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Utilization Jobs in Long Beach, CA (NOW HIRING)

Kheir Clinic

Utilization Specialist

Los Angeles, CA · On-site

$64K - $75K/yr

The Utilization Specialist will work closely with the clinical teams, Director of Patient Services, and external stakeholders to support the delivery of high-quality care in alignment with the ...

Prime Healthcare

Utilization Review Tech

Lynwood, CA · On-site

$23 - $24.45/hr

Utilization review tech is responsible for coordinating phone calls, data entry and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and ...

UCI Health

RN - Utilization Review

Orange, CA · On-site

Utilization Review Nurse A utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services.

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All JobsUtilization JobsUtilization Jobs in Long Beach, CA

Utilization information

See Long Beach, CA salary details

$22

$44

$72

How much do utilization jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for utilization in Long Beach, CA is $44.46, according to ZipRecruiter salary data. Most workers in this role earn between $35.14 and $51.06 per hour, depending on experience, location, and employer.

What is a utilization specialist?

Utilization specialists are professionals who review and evaluate the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. They work closely with healthcare providers, insurance companies, and patients to ensure that care is delivered according to established guidelines and that resources are used effectively. Their goal is to help manage costs while ensuring patients receive the appropriate level of care.

What are some of the common challenges faced by utilization review specialists when assessing medical necessity of services?

Utilization Review Specialists often encounter the challenge of balancing patient advocacy with cost-effective care. They must stay updated on evolving insurance policies and clinical guidelines, which can be complex and change frequently. Additionally, coordinating with physicians and healthcare staff to obtain necessary documentation and clarifying treatment plans can be time-consuming. Strong communication skills and attention to detail are essential to ensure timely and accurate reviews, while also maintaining positive working relationships with clinical teams.

What are the key skills and qualifications needed to thrive as a utilization review specialist, and why are they important?

To thrive as a Utilization Review Specialist, you need a background in healthcare (often as an RN or LPN/LVN), strong analytical skills, and knowledge of insurance and medical necessity criteria. Familiarity with utilization management software, ICD-10/CPT coding, and regulatory guidelines like Medicare and Medicaid is typically required. Excellent attention to detail, critical thinking, and effective communication skills set top performers apart in this role. These abilities are crucial to accurately evaluating patient care needs, ensuring regulatory compliance, and optimizing resource use within healthcare organizations.

What is the difference between Utilization vs Resource Coordinator?

AspectUtilizationResource Coordinator
Primary FocusMeasuring and optimizing how staff time is usedManaging and assigning resources for projects
Required CredentialsOften no specific credentials, but industry experience helpsTypically requires organizational or project management skills
Work EnvironmentCorporate, healthcare, or consulting firmsProject teams, staffing agencies, or departments
Common UsageTracking staff utilization ratesAllocating resources to projects or tasks

Utilization focuses on measuring how effectively staff time is used, often to improve productivity. Resource Coordinator involves actively managing and assigning resources to ensure project needs are met. While related, utilization is more about analysis, and resource coordination is about execution and management.

How to become a utilization reviewer?

To become a utilization reviewer, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of medical coding and insurance policies. Relevant certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can enhance job prospects. Strong analytical skills and attention to detail are essential for reviewing medical records and determining appropriate service utilization.

What are the most commonly searched types of Utilization jobs in Long Beach, CA?

The most popular types of Utilization jobs in Long Beach, CA are:

What cities near Long Beach, CA are hiring for Utilization jobs?

Cities near Long Beach, CA with the most Utilization job openings:

Utilization jobs near you
Infographic showing various Utilization job openings in Long Beach, CA as of August 2026, with employment types broken down into 2% As Needed, 86% Full Time, 10% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $92,473 per year, or $44.5 per hour.

Utilization

Providence SoCal Shared Services Case Management

Torrance, CA • On-site

Other

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

New

Job description

RN - Utilization

Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States.

Start Date: 09/21/2026 Duration: 91 days City: Torrance State: California Degree: RN Specialty: Utilization Desired Shift: 5X8 Days, 09:00:00-17:00:00, 8.00-5

Why Travel with Pulse?

  • Dedicated Recruitment Staff
  • Weekly Housing Stipend or Paid Housing
  • Per Diem Allowance
  • Competitive Pay
  • Weekly Direct Payroll Deposit
  • Travel and License Reimbursements
  • 401K Plus Match
  • Group Health insurance benefits
  • Medical Plan
  • Dental Plan
  • Vision Plan
  • Short and Long Term Disability
  • AD&D Insurance
  • Referral Program

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