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Utilization review nurse [h1.location_city]

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Utilization review nurse • garden grove ca

[last_updated.last_updated_variable_hours]
RN - Utilization Review

RN - Utilization Review

Lark Medical StaffingOrange, California, US
[job_card.full_time]
Join the Traveler Tribe today! We are looking for a RN - Utilization Review for our client in Orange, CA.They need a Travel RN to work 8hr Days, 40hrs per week. The position starts on 03 / 09 / 2026 and...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
RN Utilization Review - Full-time Day- REMOTE

RN Utilization Review - Full-time Day- REMOTE

ProvidenceIrvine, CA, United States
[filters.remote]
[job_card.full_time]
RN Utilization Review at Irvine, CA.This position is Full- time and will work Remote 8-hour, Day shifts.Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA mi...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
RN Utilization Review - Per Diem Day - REMOTE

RN Utilization Review - Per Diem Day - REMOTE

Providence Health & ServiceIrvine, CA, United States
[filters.remote]
[job_card.part_time]
RN Utilization Review at Irvine, CA.This position is Per Diem and will work Remote 8-hour, Day shifts.Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA mini...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Care Review Processor-Utilization Review-California

Care Review Processor-Utilization Review-California

Molina HealthcareAnaheim, CA, United States
[job_card.full_time]
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]
RN - Utilization Review

RN - Utilization Review

Coast Medical ServiceOrange, California
[job_card.full_time]
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]
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Formulary Strategy & Utilization Review Pharmacist

Formulary Strategy & Utilization Review Pharmacist

Pharmacy CareersIrvine, CA, United States
[job_card.full_time]
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_30]
  • [promoted]
Travel Nurse RN - Utilization Review - $2,703 per week

Travel Nurse RN - Utilization Review - $2,703 per week

ALOIS HealthcareVilla Park, CA, US
[job_card.full_time]
ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California.Job Description & Requirements Specialty : Utilization Review Discipline : RN Start Dat...[show_more][last_updated.last_updated_1_day]
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  • [new]
California Licensed Utilization Review Nurse

California Licensed Utilization Review Nurse

VirtualVocationsAnaheim, California, United States
[job_card.full_time]
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]
  • [promoted]
Travel Nurse RN - Utilization Review - $2,591 per week

Travel Nurse RN - Utilization Review - $2,591 per week

Health Advocates Network - NursingOrange, CA, United States
[job_card.full_time]
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]
  • [promoted]
RN - Utilization Review

RN - Utilization Review

UCI HealthOrange, CA, United States
[job_card.full_time]
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]
  • [promoted]
Travel Utilization Review RN

Travel Utilization Review RN

Prime StaffingOrange, CA, US
[job_card.permanent]
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]
  • [promoted]
  • [new]
RN - Utilization Review

RN - Utilization Review

Health Advocates NetworkOrange, CA, United States
[job_card.full_time]
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]
  • [promoted]
Travel Nurse RN - Utilization Review - $2,460 per week

Travel Nurse RN - Utilization Review - $2,460 per week

Cross Country NursesOrange, CA, United States
[job_card.full_time]
Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California.Job Description & Requirements. As a registered nurse (RN), you will provide care ...[show_more][last_updated.last_updated_1_day]
  • [promoted]
Travel Nurse RN - Utilization Review

Travel Nurse RN - Utilization Review

HonorVet TechnologiesOrange, CA, US
[job_card.full_time]
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]
  • [promoted]
RN - Utilization Review

RN - Utilization Review

Meda Health, LLCOrange, CA, United States
[job_card.full_time]
[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Travel Nurse RN - Utilization Review in Orange, CA

Travel Nurse RN - Utilization Review in Orange, CA

TravelNurseSourceOrange, CA, US
[job_card.full_time]
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]
  • [promoted]
RN - Utilization Review

RN - Utilization Review

HAN StaffOrange, CA, United States
[job_card.full_time]
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]
Utilization Review (UR) RN

Utilization Review (UR) RN

Meda HealthOrange, CA, United States
[job_card.full_time]
With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this.Travel Utilization Review (UR) Registered Nurse : . Travel Nursing Job Assignme...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Utilization Review RN (Onsite)

Utilization Review RN (Onsite)

Pacer StaffingOrange, CA, United States
[job_card.full_time]
Utilization Review RN (Onsite).Candidate must be highly proficient in EPIC and InterQual, with demonstrated experience using both systems for clinical review and medical necessity determination.Mon...[show_more][last_updated.last_updated_variable_days]
RN - Utilization Review

