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Utilization Review Assistant Jobs in Riverside, CA

High Care Palliative

Be Seen First

Nurse Practitioner - Home Setting

Riverside, CA · On-site

$150K - $160K/yr

Participating in utilization review and quality assurance activities, including chart review and audits, and resolving physician's assistant conflicts. * Compassionate and caring demeanor * Excellent ...

New

High Care Palliative

Be Seen First

Nurse Practitioner - Home Setting

Riverside, CA · On-site

$150K - $160K/yr

Participating in utilization review and quality assurance activities, including chart review and audits, and resolving physician's assistant conflicts. * Compassionate and caring demeanor * Excellent ...

New

Newport Academy

Discharge Planner

Orange, CA · On-site

Maintain consistent contact with the utilization review team to monitor current and anticipated ... Coordinate with clinical team the clinical recommendation for continuing care and assist with ...

Newport Academy

Discharge Planner

Orange, CA

Maintain consistent contact with the utilization review team to monitor current and anticipated ... Coordinate with clinical team the clinical recommendation for continuing care and assist with ...

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Utilization Review Assistant information

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$10

$31

$64

How much do utilization review assistant jobs pay per hour?

As of May 30, 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.
More about Utilization Review Assistant jobs
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:
What cities near Riverside, CA are hiring for Utilization Review Assistant jobs? Cities near Riverside, CA with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Riverside, CA as of May 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $64,954 per year, or $31.2 per hour.
Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% ...

Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% ...

eviCore healthcare

Riverside, CA • Remote

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S.

state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive organization with collaborative cultureeviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of PTO(starting) per year plus paid holidaysOne week of CMEEducation assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSAPaid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class.

Applicants must be able to pass a drug test and background investigation

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