Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works ...
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works ...
Case Manager (RN) - Utilization Management
Montclair, CA · On-site
$68.88 - $96.43/hr
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care ...
Case Manager (RN) - Utilization Management
Montclair, CA · On-site
$68.88 - $96.43/hr
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care ...
Case Manager (RN) - Utilization Management
Montclair, CA · On-site
$43.25 - $58.21/hr
For more information visit Montclair-hospital.org Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their ...
Case Manager (RN) - Utilization Management
Montclair, CA · On-site
$43.25 - $58.21/hr
For more information visit Montclair-hospital.org Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their ...
Case Manager (RN) - Utilization Management
San Dimas, CA · On-site
$50/hr
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care ...
Case Manager (RN) - Utilization Management
San Dimas, CA · On-site
$50/hr
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$90 - $121/hr
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care ...
Case Manager (RN) - Utilization Management
Chino, CA · On-site
$90 - $121/hr
Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care ...
Utilization Review Nurse LVN
Ontario, CA · On-site
$71K - $99K/yr
Utilization Management experience required. * Excellent interpersonal relationship skills with exceptional professional work ethics. * Extensive knowledge of professional and hospital claims.
Utilization Review Nurse LVN
Ontario, CA · On-site
$71K - $99K/yr
Utilization Management experience required. * Excellent interpersonal relationship skills with exceptional professional work ethics. * Extensive knowledge of professional and hospital claims.
Case Manager
Murrieta, CA · On-site
$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 ...
Case Manager
Murrieta, CA · On-site
$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 ...
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 ...
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 ...
Case Manager*
Murrieta, CA · On-site
$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 ...
Case Manager*
Murrieta, CA · On-site
$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 ...
Case Manager
Murrieta, CA · On-site
$59.18 - $79.60/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 ...
Case Manager
Murrieta, CA · On-site
$59.18 - $79.60/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 ...
Case Manager
Murrieta, CA · On-site
$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 ...
Case Manager
Murrieta, CA · On-site
$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 ...
Case Manager*
Murrieta, CA · On-site
$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 ...
Case Manager*
Murrieta, CA · On-site
$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 ...
Case Manager
$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 ...
Case Manager
$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 ...
Case Manager
Loma Linda, CA · On-site
$50 - $70/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 ...
New
Case Manager
Loma Linda, CA · On-site
$50 - $70/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 ...
New
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/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 ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/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 ...
Job Summary Leads and manages a multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care ...
Job Summary Leads and manages a multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care ...
Case Manager
Loma Linda, CA · On-site
$55 - $83/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 ...
New
Case Manager
Loma Linda, CA · On-site
$55 - $83/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 ...
New
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/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 ...
Case Manager
Loma Linda, CA · On-site
$59.18 - $79.60/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 ...
Case Manager
Loma Linda, CA · On-site
$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 ...
Case Manager
Loma Linda, CA · On-site
$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 ...
Case Manager
$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 ...
Case Manager
$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 ...
Utilization Manager information
See Riverside, CA salary details
$40.7K - $52.9K
9% of jobs
$61.9K is the 25th percentile. Wages below this are outliers.
$52.9K - $65.1K
22% of jobs
$65.1K - $77.2K
11% of jobs
The median wage is $84.7K / yr.
$77.2K - $89.4K
14% of jobs
$89.4K - $101.6K
12% of jobs
$109.2K is the 75th percentile. Wages above this are outliers.
$101.6K - $113.8K
13% of jobs
$113.8K - $126K
13% of jobs
$126K - $138.2K
5% of jobs
$138.2K - $150.4K
2% of jobs
$150.4K - $162.6K
0% of jobs
$162.6K - $174.7K
0% of jobs
$40.7K
$94.9K
$174.7K
How much do utilization manager jobs pay per year?
As of Sep 3, 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 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 are the key skills and qualifications needed to thrive as a utilization manager?
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 the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found 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:
$50/hr
Per diem
Re-posted 19 days ago
Prime Healthcare rating
6.5
Based on 287 frontline employees who took The Breakroom Quiz
613th of 898 rated healthcare providers
Job description
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! San Dimas Community Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
San Dimas Community Hospital is a 101 bed facility located on a 13-acre campus in the heart of San Dimas. With a multidisciplinary team of experts and state of the art technology, we are committed to serving the community with personalized, high-quality care. We offer a full range of comprehensive services, including 24-hour emergency services, a family birth center, orthopedic surgery, advanced diagnostic services, cardiopulmonary and gastrointestinal services. San Dimas Community Hospital has received multiple awards including the "100 Top Hospitals," Women's Choice Award for America's Best Hospitals for Patient Safety, and Healthgrades awards, including the "Patient Safety Excellence Award." Learn more at sandimashospital.com.
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
EDUCATION, EXPERIENCE, TRAINING
Required Qualifications:
- Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
- At least one year experience in case management, discharge planning or nursing management
- Experience and knowledge in basic to intermediate computer skills.
Preferred Qualifications:
- Five years of acute care nursing experience. preferred
- CCM or obtained within 1year
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- Current BCLS certificate, preferred
San Dimas Community Hospital offers competitive compensation and a reasonable compensation estimate for this role is $50.00. 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.
Per Diem
Days
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
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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About Prime Healthcare
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Ontario, CA, US