficient coordination of services. This role helps support appropriate utilization of healthcare services, regulatory compliance, and continuity of care across the healthcare continuum. This is a non-clinical role and does not perform clinical decision-making.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High School diploma or equivalent required.
Preferred: Associate degree in healthcare administration or related field. Medical Assistant Certificate.
Experience
Minimum: At least one year of experience in a healthcare environment.
Preferred: Experience working in a Managed Services Organization (MSO), Independent Physician Association (IPA), health plan, hospital or post-acute care setting, or utilization management or care coordination department. Experience with referrals, authorizations, or care coordination workflows. Experience working with Medicare Advantage or Medi-Cal populations. Experience using electronic medical records or care management systems
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Skills, Knowledge & Abilities
• Knowledge of healthcare coordination workflows preferred
• Strong organizational and time management skills
• Excellent communication and interpersonal skills
• Ability to manage multiple tasks and priorities
• Strong attention to detail and accuracy
• Ability to work independently and as part of a team
• Proficiency with Microsoft Office and electronic healthcare systems
• Ability to maintain confidentiality of protected health information
• Ability to communicate effectively with healthcare providers and staff
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical demands described here are represented of those that must be met by an employee to successfully perform the essential functions of this job. Work is performed primarily in an office, remote, or healthcare coordination environment. This position requires prolonged sitting, frequent use of a computer, telephone, and electronic care management systems. The employee must be able to review clinical and administrative documentation, communicate clearly with providers and staff, and manage multiple tasks simultaneously. Occasional standing, walking, or local travel to healthcare facilities may be required. The role requires the ability to lift and carry work-related materials weighing up to 15 pounds. Visual acuity, attention to detail, and the ability to maintain focus in a fast-paced healthcare environment are essential.
PAY RANGE
$26.00 - $29.00 / hourly
Salary Description
$26.00 - $29.00 / hourly

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