Utilization review nurse [h1.location_city]
[job_alerts.create_a_job]
Utilization review nurse • anaheim ca
[last_updated.last_updated_1_hour]
Shift : 5x8 Days (Monday-Friday, in-person; no weekends or holidays).Completion Bonus : $2,500 per contract (up to $7,500 after three contracts).
Travel RN Utilization Review needed for an in-person a...[show_more][last_updated.last_updated_variable_days]
Shift : 5x8 Days (Monday–Friday, in-person; no weekends or holidays).Completion Bonus : $2,500 per contract (up to $7,500 after three contracts).
Travel RN Utilization Review needed for an in-pe...[show_more][last_updated.last_updated_variable_days]
Orange, CA is a premier healthcare provider specializing in Medicare and HMO services.With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize acc...[show_more][last_updated.last_updated_1_hour]
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of ca...[show_more][last_updated.last_updated_variable_days]
Quick PaymentsWeekly pay through direct depositHealthGenerous medical and dental plansHousingStipend and per diem available401K MatchingSliding scale matched up to 4%.
Licensure reimbursementBest in...[show_more][last_updated.last_updated_variable_days]
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California.
Job Description & Requirements.Contract - W2 Case Management / Utilization ...[show_more][last_updated.last_updated_variable_days]
A company is looking for a Concurrent Utilization Review Nurse (Work from Home).Key Responsibilities Conduct real-time clinical reviews to assess medical necessity and appropriateness of healthca...[show_more][last_updated.last_updated_variable_hours]
ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California.Job Description & Requirements.
A utilization review nurse is a registered nurse (RN) ...[show_more][last_updated.last_updated_variable_days]
Health Advocates Network - Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California.
Job Description & Requirements.Travel Utilization Review Nursing Jo...[show_more][last_updated.last_updated_variable_days]
Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California.Job Description & Requirements.
Host Healthcare Job ID #a1fVX000002lIZpYAM.Pay package...[show_more][last_updated.last_updated_variable_hours]
A 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 re...[show_more][last_updated.last_updated_variable_days]
Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California.
Job Description & Requirements.Active State or Compact RN License.BLS...[show_more][last_updated.last_updated_variable_days]
Comprehensive health, prescription, dental, vision, life, and disability plans .Referral opportunities ? Refer a friend & Cash in! .
Travel reimbursement and per diem allowances .Health Advocates...[show_more][last_updated.last_updated_variable_hours]
HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California.Job Description & Requirements.
HonorVet Technologies : Pioneering Purpose, Em...[show_more][last_updated.last_updated_variable_days]
Registered Nurse (RN) | Utilization Review.Competitive weekly pay (inquire for details) .TravelNurseSource is working with Health Advocates Network to find a qualified Utilization Review RN in Oran...[show_more][last_updated.last_updated_variable_days]
Formulary Strategy & Utilization Review Pharmacist.Shape the drug benefit landscape-analyze and optimize medication use.Review prescribing trends and propose cost-saving alternatives.Maintain evide...[show_more][last_updated.last_updated_variable_days]
All Care To You is a Management Service Organization providing our clients with healthcare administrative support.We provide services to Independent Physician Associations, TPAs, and Fiscal Interme...[show_more][last_updated.last_updated_variable_hours]
Comprehensive health, prescription, dental, vision, life, and disability plans.Referral opportunities ? Refer a friend & Cash in!.
