Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
Quick apply
Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
Quick apply
Maintain accurate and timely documentation of utilization review activities * Assist in denial prevention and appeals processes as needed For more details reach at sthakur@navitashealth.com or Call ...
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 ...
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 ...
Utilization Specialist PRN
$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 ...
Utilization Specialist PRN
$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 ...
Utilization Specialist PRN
$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 ...
Utilization Specialist PRN
$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 ...
Utilization Specialist Full-time
$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 ...
Utilization Specialist Full-time
$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 ...
Utilization Specialist Full-time
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 ...
Utilization Specialist Full-time
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 ...
Utilization Specialist Full-time
$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 ...
Utilization Specialist Full-time
$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 ...
Managed Care Coordinator
Orange, CA · On-site
... Utilization Review. With medication requests not approved by Pharmacy Guides on Non PG cases, MCC will assist in delivery of medication requests to Clients UR for review Receives and uploads into ...
Managed Care Coordinator
Orange, CA · On-site
... Utilization Review. With medication requests not approved by Pharmacy Guides on Non PG cases, MCC will assist in delivery of medication requests to Clients UR for review Receives and uploads into ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all ... Provides patients with education to assist with their discharge and help them cope with ...
Medical Assistant
San Jacinto, CA · On-site
$21 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
Quick apply
Medical Assistant
San Jacinto, CA · On-site
$21 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
LVN Discharge Planner
Ontario, CA · On-site
$25 - $28/hr
... utilization review, including, but not limited to Member specific needs for daily review in ... an effort to assist Members with adhering to treatment plans and goals. 6. Responsible for ...
LVN Discharge Planner
Ontario, CA · On-site
$25 - $28/hr
... utilization review, including, but not limited to Member specific needs for daily review in ... an effort to assist Members with adhering to treatment plans and goals. 6. Responsible for ...
Medical Assistant
San Jacinto, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
Quick apply
Medical Assistant
San Jacinto, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
Medical Assistant
San Jacinto, CA · On-site
$21 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
Quick apply
Medical Assistant
San Jacinto, CA · On-site
$21 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
Medical Assistant
San Jacinto, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
Quick apply
Medical Assistant
San Jacinto, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and Evaluation System (CURES) report * Process referrals, as ordered, to other external providers and ...
Utilization Review Assistant information
See Riverside, CA salary details
$10.67 - $15.53
14% of jobs
$18.01 is the 25th percentile. Wages below this are outliers.
$15.53 - $20.38
22% of jobs
$20.38 - $25.23
13% of jobs
The median wage is $25.79 / hr.
$25.23 - $30.08
14% of jobs
$30.08 - $34.93
11% of jobs
$36.14 is the 75th percentile. Wages above this are outliers.
$34.93 - $39.78
9% of jobs
$39.78 - $44.63
7% of jobs
$44.63 - $49.49
4% of jobs
$49.49 - $54.34
3% of jobs
$54.34 - $59.19
2% of jobs
$59.19 - $64.04
1% of jobs
$10
$31
$64
How much do utilization review assistant jobs pay per hour?
As of Jun 22, 2026, the average hourly pay for utilization review assistant in Riverside, CA is $31.23, according to ZipRecruiter salary data. Most workers in this role earn between $17.71 and $38.33 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 Riverside, CA? The most popular types of Utilization Review jobs in Riverside, CA are:
What are popular job titles related to Utilization Review Assistant jobs in Riverside, CA? For Utilization Review Assistant jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Assistant jobs in Riverside, CA look for? The top searched job categories for Utilization Review Assistant jobs in Riverside, CA are:
- Remote Utilization Review
- Utilization Review Physician Assistant
- Manager Optum Utilization Review
- Remote Utilization Review Nurse Practitioner
- Work From Home Dental Utilization Review
- Part Time Utilization Review
- Work From Home Utilization Review
- Seasonal Remote Utilization Review
- Remote International Utilization Review Nurse
- Director Of Utilization Review
What cities near Riverside, CA are hiring for Utilization Review Assistant jobs? Cities near Riverside, CA with the most Utilization Review Assistant job openings:
$35/hr
Full-time
Posted 4 days ago
Job description
Utilization Review Registered Nurse (RN)
Specialty: Utilization Review / Case Management
Location: Apple Valley, California (CA)
Duration: 13 Weeks
We are seeking an experienced Utilization Review Registered Nurse (RN) to support utilization management activities within an acute care hospital setting. The ideal candidate will have recent hospital-based utilization review experience and a strong understanding of medical necessity criteria, regulatory requirements, and care coordination processes.
Schedule- Day Shift
- Weekend Requirement: Minimum of 4 weekend day shifts within a 6-week period (additional weekends may be required)
- Active California RN License required
- Pending California license accepted, but license must be active by the start date
- Minimum 3 years of acute care Utilization Review or Care Management experience in a hospital setting
- Experience must be hospital-based; health plan and medical group experience alone will not qualify
- Seasoned traveler required
- First-time travelers will not be considered
- Approximately 1:40
- Utilization Review
- Medical Necessity Review
- Concurrent Review
- InterQual and/or Milliman Guidelines
- Care Coordination
- Discharge Planning Collaboration
- Denial Prevention and Management
- Regulatory Compliance
- Clinical Documentation Review
- Electronic Medical Record Documentation
- Perform utilization review activities to ensure appropriate level of care and resource utilization
- Evaluate admissions, continued stays, and services for medical necessity
- Collaborate with physicians, case managers, and interdisciplinary teams
- Identify and address barriers to care progression and discharge
- Ensure compliance with regulatory, payer, and facility requirements
- Maintain accurate and timely documentation of utilization review activities
- Assist in denial prevention and appeals processes as needed
For more details reach at sthakur@navitashealth.com or Call / Text at 732 791 4807 - EXT 4807.