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Utilization Technician III - Utilization Management
Company : Prime Healthcare Services
Location : Chino, CA, 91710
Job Type : Full Time
Date Posted : 10 January 2026
Overview
Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community’s health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.com.
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community!
Why Prime Healthcare? Chino Valley Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs
Our Total Rewards package includes, but is not limited to:
- Paid Time Off
- 401K retirement plan
- Outstanding Medical
- Dental
- Vision Coverage
- Tuition Reimbursement
- Many more Voluntary Benefit Options!
Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time.
Chino Valley Medical Center is nationally recognized, locally preferred, and community focused.
Responsibilities
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 coordinating phone calls, data entry and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans. Utilization review tech will follow up on all denials while working closely with the Corporate/Facility Utilization review teams, Business Office and Case Managers. The Utilization review tech will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO/Medicaid) and other payer audits as assigned. The Utilization review tech will further support the department needs for Release of Information, discharge coordination or other duties as assigned.
Qualifications
Education and Work Experience
#LI-DNI
Pay Transparency
Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.15 to $30.03. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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Frequently asked questions
Utilization Technician III positions involve more complex coordination of denial management and insurance appeals than junior roles. They often handle advanced data tracking, audit follow-ups, and collaborate intensively with multiple departments, requiring a deeper grasp of healthcare regulations and utilization review processes.
Mastery in terminal digit filing, proficient 10-key data entry, strong knowledge of medical terminology, and an understanding of state and federal healthcare regulations set Utilization Technician III candidates apart. Excel skills and experience navigating audits also enhance effectiveness in utilization management roles.
Yes, progressing usually involves gaining expertise in utilization review coordination, denial management, and audit handling. Developing leadership abilities and deepening regulatory knowledge can open doors to director or manager positions within utilization management departments, especially in healthcare systems like Prime Healthcare Services.
Prime Healthcare Services emphasizes a comprehensive benefits package and integration with nationally recognized hospitals like Chino Valley Medical Center. The role involves collaboration across corporate and facility teams with a focus on community-oriented healthcare, which may offer more diverse operational exposure than other local providers.
Employees benefit from structured support including tuition reimbursement and exposure to nationally awarded patient safety standards. The position encourages growth through active participation in denial management and audit coordination, enhancing skills that are highly valued in utilization management careers.
Salaries for this position in Chino typically range from $23.15 to $30.03 per hour, reflecting factors like experience, education, and specialized skills. Compensation often includes comprehensive benefits such as medical, dental, vision coverage, and a 401k plan, making the total rewards package competitive locally.
While not always mandatory, completing medical terminology courses and understanding federal and state regulatory requirements are highly valued locally. Certifications related to utilization review or healthcare compliance can improve job prospects and align well with the standards upheld by institutions like Chino Valley Medical Center.
Chino offers a moderately competitive job market for utilization management roles, balancing a strong demand driven by community hospitals with fewer candidates than larger cities. This can translate into better opportunities for qualified applicants, especially those with relevant experience and skills fitting local healthcare providers.
Handling diverse insurance providers requires meticulous tracking and persistent follow-up on denials. Coordinating between business offices, case managers, and corporate teams to maintain compliance with government audits can be complex, demanding strong organizational skills and effective communication.
The role is primarily a full-time day shift position, focusing on standard business hours. This schedule supports collaboration with internal teams and insurance providers, aligning with the operational hours of Chino Valley Medical Center and its utilization management departments.