Travel reimbursement and per diem allowances.Health Advocates Netwo...[show_more][last_updated.last_updated_variable_days]
- [promoted]
RN Utilization Review (with $7,500 Completion Bonus)
ATC, Inc.Santa Ana, CA, United States[job_card.full_time]
- [promoted]
RN Utilization Review (with $7,500 Completion Bonus)
ATC - NorthwestOrange, CA, US[job_card.full_time]
- [promoted]
- [new]
Utilization Management (UM) Manager
Astiva Health, IncOrange County, CA, United States[job_card.full_time]
- [promoted]
Care Review Processor-Utilization Review-California
Molina HealthcareAnaheim, CA, United States[job_card.full_time]
RN - Utilization Review
Coast Medical ServiceOrange, California[job_card.full_time]
- [promoted]
Travel Utilization Review RN - $2,065 per week
GQR HealthcareOrange, CA, United States[job_card.full_time]
- [promoted]
- [new]
California Licensed Utilization Review Nurse
VirtualVocationsAnaheim, California, United States[job_card.full_time]
- [promoted]
Travel Nurse RN - Utilization Review - $2,703 per week
ALOIS HealthcareOrange, CA, United States[job_card.full_time]
- [promoted]
Travel Nurse RN - Utilization Review - $2,591 per week
Health Advocates Network - NursingOrange, CA, United States[job_card.full_time]
- [promoted]
- [new]
Travel Utilization Review RN - $2,440 per week
Host HealthcareOrange, CA, US[job_card.full_time]
- [promoted]
RN - Utilization Review
UCI HealthOrange, CA, United States[job_card.full_time]
- [promoted]
Travel Utilization Review RN
Prime StaffingOrange, CA, US[job_card.permanent]
- [promoted]
RN - Utilization Review
Health Advocates NetworkOrange, CA, United States[job_card.full_time]
- [promoted]
Travel Nurse RN - Utilization Review
HonorVet TechnologiesOrange, CA, US[job_card.full_time]
- [promoted]
RN - Utilization Review
Meda Health, LLCOrange, CA, United States- [promoted]
Travel Nurse RN - Utilization Review in Orange, CA
TravelNurseSourceOrange, CA, US[job_card.full_time]
- [promoted]
Formulary Strategy & Utilization Review Pharmacist
Pharmacy CareersAnaheim, CA, United States[job_card.full_time]
- [promoted]
Concurrent Review Nurse
All Care To YouOrange, CA, United States[job_card.full_time]
- [promoted]
RN - Utilization Review
HAN StaffOrange, CA, United States[job_card.full_time]
RN Utilization Review (with $7,500 Completion Bonus)
ATC, Inc.Santa Ana, CA, United States[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Active California RN license required in hand at submission (EMSA not accepted) Minimum 1 year utilization review or related experience required High proficiency with Epic required Demonstrated InterQual experience required Acute hospital experience required Knowledge of CPT coding, billing, and medical necessity review preferred Two supervisor references required at submission No Nursys or background hits accepted Must meet RTO and compliance requirements at submission Weekly pay with competitive rates Health, dental, and vision insurance 401(k) retirement plan with company match Referral bonuses for referring talented professionals into our network Flexible schedules and dedicated recruiter support
RN Utilization Review
Location : Orange, CA
Contract Type : Travel
Duration : 13 weeks
Shift : 5x8 Days (Monday-Friday, in-person; no weekends or holidays)
Pay : $2,520 / week
Completion Bonus : $2,500 per contract (up to $7,500 after three contracts)
Job Description
Travel RN Utilization Review needed for an in-person acute care role focused on clinical review and medical necessity determination. Schedule is weekday days only with no weekends or holidays. Candidate must be highly proficient in Epic and InterQual and have hands-on experience using both for utilization review workflows. Pre-approved time off is limited per contract. Modules are completed pre-start and annually.
Key Responsibilities
- Perform utilization review and medical necessity determinations
- Conduct concurrent and continued stay reviews
- Apply InterQual criteria for admission and level-of-care decisions
- Complete clinical documentation and review activities in Epic
- Support admission criteria and CMS-related review processes
- Assist with MOON notices and payer-related review requirements
- Collaborate with care teams and payers regarding authorizations and status reviews
Qualifications
Benefits
About ATC Healthcare
ATC Healthcare has been a leader in healthcare staffing for nearly 40 years, offering personalized placement and support to healthcare professionals nationwide. With over 60 locations, we are committed to connecting skilled nurses, therapists, and clinicians with rewarding career opportunities.
Other Duties :
Please note this job summary is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may vary by assignment and may change at any time with or without notice.
Equal Opportunity Employer :
ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other category protected by Federal, State, or local law.
ID : 3168495