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Utilization Review Assistant Jobs in California (NOW HIRING)

Acadia Healthcare

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Pacific Grove

Utilization Specialist PRN

Riverside, CA

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

Acadia Healthcare

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in California

Utilization Review Assistant information

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$10

$30

$62

How much do utilization review assistant jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for utilization review assistant in California is $30.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.18 and $37.19 per hour, depending on experience, location, and employer.

What is a Utilization Review Assistant job?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

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

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

What does a typical day look like for a Utilization Review Assistant and who do they work with?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What are the most commonly searched types of Utilization Review jobs in California? The most popular types of Utilization Review jobs in California are:
What are popular job titles related to Utilization Review Assistant jobs in California? For Utilization Review Assistant jobs in California, the most frequently searched job titles are:
What job categories do people searching Utilization Review Assistant jobs in California look for? The top searched job categories for Utilization Review Assistant jobs in California are:
What cities in California are hiring for Utilization Review Assistant jobs? Cities in California with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in California as of July 2026, with employment types broken down into 6% As Needed, 81% Full Time, and 13% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $63,029 per year, or $30.3 per hour.

Utilization Review (UR) Assistant

College Medical Center

Long Beach, CA • On-site

$23 - $25.91/hr

Full-time

Re-posted 15 days ago

Job description

This position supports the Mission of the Hospital through the provision of distinctive and compassionate care to our patients. This position provides clerical support to the Case Management Department by assuring continuous flow of daily activities; duties and information flow between all hospital departments and external customers. Perform various clerical tasks utilizing knowledge of office systems and procedures, facility regulations, and interdepartmental functions.


QUALIFICATIONS:

  • High School graduate or GED preferred

  • One year experience in an acute care hospital or related healthcare filed preferred

  • Knowledge of medical terminology required


MAJOR TASKS, DUTIES, AND RESPONSIBILITIES:

  • Responsible for processing all TARS in BHU after patient discharges

  • Confirms MediCal TARS are completed for all dates of service and requests follow-ups from case managers as needed

  • Prepare face sheets and print eligibility for patients and coordinates with HIM to request necessary medical records

  • Submit MediCal TAR to MediCal field office via courier

  • Prepares MediCal appeal decisions involving upheld denied days for further appeal

  • Processes adjudication responses and appeal decisions from MediCal upon receipt to case management

  • Completes data entry in revenue cycle of Cerner to document TARS submission

  • Monitors MediCal case lists on a weekly basis to verify the status of TARS needed to be completed and status on TARS needing appeals and follow-up

  • Assemble and maintain departmental files, logs, and manuals

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for CMC roles, including but not limited to shift differential and other special pay practices, etc. The posted compensation for the position is a reasonable estimate that extends from the lowest to the highest pay that CMC in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.


EEO Statement

All College Medical Center subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. College Medical Center subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.  

Notice

We are aware of a scam whereby imposters are posing as Recruiters from College Medical Center, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At College Medical Center and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at College Medical Center and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. Email correspondence will come from the domains @collegemedicalcenter.com or @glendorahospital.com.

If you suspect a fraudulent job posting or job-related email mentioning College Medical Center or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate College Medical Center  subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.