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Utilization Review Radiation Technologist Jobs in Riverside, CA

KPC Health

Utilization Review Tech

Santa Ana, CA · On-site

Utilization Review Technician Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being ...

KPC Global MSO

Utilization Review Tech

Santa Ana, CA · On-site

SUMMARY Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for ...

Medix

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete ... technology, and government industries. Through our core purpose of positively impacting lives, w ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... Our continual investment in human capital and technology enable us to deliver the most innovative ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... Our continual investment in human capital and technology enable us to deliver the most innovative ...

CorVel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... Our continual investment in human capital and technology enable us to deliver the most innovative ...

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All JobsUtilization Review Radiation Technologist JobsUtilization Review Radiation Technologist Jobs in Riverside, CA

Utilization Review Radiation Technologist information

See Riverside, CA salary details

$34

$58

$74

How much do utilization review radiation technologist jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for utilization review radiation technologist in Riverside, CA is $58.15, according to ZipRecruiter salary data. Most workers in this role earn between $45.14 and $66.73 per hour, depending on experience, location, and employer.

What is the difference between Utilization Review Radiation Technologist vs Radiation Therapist?

AspectUtilization Review Radiation TechnologistRadiation Therapist
CredentialsCertification in radiation technology, often ARRT or equivalentARRT certification in radiation therapy
Work EnvironmentHealthcare facilities, primarily in utilization review settingsHospitals, cancer treatment centers, clinics
Primary ResponsibilitiesReviewing treatment plans, ensuring appropriate use of radiation servicesAdministering radiation treatments to patients
Industry UsageUsed in healthcare administration and insurance sectorsDirect patient care in oncology

The Utilization Review Radiation Technologist focuses on evaluating radiation treatments for appropriateness, often working in administrative or review settings. In contrast, Radiation Therapists are directly involved in delivering radiation therapy to patients. Both roles require radiation technology certifications but differ significantly in daily duties and work environments.

What are the key skills and qualifications needed to thrive as a utilization review radiation technologist?

To thrive as a Utilization Review Radiation Technologist, you need a solid background in radiation therapy, medical imaging, and knowledge of clinical guidelines, typically backed by ARRT certification and relevant state licensure. Familiarity with electronic medical record (EMR) systems, utilization management software, and insurance authorization processes is crucial. Excellent analytical skills, attention to detail, and effective communication help you interpret clinical data and coordinate with healthcare teams. These skills ensure appropriate care delivery, regulatory compliance, and optimal resource utilization in patient treatment planning.

What are some common challenges faced by utilization review radiation technologists, and how can they be addressed?

Utilization Review Radiation Technologists often encounter challenges such as keeping up with constantly evolving clinical guidelines, balancing caseloads with administrative tasks, and ensuring clear communication between clinical teams and insurance providers. Staying current with continuing education, leveraging electronic health records efficiently, and fostering strong relationships with both clinical staff and payers can help address these challenges. Additionally, being proactive in seeking clarification and advocating for patient care are important skills that aid success in this role.

What does a utilization review radiation technologist do?

A Utilization Review Radiation Technologist is responsible for evaluating the medical necessity, appropriateness, and efficiency of radiation therapy services. They review patient records, treatment plans, and clinical documentation to ensure that radiation treatments meet established guidelines and payer requirements. This role helps optimize patient care, control costs, and support compliance with healthcare regulations. Utilization Review Radiation Technologists often collaborate with physicians, insurance companies, and other healthcare professionals to facilitate approvals and resolve coverage issues.
What are popular job titles related to Utilization Review Radiation Technologist jobs in Riverside, CA? For Utilization Review Radiation Technologist jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Radiation Technologist jobs in Riverside, CA look for? The top searched job categories for Utilization Review Radiation Technologist jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Utilization Review Radiation Technologist jobs? Cities near Riverside, CA with the most Utilization Review Radiation Technologist job openings:
Utilization Review Radiation Technologist jobs near you
Infographic showing various Utilization Review Radiation Technologist job openings in Riverside, CA as of August 2026, with employment types broken down into 4% As Needed, 79% Full Time, 13% Part Time, and 4% Contract. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $120,959 per year, or $58.2 per hour.

Utilization Review Tech

KPC Health

Santa Ana, CA • On-site

Other

Posted 6 days ago

Job description

Utilization Review Technician

Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests, upkeeps data entry, organizes denials and mailing/faxing appeals, tracking data from various insurance providers and health plans regarding authorization and/or denials, expedite reviews and documentation to insurance providers. Monitors patient charts and records to provide to responsible parties and request for authorization for hospital admission. Reviews treatment plans and status of approvals from insurers. Collects and compiles data as required and according to applicable policies and regulations. Performs administrative duties for the Utilization Management Department, and directed in several aspects of duties. Position is non-RN/LVN.

Requirements
  • Ability to establish and maintain effective working relationships across the Health System
  • Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage
  • Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution
  • Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement for medical claims
  • Responsible for working payer correspondence, edits and aged account receivable, and identifying and correcting billing errors
  • Pull daily reports utilizing Microsoft Excel and providing correct correspondence to payer
  • Research payer rules and regulations to maintain current payer knowledge
  • Comply with HIPAA and other compliance requirements to protect patient confidentiality
  • Manage data in internal and external databases with accuracy
  • Provide high-level administrative support and assistance to the Director and Supervisor or other assigned leadership staff
  • Perform clerical and administrative tasks including drafting letters, memos, invoices, reports, and other documents for senior staff
  • Prepare patient charts for medical audits
Education & Experience Requirements:
  • High School Diploma
  • Healthcare experience strongly preferred
Skills & Abilities Requirements:
  • Excellent verbal and written communication skills
  • Excellent organizational skills and attention to detail
  • Excellent time management skills with a proven ability to meet deadlines
  • Ability to function well in a high-paced and at times stressful environment
  • Extensive knowledge of office administration, clerical procedures, and recordkeeping systems
  • Able to type minimum of 50 words per minute
  • Knowledge of CMS, State Regulations, URAC and NCQA guidelines preferred.
  • ICD-10 and CPT coding experience a plus
  • Experienced computer skills with Microsoft Word, Microsoft Outlook, Excel and experience working in a health plan medical management documentation system a plus
  • Extremely proficient with Microsoft Office Suite or similar software with the ability to learn new or updated software
  • Medical Terminology preferred
Physical Requirements:
  • Body Positions: Sitting and standing for prolonged periods.
  • Body Movements: Arm and hand dexterity.
  • Body Senses: Must have command of close and distant sight, color perception and hearing.
  • Strength: Ability to lift and move up to 25-pounds.
Working Environment:
  • Work in an office, where the climate is controlled.
  • OSHA exposure category: II
  • Category I – Position includes tasks that involve exposure to Blood borne Pathogens.
  • Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
  • Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.
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About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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