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Utilization Review Intake Coordinator Jobs in Riverside, CA

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Utilization Review Intake Coordinator information

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$12

$22

$33

How much do utilization review intake coordinator jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for utilization review intake coordinator in Riverside, CA is $22.15, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $24.57 per hour, depending on experience, location, and employer.

What does a utilization review intake coordinator do?

A Utilization Review Intake Coordinator is responsible for reviewing and processing incoming referrals and requests for healthcare services to ensure they meet clinical guidelines and payer requirements. They collect and verify patient information, coordinate with healthcare providers, and initiate case reviews for medical necessity and insurance authorization. Their work is vital in ensuring patients receive appropriate care while adhering to insurance and regulatory policies.

What are the key skills and qualifications needed to thrive as a utilization review intake coordinator?

To thrive as a Utilization Review Intake Coordinator, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by a background in healthcare administration or nursing. Familiarity with electronic medical records (EMR) systems, insurance verification tools, and authorization management software is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this position. These competencies ensure accurate and timely processing of patient cases, compliance with regulations, and coordination among patients, providers, and payers.

What are some common challenges faced by utilization review intake coordinators, and how can they be managed?

Utilization Review Intake Coordinators often face the challenge of managing high volumes of case referrals while ensuring accuracy and timeliness in processing. Balancing multiple priorities, such as coordinating with clinical staff, verifying insurance information, and meeting regulatory deadlines, can be demanding. Effective time management, strong communication skills, and familiarity with electronic health record (EHR) systems are essential for handling these challenges. Staying organized and building strong working relationships with both internal teams and external stakeholders also helps streamline workflows and reduce stress.

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

AspectUtilization Review Intake CoordinatorUtilization Review Nurse
CredentialsHigh school diploma or equivalent; certification may be preferredRN license; certification in case management or utilization review often required
Work EnvironmentOffice setting, administrative tasks, patient data intakeClinical setting, reviewing medical records, patient care coordination
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, insurance companies
Search & Comparison IntentFocus on administrative and intake responsibilitiesFocus on clinical review and patient care decisions

The Utilization Review Intake Coordinator primarily handles administrative tasks related to patient data intake and initial review, often requiring administrative credentials. In contrast, the Utilization Review Nurse performs clinical assessments, reviews medical records, and makes patient care decisions, requiring an RN license. Both roles are essential in healthcare utilization management but differ in their focus and qualifications.

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

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

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

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

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

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

Utilization Review Intake Coordinator jobs near you
Infographic showing various Utilization Review Intake Coordinator job openings in Riverside, CA as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $46,071 per year, or $22.1 per hour.

COORDINATOR, INPATIENT ADMISSIONS

Pomona, CA • On-site

Pomona Valley Hospital Medical Center
Health Care and Social Assistance • 1 - 5K employees
Learn more about Pomona Valley Hospital Medical Centerexternal

$24.26 - $34.14/hr

Part-time

Re-posted 14 hours ago

Pomona Valley Hospital Medical Center rating

9.2

Company rating: 9.2 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

Job description

Position Summary:The Inpatient Admissions Coordinator is responsible for coordinating the inpatient admission process by verifying insurance eligibility and securing insurance authorizations (including the IPA/Medical Group/PPG), following post stabilization and or inpatient notification processes for all inpatient admissions, inpatient transfers, and observation admissions. Ensuring regulatory and payer compliance standards are met while securing timely inpatient admissions. Working with minimal supervision, the Inpatient Admissions Coordinator manages moderate to complex cases, communicates directly with payers, clinical teams, and case management, ensuring all information is documented accurately within the financial system. This position requires a strong understanding of payer policies, utilization review workflows, admission criteria, and hospital revenue cycle principles. The Inpatient Admissions Coordinator also serves asa resource and mentor to Patient Access team members for questions related to authorizations, workflows, and payer requirements. May perform other duties as assigned.
Required Qualifications: High school diploma or equivalent. Three years' experience in patient access, hospital admissions, utilization review, or insurance authorization. Strong communication, critical thinking, and problem-solving skills. Ability to work independently and manage time-sensitive authorization tasks.
Preferred Qualifications: Cerner/Soarian Financials or similar EMR experience; familiarity with hospital revenue cycle processes.
Salary range: $24.26 - $34.14 hourly. Salary will be commensurate with experience.
As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.

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About Pomona Valley Hospital Medical Center

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PVHMC is a nationally recognized and accredited 412-bed, not-for-profit community medical center, proudly serving residents in eastern Los Angeles and western San Bernardino counties. With four Centers of Excellence – The Robert and Beverly Lewis Family Cancer Care Center, Stead Heart and Vascular Center, Women and Children’s Center and Trauma Center – PVHMC offers residents specialized services close to home.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Pomona, CA, US

Year founded

1903

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