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Utilization review nurse [h1.location_city]

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Utilization review nurse • huntington beach ca

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Travel Nurse RN - Utilization Review

Travel Nurse RN - Utilization Review

HonorVet TechnologiesCosta Mesa, CA, US
[job_card.permanent]
HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Costa Mesa, California. Job Description & Requirements.UM Nurse Manager – Direct Hire (Rem...[show_more][last_updated.last_updated_variable_days]
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Travel Nurse - Registered Nurse - UR - Utilization Review - $2747 / Week

Travel Nurse - Registered Nurse - UR - Utilization Review - $2747 / Week

Coast Medical ServiceOrange, CA, United States
[job_card.full_time]
Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Orange, CA. Shift : 5x8 hr days Start Date : 03 / 09 / 2026 Duration : 13 weeks Pay...[show_more][last_updated.last_updated_variable_days]
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RN Utilization Review (with $7,500 Completion Bonus)

RN Utilization Review (with $7,500 Completion Bonus)

ATC, Inc.Santa Ana, CA, United States
[job_card.full_time]
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]
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Manager Utilization Mgmt - Clinic : Hoag Clinic Utilization Mgmt

Manager Utilization Mgmt - Clinic : Hoag Clinic Utilization Mgmt

Hoag Health SystemCosta Mesa, CA, US
[job_card.full_time]
The UM Nurse Manager is responsible for providing strategic and operational leadership to the day to day function of the Utilization Management Team. The UM Nurse Manager will ensure that the team c...[show_more][last_updated.last_updated_variable_days]
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Maine Licensed Utilization Review Nurse

Maine Licensed Utilization Review Nurse

VirtualVocationsGarden Grove, California, United States
[job_card.full_time]
A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities Review prior authorization requests for medical necessity and collaborate with healthcare providers Manage medic...[show_more][last_updated.last_updated_variable_hours]
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Travel Utilization Review RN - $2,585 per week

Travel Utilization Review RN - $2,585 per week

Assured Nursing IncOrange, CA, United States
[job_card.full_time]
Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California.Job Description & Requirements. Assured Nursing is currently seeking a.The ideal candidate...[show_more][last_updated.last_updated_variable_days]
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Travel Utilization Review RN - $2,065 per week

Travel Utilization Review RN - $2,065 per week

GQR HealthcareOrange, CA, United States
[job_card.full_time]
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]
Executive Director, Office of Independent Review

Executive Director, Office of Independent Review

WBCPSanta Ana, California, USA
[job_card.full_time]
Executive Director Office of Independent Review.The County of Orange California is seeking a strategic big-picture leader to serve as Executive Director for the Office of Independent Review (OIR) a...[show_more][last_updated.last_updated_variable_days]
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Travel Nurse RN - Utilization Review - $2,703 per week

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

ALOIS HealthcareOrange, CA, United States
[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. A utilization review nurse is a registered nurse (RN) ...[show_more][last_updated.last_updated_variable_days]
VP, Utilization Management

VP, Utilization Management

Alignment HealthcareOrange, California US
[job_card.full_time]
Job Number6888Workplace Type : Fully RemoteOrange,California.By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart cult...[show_more][last_updated.last_updated_30]
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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]
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RN Utilization Review (with $7,500 Completion Bonus)

RN Utilization Review (with $7,500 Completion Bonus)

ATC - NorthwestOrange, CA, United States
[job_card.full_time]
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]
Product Review Engineer

Product Review Engineer

BoeingCA,Seal Beach,USA
[job_card.full_time]
Seal Beach Blvd, Seal Beach, CA 90740.We are looking for an experienced Product Review Engineer in Seal Beach, CA.The selected candidate will provide support within the Airframe (Structures) Servic...[show_more][last_updated.last_updated_30]
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Travel Nurse RN - Manager, Utilization Review

Travel Nurse RN - Manager, Utilization Review

Integrated Healthcare ServicesCosta Mesa, CA, US
[job_card.full_time]
Integrated Healthcare Services is seeking a travel nurse RN Manager, Utilization Review for a travel nursing job in Costa Mesa, California. Job Description & Requirements.Position Summary : -Ensu...[show_more][last_updated.last_updated_variable_hours]
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Travel Nurse RN - Manager, Utilization Review

Travel Nurse RN - Manager, Utilization Review

Hoag Memorial Hospital - 2995 Red Hill AveCosta Mesa, CA, US
[job_card.full_time]
Registered Nurse (RN) - California State License.Ensures that the team are properly trained to conduct medical necessity reviews on incoming Pre-Service / Prior-Authorization, Retrospective and Post ...[show_more][last_updated.last_updated_variable_hours]
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Concurrent Review Nurse