RN - Utilization Review

Lark Medical StaffingOrange, California, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Join the Traveler Tribe today! We are looking for a RN - Utilization Review for our client in Orange, CA. They need a Travel RN to work 8hr Days, 40hrs per week. The position starts on 03 / 09 / 2026 and lasts for 13.0 weeks. Assignment Details : Title : RN - Utilization Review Shift : 8hr Days, 40 hrs per week Start Date : 03 / 09 / 2026 Duration : 13.0 weeks Location : Orange, CA Pay Details : Pay Rate : $25.0 / hr Lodging Weekly : $1337.0 / wk M&IE Weekly : $277.8 / wk Gross Weekly Pay : $2614.8 / wk Facility Details : Facility : UC Irvine Medical Center Beds : 1 Trauma : None EMR : Other Other Benefits : Weekly Pay Medical, Dental, and Vision 401k Free Professional Liability Insurance Pre-Tax Per Diem Allowance Travel, Licensure, and Certification Reimbursements Loyalty and Referral Rewards

  • Please note the robots help maintain our job postings by talking with other robots. As you might expect, the robots aren't the best communicators, and at times they make errors. That said, we teach them new things everyday, and are consistently proud of their progress! Candidate must be highly proficient in EPIC and InterQual, with demonstrated experience using both systems for clinical review and medical necessity determination. This position is in person (no remote) Monday through Friday with no weekends or holidays. Pre-approved time off per contract no to exceed 5 days. Modified Time : 3 / 9 / 2026 12 : 00 : 00 AM Account Manager : Morgan Darlington Account Manager Email : Morgan.Darlington@ayahealthcare.com COVID-19 Vaccine : Required + Booster - No Exemptions, Current Booster Flu Vaccine : Required - No Exemptions Submittals : Med Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 1 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : Required LTAC Experience : - Trauma Level I Experience : Preferred Trauma Level II Experience : - Travel Experience Required : - Certifications : Skills : CPT (Current Procedural Terminology) coding and billing
  • , Acute Hospital, Admission Criteria, Concurrent Review, Continued Stay Reviews, Medical Necessity, Utilize InterQual Criteria, CMS : Centers for Medicare and Medicaid Services, Delivery of MOON notice
  • Unit Details Staffing & Scheduling Scheduling Type : - Patient Ratios Days : Tues-Sat. or Weds-Sun. Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Adults Daily Census : - Number of Visits Per Day : - Number of Rooms : - Number of Beds : 459 Additional Unit Information Interdisciplinary Support : - Patient Diagnoses : - Special Procedures / Unit Details : - Special Equipment : - #Tier2 Travel Compliance No Nursys or background hits accepted. RTO : No RTO within the first two weeks of an assignment. Max 7 days of RTO per 13-week contract highly preferred. All RTO must be on the submittal and cannot be changed once the profile has been sent to the manager for review. RTO : Screenshot of traveler confirming RTO required when applying. Valid CA State License required in-hand when applying. EMSA not accepted. Certifications : All required certs must be in-hand when applying. CPI REQUIREMENT : All ER nurses MUST have a CPI Blue Card from the Crisis Prevention Institute IN-HAND when applying. MAB or Online CPI Blue certification not accepted . All Float Pool nurses must get a CPI Blue Card. EPIC experience required must be noted in traveler s work history as well. References : Two (2) Supervisor references required when applying. Local Rules : Locals accepted at the same rate. Return Staff Policy : Must be gone a minimum of 1 year to return as a traveler. Interview : Manager may or may not interview. Traveler must be OK with this. If Traveler has questions, please email the AM. Modules : Modules are billable, average 4-8 hours spent on modules. Any time spent on modules after orientation (ex : annual) are non-billable Modules are completed pre-start and annually, and module hours vary by specialty Modules are self-reported Submittal Details : #Tier2 Travel ComplianceNo Nursys or background hits accepted.RTO : No RTO within the first two weeks of an assignment. Max 7 days of RTO per 13-week contract highly preferred. All RTO must be on the submittal and cannot be changed once the profile has been sent to the manager for review.RTO : Screenshot of traveler confirming RTO required when applying.Valid CA State License required in-hand when applying. EMSA not accepted.Certifications : All required certs must be in-hand when applying.CPI REQUIREMENT : All ER nurses MUST have a CPI Blue Card from the Crisis Prevention Institute IN-HAND when applying. MAB or Online CPI Blue certification not accepted. All Float Pool nurses must get a CPI Blue Card.EPIC experience required must be noted in traveler s work history as well.References : Two (2) Supervisor references required when applying.Local Rules : Locals accepted at the same rate.Return Staff Policy : Must be gone a minimum of 1 year to return as a traveler.Interview : Manager may or may not interview. Traveler must be OK with this. If Traveler has questions, please email the AM.Modules : Modules are billable, average 4-8 hours spent on modules. Any time spent on modules after orientation (ex : annual) are non-billableModules are completed pre-start and annually, and module hours vary by specialtyModules are self-reported AYA - 3168495