Registered Nurse:Utilization Review,16:00:00-04:30:00
B2B Staffing Services
Acute Hospital Experience by Specialty
Pediatrics* ICU MS Case Management/Utilization Review
Pre-Cert Review* Prior Authorizations* Retrospective Review* Admission Criteria Care coordination Concurrent Review Continued Stay Reviews Determine Medical Necessity per Evidence-Based Guidelines Disease management Plan of Care Utilize InterQual Criteria Utilization Review
Pre-Cert Review* Prior Authorization* Retrospective Review* Admission Criteria Concurrent Review Continued Stay Reviews CPT (Current Procedural Terminology) coding and billing Medical Necessity Utilize InterQual Criteria Work Settings
Acute Hospital Ambulatory Regulatory
CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology) coding and billing Department of Health DRG (Diagnosis Related Groups) HIPAA guidelines (Health Insurance Portability and Accountability Act) The Joint Commission/ Core Measure/National Safety Goals Additional Skills
Remote UR work CA and Medi-Cal experience/knowledge*
Vacancy posted 4 days ago
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$1,908 per month
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$26 - $28 per hour
...expected to open in early 2026. Location: On-Site in Long Beach, CA Schedule: 8-hour shifts Pay Range: $26.00-28.00 hourly PositionSummary Our Utilization Review department manages both outpatient and inpatient patients. We work with Medicare, Medicare HMO, Medi-Cal ,...Hourly payLocal areaShift workWeekend workView Behavioral Health
Long Beach, CA4 days ago- ...Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Required Qualifications...Remote work
3B Healthcare, Inc.
Torrance, CA4 days ago $29 - $45.2 per hour
...physician. Supply utilization tracking and ordering... ...as needed. Reviews and codes charge slips... ...status to adjusters and nurse case managers.... ...be obtained within 30 days of hire and maintained... ...expiration date. Registered Orthopaedic... ...this position is $29.00 - $45.20. When extending...Hourly payFull timeWork experience placementWork at officeLocal area- Registered Nurse - Utilization Review @ Providence SoCal Shared Services Case Management Shift: 5 Day Shifts X 8 Hrs Start Date: 10/05/2026 End Date: 01/04/2027 Duration: 13 Week(s) City: Torrance State: CA TALENTShift workDay shift
$2,656 per month
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Torrance, CA1 day ago$43 - $47 per hour
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Torrance Memorial Medical Center
Torrance, CA10 hours ago
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