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Utilization Management Coordinator Jobs in Rialto, CA

Prime Staffing

Travel RN Case Manager

Orange, CA · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Aroha Technologies

Medical Case Manager (LVN)

Orange, CA · On-site

$37.43 - $45/hr

This position supports care coordination and utilization management activities for CalAIM services, ensuring requests are reviewed appropriately and members receive timely, high-quality support. The ...

New

LSMA Management Inc

Care Management RN

San Bernardino, CA · On-site

$85K - $100K/yr

... coordinating care, supporting transitions, addressing barriers, and promoting appropriate ... Experience Minimum: 2+ years of Registered Nursing experience in care management, utilization ...

Prime Healthcare

Utilization Review Nurse LVN

Ontario, CA · On-site

$71K - $99K/yr

Responsible for the daily coordination and oversight to the Referral Technicians with regard to ... Utilization Management experience required. * Excellent interpersonal relationship skills with ...

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Utilization Management Coordinator information

See Rialto, CA salary details

$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.

Quality Improvement Coordinator

LSMA Management Inc

San Bernardino, CA • On-site

$26 - $29/hr

Full-time

Posted 29 days ago

Job description

JOB SUMMARY
The Quality Improvement (QI) Coordinator supports the Quality Improvement department by performing administrative, analytical, and operational tasks that contribute to organizational compliance, quality outcomes, and performance improvement initiatives. This role assists with data collection, reporting, project coordination, QI activities, and interdepartmental communication to ensure alignment with regulatory, accreditation, and internal performance standards.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High School diploma or equivalent required.
Preferred: Coursework or certification in healthcare administration, quality improvement, or related field.
Experience
Minimum: General office or administrative experience. Computer proficiency and experience using Microsoft Office (Word, Excel, Outlook, Access, PowerPoint).
Preferred: Experience in healthcare, managed care (HMO), utilization management, or quality improvement. Experience supporting projects or data tracking.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Certification(s)
Typing proficiency at 40 words per minute (with accuracy).
QI-related certifications (e.g. Lean Six Sigma Yellow Belt) are preferred but not required.
Skills, Knowledge & Abilities
• Strong organizational and time-management skills.
• Ability to manage multiple tasks with accuracy and attention to detail.
• Strong written and verbal communication abilities.
• Knowledge of office equipment (fax, printer, coper, scanners, etc.).
• Ability to work independently and collaboratively.
• Flexibility, adaptability, and professionalism in a fast-paced environment.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This role primarily involves computer-based work, with sitting required for most of the workday. Light physical activity is occasionally needed, including standing, walking, and lifting items up to 20 pounds. The position also requires routine mobility tasks such as bending, reaching, squatting, and climbing stairs multiple times per day. Work is performed in a typical office environment with moderate noise levels. The role requires strong focus, the ability to multitask, meet deadlines, and maintain confidentiality and attention to detail.
PAY RANGE
$26.00 - $29.00 / hourly
Salary Description
$26.00 - $29.00 / hourly

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