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Utilization Management Jobs in Riverside, CA (NOW HIRING)

Pacer Group

Utilization Management RN

Pomona, CA · On-site

$45 - $55/hr

Utilization Management RN Location: Pomona, CA Duration: 13 weeks Schedule: 08:00am - 04:30pm (Part time) Payrate: $45/hr - $55/hr on W2 Required Minimum Qualifications: * Licensure: RN License in US

Pacer Group

Utilization Management RN

Pomona, CA · On-site

$45 - $55/hr

Utilization Management RN Location: Pomona, CA Duration: 13 weeks Schedule: 08:00am - 04:30pm (Part time) Payrate : $45/hr - $55/hr on W2 Required Minimum Qualifications: * Licensure: RN License in ...

Dragonfly Recruiting

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Utilization Management Inpatient Coordinator

Orange, CA · Remote

$23 - $26/hr

Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent Hire | Medicare Advantage We are seeking an experienced Utilization Management Coordinator ...

HELP-Hire

Utilization Review $60.00

Pomona, CA

Description Experience: 1 to 2 years' experience in Utilization Management and Appeals/Denials Management 1 to 2 years in appeal writing to insurance payers or providers Licensure: RN License in US ...

Pacific Grove

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

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Utilization Management information

See Riverside, CA salary details

$40.7K

$93.4K

$170.1K

How much do utilization management jobs pay per year?

As of Jun 6, 2026, the average yearly pay for utilization management in Riverside, CA is $93,354.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,300.00 and $109,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is a Utilization Management job?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a Utilization Management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the most commonly searched types of Utilization Management jobs in Riverside, CA? The most popular types of Utilization Management jobs in Riverside, CA are:
What are popular job titles related to Utilization Management jobs in Riverside, CA? For Utilization Management jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Riverside, CA look for? The top searched job categories for Utilization Management jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Utilization Management jobs? Cities near Riverside, CA with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Riverside, CA as of May 2026, with employment types broken down into 57% Full Time, and 43% Contract. Highlights an 100% In-person job distribution, with an average salary of $93,354 per year, or $44.9 per hour.
Utilization Management RN

Utilization Management RN

Pacer Group

Pomona, CA • On-site

$45 - $55/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Utilization Management RN

Location: Pomona, CA

Duration: 13 weeks

Schedule: 08:00am - 04:30pm (Part time)

Payrate: $45/hr - $55/hr on W2

Required Minimum Qualifications:

  • Licensure: RN License in US
  • Education: Graduate of accredited School of Nursing with associate's degree
  • 1 to 2 years' experience in Utilization Management and Appeals/Denials Management
  • 1 to 2 years in appeal writing to insurance payers or providers
  • Must have STRONG appeals experience

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