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Utilization Manager Jobs in Riverside, CA (NOW HIRING)

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... Strong time management skills with the ability to meet designated deadlines * Excellent written and ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... Strong time management skills with the ability to meet designated deadlines * Excellent written and ...

Loma Linda University Health

Case Manager

Murrieta, CA

$20.25 - $26/hr

Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

$68.03 - $91.49/hr

Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria ...

Loma Linda University Health

Case Manager

Loma Linda, CA

$20.50 - $26.50/hr

Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria ...

Loma Linda University Health

Case Manager*

Murrieta, CA

$20.50 - $26.25/hr

Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria ...

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All JobsUtilization Manager JobsUtilization Manager Jobs in Riverside, CA

Utilization Manager information

See Riverside, CA salary details

$40.7K

$94.9K

$174.7K

How much do utilization manager jobs pay per year?

As of Jun 29, 2026, the average yearly pay for utilization manager in Riverside, CA is $94,949.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,100.00 and $114,200.00 per year, depending on experience, location, and employer.

What jobs pay $2000 a day?

Utilization Managers typically do not earn $2000 a day; such high daily rates are more common in specialized consulting, executive roles, or highly experienced professionals in fields like finance, law, or certain medical specialties. These roles often require advanced certifications, extensive experience, and work in high-demand environments. Most standard utilization management positions offer salaries that are significantly lower than this daily rate.

What job makes $10,000 a month without a degree?

A Utilization Manager can potentially earn $10,000 or more per month through experience and advanced skills in healthcare or corporate settings, often without a formal degree. Success in such roles depends on industry knowledge, certifications, and the ability to optimize resource use, with some professionals reaching high earnings through management of large teams or projects.

What jobs in the US pay 300,000 a year?

Utilization Managers in healthcare and insurance industries can earn around $300,000 annually, especially with extensive experience, certifications, and leadership responsibilities. High-paying roles often require advanced skills in data analysis, resource allocation, and strategic planning, and may involve managing large teams or complex projects.

What does a utilization manager do?

A utilization manager oversees the efficient use of resources, such as staff and equipment, to ensure that services are delivered within budget and meet organizational goals. They analyze data, monitor utilization rates, and coordinate with teams to optimize productivity and reduce waste, often using management software and reporting tools.

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

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by Utilization Managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What Is a Utilization Manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Riverside, CA? The most popular types of Utilization jobs in Riverside, CA are:
What are popular job titles related to Utilization Manager jobs in Riverside, CA? For Utilization Manager jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Riverside, CA look for? The top searched job categories for Utilization Manager jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Utilization Manager jobs? Cities near Riverside, CA with the most Utilization Manager job openings:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Riverside, CA as of June 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 100% In-person job distribution, with an average salary of $94,949 per year, or $45.6 per hour.
Discharge Planner - Utilization Management

Discharge Planner - Utilization Management

Chino Valley Medical Center

Chino, CA • On-site

$21 - $23.39/hr

Per diem

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Overview
Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California's Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community's health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.com.
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!
Why Prime Healthcare? Chino Valley Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs
Our Total Rewards package includes, but is not limited to:
  • Paid Time Off
  • 401K retirement plan
  • Outstanding Medical
  • Dental
  • Vision Coverage
  • Tuition Reimbursement
  • Many more Voluntary Benefit Options!

Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.
Chino Valley Medical Center is nationally recognized, locally preferred, and community focused.
Responsibilities
Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility's procedure. Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Required qualifications
  1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
  2. Experience in basic to intermediate computer skills/knowledge.
  3. High School Diploma required.

Preferred qualifications:
  1. Current BCLS certificate required upon hire and maintain current preferred.
  2. Associates degree or LVN license preferred.
  3. Experience in the hospital setting preferred.

#LI-DNI
Pay Transparency
Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $23.39. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Per Diem
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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