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Utilization Review Jobs in California (NOW HIRING)

Prime Healthcare

Utilization Review Tech

Lynwood, CA · On-site

$23 - $24.45/hr

The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for ...

Washington Hospital

Utilization Review Liaison

Fremont, CA · On-site

$32.35 - $43.63/hr

Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...

Washington Hospital

Utilization Review Liaison

Fremont, CA · On-site

$32.35 - $43.63/hr

Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting ...

Focus Staff

Travel Utilization Review RN

Torrance, CA · On-site

Utilization Review * Discipline: RN * Start Date: 09/21/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel We currently have a client in Torrance, CA ...

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All JobsUtilization Review JobsUtilization Review Jobs in California

Utilization Review information

See California salary details

$21

$41

$68

How much do utilization review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review in California is $41.73, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are the most commonly searched types of Utilization Review jobs in California?

The most popular types of Utilization Review jobs in California are:

What are popular job titles related to Utilization Review jobs in California?

For Utilization Review jobs in California, the most frequently searched job titles are:

What job categories do people searching Utilization Review jobs in California look for?

The top searched job categories for Utilization Review jobs in California are:

What cities in California are hiring for Utilization Review jobs?

Cities in California with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in California as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $86,795 per year, or $41.7 per hour.

Utilization Review

Providence Health and Services

Eureka, CA • On-site

$1.9K/wk

Other

Posted 26 days ago

Providence Health & Services rating

7.6

Company rating: 7.6 out of 10

Based on 850 frontline employees who took The Breakroom Quiz

192nd of 898 rated healthcare providers

Job description

Details
Client Name
Providence Health and Services
Job Type
Travel
Offering
Nursing
Profession
Registered Nurse
Specialty
Utilization Review
Job ID
18635671
Job Title
Utilization Review
Weekly Pay
$1948.75
Shift Details
Shift
8 Hour Days
Scheduled Hours
40
Job Order Details
Start Date
08/30/2026
End Date
11/29/2026
Duration
13 Week(s)
Client Details
City
Eureka
State
CA
Zip Code
95501

What Providence Health & Services employees say

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