Utilization review nurse [h1.location_city]
[job_alerts.create_a_job]
Utilization review nurse • orange ca
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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]
Health Advocates Network - Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California.
Job Description & Requirements.Pay package is based on 8 hour s...[show_more][last_updated.last_updated_variable_days]
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]
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]
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]
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]
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]
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_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]
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]
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]
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_1_day]
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]
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]
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_1_day]
- [promoted]
Travel Nurse RN - Utilization Review
HonorVet TechnologiesCosta Mesa, CA, US[job_card.permanent]
- [promoted]
Travel Nurse RN - Utilization Review - $2,591 per week
Health Advocates Network - NursingOrange, CA, US[job_card.full_time]
- [promoted]
RN Utilization Review - Per Diem Day - REMOTE
Providence Health & ServiceIrvine, CA, United States[filters.remote]
[job_card.part_time]
- [promoted]
RN Utilization Review (with $7,500 Completion Bonus)
ATC, Inc.Santa Ana, 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]
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Formulary Strategy & Utilization Review Pharmacist
Pharmacy CareersIrvine, CA, United States[job_card.full_time]
- [promoted]
Travel Utilization Review RN - $2,065 per week
GQR HealthcareOrange, CA, United States[job_card.full_time]
- [promoted]
- [new]
Travel Utilization Review RN - $2,585 per week
Assured Nursing IncOrange, CA, 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]
- [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 (with $7,500 Completion Bonus)
ATC - NorthwestOrange, CA, United States[job_card.full_time]
- [promoted]
RN - Utilization Review
Health Advocates NetworkOrange, CA, United States[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]
RN - Utilization Review
HAN StaffOrange, CA, United States[job_card.full_time]
- [promoted]
California Licensed Utilization Review Nurse
VirtualVocationsIrvine, California, United States[job_card.full_time]
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]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) Expected Pay Range : $65.67 / hr 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 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 2–3 years of UM Manager experience Experience in medical groups, hospitals, or risk-based MSOs Familiarity with Epic Tapestry and MCG (training provided) 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
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
Compensation
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
Required Qualifications
Preferred Qualifications
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