Concurrent Review Nurse

All Care To YouOrange, CA, United States
[job_card.full_time]
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_days]
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Travel Nurse RN - Utilization Review - $2,065 per week in Orange, CA

Travel Nurse RN - Utilization Review - $2,065 per week in Orange, CA

TravelNurseSourceOrange, CA, US
[job_card.full_time]
Registered Nurse (RN) | Utilization Review.TravelNurseSource is working with GQR Healthcare to find a qualified Utilization Review RN in Orange, California, 92868!. Contract - W2 Case Management / Uti...[show_more][last_updated.last_updated_variable_days]
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Utilization Management Representative I

Utilization Management Representative I

Elevance HealthCosta Mesa, CA, US
[job_card.full_time]
Utilization Management Representative I.This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and auton...[show_more][last_updated.last_updated_1_day]
Contracts Review Specialist

Contracts Review Specialist

GeoStabilization InternationalWestminster, California, USA
[job_card.full_time]
Who is GeoStabilization International.GeoStabilization International (GSI) develops and installs innovative solutions that protect people and infrastructure from the dangers of geohazards.We specia...[show_more][last_updated.last_updated_variable_days]
Travel Nurse RN - Utilization Review

Travel Nurse RN - Utilization Review

HonorVet TechnologiesCosta Mesa, CA, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.permanent]
[job_card.job_description]

Job Description

HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Costa Mesa, California.

Job Description & Requirements

  • Specialty : Utilization Review
  • Discipline : RN
  • Start Date : 02 / 23 / 2026
  • Duration : 13 weeks
  • 40 hours per week
  • Shift : 8 hours, days
  • Employment Type : Travel

UM Nurse Manager – Direct Hire (Remote)

Client : Hoag Memorial Hospital Presbyterian

Department : Hoag Clinic Utilization Management (87615)

Location : Costa Mesa, CA (Remote Role)

Assignment Details

  • Schedule : Monday–Friday | 8 AM–5 PM
  • Hours : 40 hrs / week
  • Work Type : 100% Remote
  • On-Call : Required
  • Employment Type : Direct Hire
  • Reports To : UM Director
  • Team Size : 15 (RNs & Non-Clinical Staff)

    • Compensation

  • Expected Pay Range : $65.67 / hr

    • Position Summary

    The UM Nurse Manager oversees utilization management operations, ensuring regulatory compliance, staff performance, and high-quality care delivery. This leader serves as the subject-matter expert for UM processes, manages escalations, supports audits, and drives process improvement initiatives.

    Key Responsibilities

  • Lead and train UM staff on medical necessity reviews and authorization workflows
  • Ensure compliance with federal, state, health plan, and accreditation standards (URAC, NCQA)
  • Conduct performance evaluations and support staff development
  • Oversee accurate documentation in medical management systems
  • Collaborate with hospital teams, providers, and Medical Directors
  • Monitor referral trends and inappropriate authorizations
  • Manage complex cases and high-risk members
  • Support discharge planning and post-acute coordination
  • Serve as UM SME for clinical criteria (MCG, NCCN, LCD / LCA, etc.)
  • Participate in UM committee meetings and audits
  • Drive quality improvement initiative

    • Required Qualifications

  • Active California RN License
  • Bachelor’s Degree in a Healthcare-Related Field
  • 5–10 years of clinical nursing experience
  • 3–5 years in nursing leadership / management
  • Prior authorization experience in ambulatory or health-plan settings
  • Experience managing UM in California
  • Audit experience in UM
  • Strong analytical, communication, and leadership skills
  • Proficiency with MS Office

    • Preferred Qualifications

  • 2–3 years of UM Manager experience
  • Experience in medical groups, hospitals, or risk-based MSOs
  • Familiarity with Epic Tapestry and MCG (training provided)

    • About HonorVet Technologies

    HonorVet Technologies : Pioneering Purpose, Empowering Heroes

    Founded in 2015, HonorVet Technologies stands as a Service-Disabled Veteran-Owned Small Business (SDVOSB) , proudly certified by NaVOBA and the U.S. Department of Veterans Affairs . Our mission goes beyond staffing—we are committed to transforming lives by addressing the critical unemployment challenges faced by veterans.

    As a Joint Commission-certified clinical staffing agency , we deliver unmatched expertise in placing top-tier healthcare professionals—RNs, LPNs / LVNs, CNAs / CMAs, and NPs—across diverse facilities, including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more.

    At HonorVet, we don't just fill roles; we bridge gaps, uplift communities, and honor the ones who served.

    Benefits

  • Vision benefits
  • License and certification reimbursement
  • Continuing Education
  • Medical benefits
  • Wellness and fitness programs
  • Dental benefits
  • Guaranteed Hours
  • Mileage reimbursement
  • Referral bonus
  • Bereavement
  • Holiday Pay
  • Sick pay
  • Retention bonus