Registered Nurse-Utilization Review
3B Healthcare, Inc.
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/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).
InterQual experience is mandatory; candidates without this will not be considered.
Proficient in Epic, with recent use within the last 612 months.
Experience working with HMOs, IPAs, and similar managed care organizations.
Strong knowledge of Medicare regulations and associated utilization management processes, including:
- Condition Code 44 (CC44)
- Advance Beneficiary Notices (ABNs)
- Hospital-Issued Notices of Noncoverage (HINNs)
- Medicare Coverage Status Notices (MCSNs)
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Registered Nurse-Utilization Review in Torrance, CA vacancy
- Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered Nurse will be responsible for evaluating patient...SuggestedFull timeTemporary workCasual workWork at officeWeekday work
vTech Solution
Torrance, CA3 days ago $1,864 per week
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance...SuggestedWeekly payShift workTorrance, CAmore than 2 months ago- ...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...SuggestedRemote work
3B Healthcare, Inc.
Torrance, CA1 day ago - 8-4:30, 9-5:30 PST Laptop, keyboard and mouse will be provided by the facility MUST have CA licenseSuggested
Bestica
Torrance, CA3 days ago - Weekend Requirement Varies CA license required to the remote UR position Carenest HealthSuggestedRemote workWeekend work
$1,816 - $1,912 per week
...Description Job Description Position Details Specialty: RN Utilization Review Location: Torrance, California Employment Type:... ...and boost your income? At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel...Contract workImmediate startShift work$1,831.38 per month
...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, CA1 day ago$55.29 - $74.66 per hour
...Staff RN PositionThe Staff RN uses the nursing process to deliver nursing care to a given... ...medical and nursing plan of treatment utilizing established procedures standards and protocols... ...activities Participates in Peer Review Participates in professional development...Shift workTorrance Memorial
Torrance, 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- ...Registered Nurse (RN) for Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews, discharge planning, and transitions...Work at office
- 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...
- ...requiring an active Illinois nursing license. The role operates... ...requires prior experience in Utilization Management (UM) and the application... ...performing utilization reviews and making clinical... ...education and experience. Registered Nurse (RN). License must be...Work at officeRemote workMonday to Friday
$47.2 - $63.45 per hour
...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,... ...work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license At least one year experience in case...Full timePart timeWork experience placementLocal areaShift workSt. Francis Medical Center
Lynwood, CA4 days ago$43 - $47 per hour
...Facility: Compassus Providence Home Health - LA County South Location: Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN - Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks Pay: $43-$47/hr Job Overview: Review and process chart...Contract workRemote work- ...SUMMARY The Clinical Staff PACU Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for... ...processes as a problem solving model; utilizing knowledge and experience to... ...specific patient population. # Reviews all orders on patients and...Hourly payShift work
Martin Luther King Jr. Community Hospital
Carson, CA4 days ago $90 - $117 per hour
...- $117.00 Hourly Job Shift: Day Statement of Purpose The Nurse Practitioner (NP) is responsible for preventive and acute... ...on management issues. Participates in medical and services utilization audits, peer review and quality assurance activities. Prerequisite Qualifications...Hourly payPart timeShift workBehavioral Health Services
Hawthorne, CA1 day ago- ...3-week contract position.Schedule 5x8.0, Monday-Sunday, 8:30 AM - 4:30 PMJob Description The Case Manager is responsible for utilization review and case management activities within the hospital. This position involves performing chart reviews, quality assessments, and...Contract work
ARMS Staffing
Torrance, CA1 day ago - HJSRLLC is seeking a Registered Nurse (RN) to join our Utilization Management team in Long Beach, CA. You will conduct concurrent reviews, prior authorizations, and medical necessity assessments to ensure cost-effective, evidence-based care for members. This role requires...
