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Utilization Review Coordinator Jobs in Rialto, CA

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Care Coordinator

Corona, CA ยท On-site

$52 - $68/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

New

Care Coordinator

Corona, CA ยท On-site

$23 - $26/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$19.75 - $26.75/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$23 - $26/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$23 - $26/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$19.75 - $26.75/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$23 - $26/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$19.75 - $26.75/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$23 - $26/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Care Coordinator

Corona, CA ยท On-site

$52 - $76/hr

Review electronic timecard entries for accuracy and resolve discrepancies with providers * Analyze ... Monitor service utilization trends; document and address under-utilization, overages, and inactive ...

Showing results 41-60

Utilization Review Coordinator information

See Rialto, CA salary details

$15

$29

$46

How much do utilization review coordinator jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review coordinator in Rialto, CA is $29.69, according to ZipRecruiter salary data. Most workers in this role earn between $21.44 and $34.71 per hour, depending on experience, location, and employer.

What does a utilization review coordinator do?

A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.

What skills and qualifications are needed to be a utilization review coordinator?

To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.

How does a utilization review coordinator collaborate with healthcare providers and insurance companies?

A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.

What is the difference between Utilization Review Coordinator vs Utilization Review Nurse?

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves clinical assessment and patient care considerations

While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.

What are popular job titles related to Utilization Review Coordinator jobs in Rialto, CA?

For Utilization Review Coordinator jobs in Rialto, CA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Coordinator jobs in Rialto, CA look for?

The top searched job categories for Utilization Review Coordinator jobs in Rialto, CA are:

What cities near Rialto, CA are hiring for Utilization Review Coordinator jobs?

Cities near Rialto, CA with the most Utilization Review Coordinator job openings:

Infographic showing various Utilization Review Coordinator job openings in Rialto, CA as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 2% Contract, and 1% Nights. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $61,756 per year, or $29.7 per hour.

PERFORMANCE IMPROVEMENT COORDINATOR

Department of State Hospitals

Patton, CA โ€ข On-site

$9.5K - $11K/mo

Full-time

Retirement

Posted 12 days ago


Job description

Patton State Hospital, Human Resources Department is accepting applications for at least one (1) Permanent, Full-time Registered Nurse (Safety) as the Nursing Performance Improvement Coordinator in Central Nursing Services (CNS). The position is under the administrative and professional direction of the Risk Management Coordinator - Supervising Registered Nurse. The expected work assignment is Monday-Friday, 8:00 A.M. to 4:30 P.M. Hours may vary and change based on operational need.
The Performance and Improvement (NPI) Coordinator is responsible for the ongoing monitoring, auditing, assessing, and making recommendations for the maintenance and improvement of quality nursing services. The NPI coordinator will work closely with the Registered Nurse mentors, Health Services Specialists and Supervising Registered Nurses to develop audits to monitor quality of patient care, nursing performance, and will assist with education and training of nursing care based on the data and monitoring findings. The NPI coordinator shall be familiar with DSH-Patton nursing policies and procedures, current standards of practice, Title 22, and Joint Commission standards. The NPI coordinator will also provide coverage for the Health Services Specialist Utilization Review and develop nursing death summaries as well as other duties as specified by the Nurse Administrator.
Knowledge and abilities should include but are not limited to: Policy Directive (PD) 9000, Administrative Directive (AD) # 2.01 Quality Improvement Program, review audits, present data information clearly and concisely, make recommendations based on data results, reevaluate plans, awareness of hospital procedures and directives, and the significance of regulatory agencies such as The Joint Commission and CDPH-Licensing.
Desired personal characteristics include a positive, enthusiastic approach to nursing services, an ability to coordinate performance improvement projects with other departments, attentiveness to details and organization, and good verbal/written communication skills. Computer skills, including experience working with Microsoft Word and Excel, are highly favorable. Strong attendance is essential for this position.
Full-time employees in nursing classifications assigned to off-unit service areas are included on the mandatory overtime rotation list that will require an employee to work in a variety of settings throughout the Hospital. Additionally, staff will be required to work at least three (3) major holidays and/or high-need days during the calendar year in accordance with departmental policies and procedures.
The position(s) require(s) a Drug Screening be passed prior to being hired.
Statement of Qualifications (SOQ): Please submit a SOQ clearly identifying your experience as it pertains to the duties of the position above not to exceed 1 page in Arial size 12 font. Applicants who fail to submit or complete the SOQ as instructed and/or fail to submit all the required documents will be eliminated from the hiring process.
***Click on the link to complete the Department of State Hospitals Recruitment Survey: DSH Recruitment Survey
You will find additional information about the job in the Duty Statement .
Working Conditions
Patton is a forensic psychiatric hospital and was established in 1890 and opened in 1893. DSH-Patton provides treatment to forensically and civilly committed patients within a secure treatment area. The hospital does not accept voluntary admissions.
Minimum Requirements You will find the Minimum Requirements in the Class Specification.
  • REGISTERED NURSE (SAFETY)
Additional Documents
  • Job Application Package Checklist
  • Duty Statement

