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Work From Home Utilization Review Jobs in Riverside, CA

LIBERTY DENTAL

Senior Staff Dentist

Tustin, CA · On-site +1

What You'll Do Clinical Review & Utilization Management * Review dental claims, referrals, and ... Work closely with Analytics, Utilization Management, Claims, Provider Relations, and G&A teams

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All JobsUtilization Review JobsWork From Home Utilization Review JobsWork From Home Utilization Review Jobs in Riverside, CA

Work From Home Utilization Review information

See Riverside, CA salary details

$16

$33

$55

How much do work from home utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for work from home utilization review in Riverside, CA is $33.32, according to ZipRecruiter salary data. Most workers in this role earn between $23.32 and $42.40 per hour, depending on experience, location, and employer.

What are some common challenges faced by work from home utilization review professionals, and how can they be managed?

Work From Home Utilization Review professionals often face challenges such as maintaining effective communication with healthcare providers and team members, managing time efficiently without in-person supervision, and navigating multiple electronic health record systems remotely. To manage these challenges, it’s important to establish clear communication channels, set structured daily routines, and stay updated with technology training. Many organizations offer virtual team meetings and resources to support remote collaboration and continuous professional development.

What are the key skills and qualifications needed to thrive as a work from home utilization review nurse, and why are they important?

To thrive as a Work From Home Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) are often required. Exceptional communication, critical thinking, and time management skills help in effectively coordinating care and interacting with patients and providers remotely. These skills ensure accurate and efficient reviews, compliance with guidelines, and optimal patient outcomes while working independently.

What is a work from home utilization review?

A Work From Home Utilization Review job involves evaluating the necessity, appropriateness, and efficiency of medical services provided to patients, typically for insurance companies or healthcare organizations. Employees in this role review patient records, treatment plans, and medical claims to ensure compliance with established guidelines and standards. Working remotely, these professionals often communicate with healthcare providers, patients, and insurance representatives to gather information and make recommendations regarding coverage or continued care.

What is the difference between Work From Home Utilization Review vs Work From Home Medical Coder?

AspectWork From Home Utilization ReviewWork From Home Medical Coder
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical reviewer credentialsRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentRemote, often involves reviewing medical records and insurance claimsRemote, involves reviewing and assigning medical codes to patient records
Industry UsageCommon in insurance, healthcare administration, and utilization managementCommon in medical billing, coding, and healthcare documentation

Work From Home Utilization Review and Work From Home Medical Coder roles both operate remotely within the healthcare industry. While utilization reviewers focus on assessing the necessity of medical services, medical coders assign standardized codes to patient records. Both require healthcare-related certifications and are essential for healthcare administration, but they differ in daily tasks and specific credentials.

What are popular job titles related to Work From Home Utilization Review jobs in Riverside, CA? For Work From Home Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Work From Home Utilization Review jobs in Riverside, CA look for? The top searched job categories for Work From Home Utilization Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Work From Home Utilization Review jobs? Cities near Riverside, CA with the most Work From Home Utilization Review job openings:
Work From Home Utilization Review jobs near you

Senior Insurance Defense Attorney

Patton Trial Group

Ontario, CA • Remote

$130K - $190K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 6 days ago

Job description

Benefits:
  • Health insurance
  • 401(k) matching
  • Company parties
  • Competitive salary
  • Home office stipend

Patton Trial Group is seeking experienced insurance defense attorneys. We are an 18-attorney full-service litigation firm specializing in the defense of personal injury matters, product liability, professional liability, construction defect, and business/commercial litigation.
With a main office in Ontario, we cover most of California with multiple attorneys working remotely across the state. 
We are seeking to add experienced attorneys to support our expanding caseload and growing clientele. The attorneys would be responsible for their own caseloads, reviewing documents/discovery, taking depositions, retaining and consulting with experts, attending court hearings, reporting to clients, and preparing for trial. We also offer interested attorneys the opportunity to second-chair trials with the possibility of progressing to leading trials of their own.
Ideally, the candidate will have 5 - 20 years of prior experience in Personal Injury, enabling them to step in and contribute immediately.
Primary responsibilities would include:
  • Initial File Review, drafting initial evaluations and discovery plans • Deposing and defending party depositions • Working with paralegals on obtaining, reviewing and summarizing medical records • Maintaining contact with clients and reporting • Retaining and consulting with expert witnesses • Taking and defending expert witness depositions • Legal research and memoranda when necessary • Preparing Trial Documents • Second Chair, and potential First Chair Trial experience possible to interested candidates (but not necessary)
Qualifications
  • Juris Doctor Degree
  • Active California State Bar license 
  • Previous experience with insurance defense law preferred
  • Strong verbal and written communication skills
  • Familiarity with Microsoft Office suite
  • Strong negotiation and problem-solving skills
  • High attention to detail
  • Knowledge of Discovery Rules and general procedures
  • Effectiveness in working both independently and collaboratively
  • Excellent client relations
  • Timely reporting
  • Comfortable handling depositions and court appearances
  • Ability to manage deadlines and proactively move cases forward
  • Familiarity with carrier guidelines is a plus
What we offer:
Highly competitive compensation
Substantial employer contribution toward Health insurance, Dental, and Vision
Generous work-from-home stipend
4% matching 401K plan
Billable hours expectation of 1800 annually
Salary: $175,000 - $200,000 per year, full-time, depending upon experience.
Benefits:
  • 401(k)
  • Health Insurance
  • Vision and Dental Insurance options
  • Work from home stipend

This is a remote position.