Utilization review nurse [h1.location_city]
[job_alerts.create_a_job]
Utilization review nurse • santa ana 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]
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_1_day]
Registered Nurse - Utilization Review.Current Registered Nurse license to work in the state of CA.Current Basic Life Support certification .
Benefits of a Travel Assignment with TRS Healthcare : .Co...[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_1_day]
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]
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]
A company is looking for a Clinical Care Manager- Utilization Review Nurse.Key Responsibilities Conduct timely reviews of healthcare services and document clinical findings in compliance with reg...[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 candi...[show_more][last_updated.last_updated_variable_days]
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 (...[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.Review Registered Nurse (RN) Job.Profe...[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_1_day]
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_hours]
RN Case Manager, Utilization Review for a travel nursing job in Orange, California.Job Description & Requirements.Pay package is based on 8 hour shifts and 40 hours per week (subject to confirm...[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_1_day]
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_1_day]
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HonorVet TechnologiesCosta Mesa, CA, US[job_card.permanent]
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VirtualVocationsHuntington Beach, California, United States[job_card.full_time]
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Meda Health, LLCOrange, CA, United States- [promoted]
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ALOIS HealthcareOrange, CA, US[job_card.full_time]
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GQR HealthcareOrange, CA, US[job_card.full_time]
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Travel Nurse RN - Utilization Review in Orange, CA
TravelNurseSourceOrange, CA, US[job_card.full_time]
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RN - Utilization Review
HAN StaffOrange, CA, United States[job_card.full_time]
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Travel Nurse RN - Case Manager, Utilization Review
Travel Nurses, Inc.Orange, CA, US[job_card.full_time]
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Travel Nurse RN - Utilization Review
Health Advocates Network - NursingOrange, CA, US[job_card.full_time]
Utilization Review (UR) RN
Meda HealthOrange, CA, 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