RN - Utilization Review
ALOIS Healthcare
Utilization Review NurseA utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services. The goal of utilization review nursing is to maximize the quality of patient care and cost-effectiveness.
Vacancy posted 5 days ago
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Providence Health System - Torrance
Torrance, CA3 days ago - Torrance Memorial Medical Center is seeking a Utilization Review Case Manager to review patient charts and validate appropriate levels of care... ...utilization review standards are met. The UR CM engages with RN Case Managers, physicians, patients, and families to optimize...Suggested
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Voyage Healthcare seeks an experienced RN Utilization Review for a 13-week travel contract in Torrance, California. Start date ASAP. The role requires at least 2 years in the specialty and offers weekly pay between $1,816 and $1,912. Voyage Healthcare connects nurses with...SuggestedWeekly payContract workImmediate start$1,816 - $1,912 per week
Position Details Specialty: RN Utilization Review Location: Torrance, California Employment Type: Travel/Contract Pay: $1816 - $1912 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week Position: RN Utilization Review (Travel/Contract) We're hiring experienced...SuggestedContract workImmediate startShift work- ARMStaffing seeks an experienced Utilization Review Nurse for a 13-week contract in California. The role focuses on medical necessity reviews for... ...and InterQual criteria. The position requires a California RN license, strong CMS regulation knowledge, and collaboration with...Contract work
- ...Registered Nurse Utilization Review (Remote) 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). Minimum of 3 years acute medical Care Management...Remote work
- Origin Travel Nurses is seeking a Case Manager responsible for utilization review and case management in a hospital setting. You will perform chart reviews, quality assessments, and ensure appropriate discharges while adhering to InterQual SI/IS criteria. You will educate...
$47.2 - $63.45 per hour
...achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION...Full timePart timeWork experience placementLocal areaShift workAfternoon shiftSt. Francis Medical Center
Lynwood, CA1 day ago$30 - $45 per hour
...opportunity in Long Beach, CA. This role requires expertise in Medicaid and Medi-Cal operations, along with experience in Epic EHR and Utilization Review. The selected candidate will perform chart reviews, ensure documentation accuracy, and support Medicaid program metrics. This...Hourly payContract workRemote workPyramid Consulting
Long Beach, CA4 days ago$26 - $28 per hour
...Utilization Review Specialist About View Behavioral Health We are proud to serve as a trusted resource for our community, providing high... ...care. Preferred Qualifications AA degree with a California RN, LVN, or LPT license. Bilingual English/Spanish +....Hourly payLocal areaShift workWeekend work- St. Francis Medical Center in Los Angeles seeks an Utilization Review Technician to coordinate the utilization review and appeals process within denial management initiatives. You will manage calls, data entry and tracking with insurers, and collaborate with the Corporate...
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$1,831.38 per week
Registered Nurse - Case Management - Travel | Torrance, California Estimated Weekly Pay: $1831.38 Start Date: 09/21/2026 | Duration: 13 Weeks Shift: 5 x 8hr Days Job Details AHS Staffing is seeking a qualified Travel - Registered Nurse - Case Management in Torrance...Hourly payWeekly payDaily paidFlexible hoursShift workAHS Staffing
Torrance, CA3 days ago- ...on management issues.Participates in medical and services utilization audits, peer review and quality assurance activities.Prerequisite QualificationsFollowing... ...based on the Americans with Disabilities Act.Current RN license and CPR. Experience working with clients and staff...Hourly payFull timeShift work
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...removal and application as directed by the physician. Supply utilization tracking and ordering, including stocking exam rooms and work... ...Schedules diagnostic tests ordered by the physician as needed. Reviews and codes charge slips, submits insurance claims. Returns patient...Hourly payFull timeWork experience placementWork at officeLocal area- ...The Case Manager is responsible for utilization review and case management activities within the hospital. This position involves performing chart reviews, quality assessments, and ensuring appropriate patient discharges while adhering to the established criteria. Responsibilities...
Origin Travel Nurses
Torrance, CA3 days ago $55.29 - $74.66 per hour
...Description The Staff RN uses the nursing process to deliver nursing care to... ...the medical and nursing plan of treatment utilizing established procedures standards and... ...organizational activities Participates in Peer Review Participates in professional...Shift workNight shiftTorrance Memorial Medical Center
Torrance, CA2 days ago- Utilization Review Nurse Assignment Duration This is a 13-week contract position. Schedule Day shift, 5x8-hour schedule from 08:00 to 16:30 PST... ...Required Experience / Certifications / Licensure Registered Nurse (RN) license in California is required. Minimum of 3 years of...Contract workLocal areaDay shift
$46.92k
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Torrance, CA17 hours ago- ...improving quality of care, establishing professional relationships and utilizing professional skills, fulfilling responsibilities of the role of... ...range based on current bill rates. Before we submit you, we review the exact compensation package so there are no surprises later...Hourly payContract workLocal area
$79.78 - $99.5 per hour
...reconciliation on admission and discharge. Utilizes age specific competencies for culturally... .... Participates a requested in peer review activities. Additional responsibilities:... ...: Current license as a Registered Nurse (RN) in the State of California, required. Current...Daily paidWork experience placementWork at officeShift workNight shiftRotating shift
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