Position Details Job Code #:
JC-528744
Position #(s):
502-224-8094-XXX
Working Title:
PERFORMANCE IMPROVEMENT COORDINATOR
Classification:
REGISTERED NURSE (SAFETY) $9,510.00 - $11,335.00 T
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.
# of Positions:
1
Work Location:
San Bernardino County
Telework:
In Office
Job Type:
Permanent, Full Time
Department Information
DSH - Patton
3102 E. Highland Avenue
Patton, CA 92369
http://www.dsh.ca.gov
Department Website: https://www.dsh.ca.gov/Patton
Special Requirements
  • The position(s) require(s) a Drug Screening be passed prior to being hired.
  • The position(s) require(s) a Background Investigation be cleared prior to being hired.
  • The position(s) require(s) Medical Clearance prior to being hired.
  • The position(s) require(s) a(n) Registered Nurse License. You will be required to provide a copy of your license prior to being hired.

Unless there is a specific request to be notified via USPS mail, our main contact will be via email. Email correspondence regarding this job posting will primarily come from PattonHREmploymentUnit@dsh.ca.gov . It is the applicant's responsibility to check their email inbox, including junk/spam emails for any correspondence regarding their application status. In addition, applicants are encouraged to keep their CalCareers profile updated with a current telephone number, mailing address, and email.
For experience/education to qualify during the application screening process, and to ensure that minimum qualifications can be determined, applicants should include all employment history on the Examination/ Employment Application (STD. 678) including detailed job descriptions, hours worked per week , and start/end dates (MM/DD/YYY). Application packages without this information will experience delayed processing times and your eligibility for this position may be impacted.
A completed STD. 678 and any other relevant documents (e.g., unofficial transcript, copy of degree, resume, etc.) should be submitted electronically via your CalCareers account. Please reference Job Control # 528744 and indicate the basis of your eligibility in the Examination(s) or Job Title(s) section. SROA and surplus candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e., social security number, date of birth) from your documents prior to submission.
Complete Application Packages (including your STD. 678 and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareers account at www.CalCareers.ca.gov . Submitting an electronic application through your CalCareers account is strongly recommended since electronic applications will be received/processed faster than other methods of filing. Please submit only one application.
Application Instructions
Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Final Filing Date: 9/4/2026
Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).
How To Apply
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:
Address for Mailing Application Packages
You may submit your application and any applicable or required documents to:
Department of State Hospitals - Patton
N/A
Attn: Human Resources Employment Unit
Exam/Hiring Unit
3102 E. Highland Ave
Patton , CA 92369
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:
Department of State Hospitals
Department of State Hospitals - Patton
Human Resources Employment Unit
3102 East Highland Avenue
Patton , CA 92369
HR is closed on weekends and holidays
07:00 AM - 04:30 PM
Required Application Package Documents
The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
  • Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
  • Resume is optional. It may be included, but is not required.
  • Statement of Qualifications -
    Statement of Qualifications (SOQ): Please submit a SOQ clearly identifying your experience as it pertains to the duties of the position above not to exceed 1 page in Arial size 12 font. Applicants who fail to submit or complete the SOQ as instructed and/or fail to submit all the required documents will be eliminated from the hiring process.
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.
Desirable Qualifications In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate:
Desired personal characteristics include a positive, enthusiastic approach to nursing services, an ability to coordinate performance improvement projects with other departments, attentiveness to details and organization, and good verbal/written communication skills. Computer skills, including experience working with Microsoft Word and Excel, are highly favorable. Strong attendance is essential for this position.
Benefits
Please review the Benefits Summary that may also be found on the California Department of Human Resources (CalHR) website. You will find information on the benefits afforded by membership in the Public Employees' Retirement System (CalPERS), benefits and protections provided to public employees by the State Civil Service Act, and salary ranges and a summary of the Registered Nurse classification.
Contact Information
The Human Resources Contact is available to answer questions regarding the position or application process.
Department Website: https://www.dsh.ca.gov/Patton
Human Resources Contact:
HR Employment Unit
(909) 742-5550
Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.
EEO Contact:
Rachel Guerrero
(909) 742-5243
rachel.guerrero@dsh.ca.gov
California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.
Equal Opportunity Employer
The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.
It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.