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Case Manager Utilization Review Nurse Jobs in Rialto, CA

Assured Nursing

Travel Utilization Review RN

Orange, CA · On-site

Assured Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

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Prime Staffing

Travel Utilization Review RN

Orange, CA · On-site

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...

New

Bestica

Travel Case Manager RN

Apple Valley, CA · On-site

No more than 7 days For this Case Management / Utilization Review position, the facility is looking for experience with: * Acute hospital case management / utilization review * Admission criteria and ...

Prime Healthcare

Utilization Review RN

Ontario, CA · On-site

$71K - $104K/yr

Responsible for the quality and resource management of all authorizations and referrals with the ... Minimum 3 years RN Utilization Manager working for a Health Plan. * At least 3 years of experience ...

American Traveler

Travel RN Case Manager

Orange, CA · On-site

Case Management/Utilization Review role supporting Breast Cancer Screening and Breast nodule/mass ... Active CA RN license required in-hand at time of application (EMSA not accepted) * BLS ...

GQR Healthcare

Travel RN Case Manager

Orange, CA · On-site

$2.0K - $2.1K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Orange, California Start Date: September 21, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

Medix

SNF Review Nurse (LVN or RN)

Orange, CA · On-site

$38 - $51/hr

Remote Utilization Management Nurse - RN/LVN Location: 100% Remote Schedule: Monday-Friday, 8:00 AM ... Present clear and concise clinical case summaries during daily multidisciplinary rounds. * Manage a ...

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Case Manager Utilization Review Nurse information

See Rialto, CA salary details

$19

$47

$80

How much do case manager utilization review nurse jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for case manager utilization review nurse in Rialto, CA is $47.66, according to ZipRecruiter salary data. Most workers in this role earn between $35.43 and $57.60 per hour, depending on experience, location, and employer.

What is a case manager utilization review nurse?

A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.

How does a case manager utilization review nurse typically collaborate with physicians and other healthcare providers?

Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.

What are the key skills and qualifications needed to thrive as a case manager utilization review nurse, and why are they important?

To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.

What is the difference between Case Manager Utilization Review Nurse vs Case Manager?

AspectCase Manager Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., URAC)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.

What are popular job titles related to Case Manager Utilization Review Nurse jobs in Rialto, CA?

For Case Manager Utilization Review Nurse jobs in Rialto, CA, the most frequently searched job titles are:

What job categories do people searching Case Manager Utilization Review Nurse jobs in Rialto, CA look for?

The top searched job categories for Case Manager Utilization Review Nurse jobs in Rialto, CA are:

What cities near Rialto, CA are hiring for Case Manager Utilization Review Nurse jobs?

Cities near Rialto, CA with the most Case Manager Utilization Review Nurse job openings:

Case Manager Utilization Review Nurse jobs near you

Travel Utilization Review RN

Assured Nursing

Orange, CA • On-site

Contractor

Medical, Dental, Vision, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Assured Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/21/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 9 hours, days
  • Employment Type: Travel

Assured Nursing Job ID #38000343. Pay package is based on 9 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:UR,08:00:00-16:00:00

Benefits
  • Weekly pay
  • Holiday Pay
  • 401k retirement plan
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
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About Assured Nursing

Sourced by ZipRecruiter

Living Life to the Fullest Begins Right Now with You. A unique end-of-life experience. Hospice care for your family Assured Nursing strives to provide the best service to our clients and employees.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Indianapolis, IN, US

Year founded

2001

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