- ...Overview Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity... ...and Experience Associate Degree in Nursing required Bachelor of Science in Nursing...Full timeWork at office
Blue Shield of CA
Long Beach, CA3 days ago $55.56 - $85.96 per hour
Description The Unit Resource Nurse IV is responsible for... ...activities Participates in Peer Review Participates in professional... ...according to patient needs Utilizes resources in an economical manner... ...equivalent work experience. Registered Nurse License. Compensation...Work experience placement$46.07 - $67.73 per hour
Charge Registered Nurse - Tele/FT/Nights Job Category : Registered Nurse Requisition Number : CHARG... ...with patients and family members. Utilizes white boards for patient communication.... ...laws. For further information, please review the Know Your Rights notice from the Department...Hourly payFull timeRelocation packageShift workNight shift$40.11 - $58.96 per hour
...Registered Nurse- Tele/FT/Nights Job Category: Registered Nurse Requisition Number: REGIS... ...interactions with patients and family members. Utilizes white boards for patient communication.... ...laws. For further information, please review the Know Your Rights notice from the...Hourly payFull timeShift workNight shift$49.87 - $73.32 per hour
...Time Only Job Summary The Float Pool Registered Nurse (RN) can be assigned to any unit within... ...interactions with patients and family members; utilize white boards for patient communication.... ...treatment instructions. Maintain and review patients’ records including posting...Full timeRelocation packageShift workWeekend work- ...working collaboratively with the Nurse Manager, Director, Physicians... .../Certifications: Registered Nurse (RN) licensure in the... ...assessment of the most effective utilization of skills and abilities,... ...relief for meals and breaks. Reviews and takes action on requests...Full timeWork experience placementWork at officeDay shift
Adventist Health
Long Beach, CA17 days ago - ...Behavioral Health Registered Nurse Under the direct supervision of the Behavioral Health RN... ...specific diagnostic and laboratory tests; reviews patients history and communicates... ...abreast of latest trends and news. Utilizes and organizes time efficiently to maximize...Work at officeShift work
$41.73 - $61.35 per day
...CA 90247, USA Description Job Title: Registered Nurse (Full Time: 3 shifts per week, weekend... ...stakeholders. Use AIDET in interactions and utilize whiteboards for patient communication.... ...laws. For further information, please review the Know Your Rights notice from the...Full timeRelocation packageShift workNight shiftWeekend work- ...Certified Registered Nurse Anesthetist | Anesthesiology - General/Other Location: Torrance, CA Employer: Wellhart, LLC Pay: Competitive weekly pay (inquire for details) Start Date: 9/2/2026 About the Position Our client is seeking a dedicated...Weekly payPermanent employmentFull timeContract workLocumShift work
Wellhart, LLC
Torrance, CA1 day ago - Certified Registered Nurse Anesthetist ( CRNA ) Jobs for Humanity is partnering with CEDARS-SINAI to build an inclusive and just employment... ...the pre-anesthesia assessment and evaluation of the patient. Review, request and order (as permitted by state law) laboratory/...
$2,312 per week
...Summary Seeking an experienced in-patient Case Manager with Utilization Review expertise to assess and coordinate patient care, ensuring... ...California RN license. Possess at least two years of clinical nursing experience. Have a minimum of two years of Case...- ...Certified Registered Nurse Anesthetist (CRNA), South Bay/Harbor City (Full Time) Under the medical supervision of an Anesthesiologist, administers... ...pre-operatively by interviewing and examining patient. Reviews chart for relevant information. In collaboration with the...Full timeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Registered Nurse-Utilization Review. Be the first to apply!
Related searches
- unique rn Torrance, CA
- med surg medical surgical rn registered nurse Torrance, CA
- travel registered nurse rn Torrance, CA
- rn outpatient surgery Torrance, CA
- cath-lab rn Torrance, CA
- behavioral rn Torrance, CA
- injection rn Torrance, CA
- pediatric icu rn Torrance, CA
- private rn Torrance, CA
- charge registered nurse Torrance, CA