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Case Manager Utilization Review Nurse Jobs in Riverside, CA

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 ...

UCI Health

RN - Utilization Review

Orange, CA · On-site

Utilization Review Nurse A utilization review nurse is a registered nurse (RN) who is responsible for ensuring patients receive necessary care without performing unnecessary or duplicate services.

TotalMed RN

Travel Utilization Review RN

Irvine, CA · On-site

TotalMed RN is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Irvine, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration ...

KPC Health

Utilization Review RN

Santa Ana, CA · On-site

Utilization Review RN The Utilization Review RN reviews client health records to ensure proper ... Actively participates in Case Management and Treatment Team meetings * Serves as on-going educator ...

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Case Manager Utilization Review Nurse information

See Riverside, CA salary details

$20

$49

$83

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

As of Sep 11, 2026, the average hourly pay for case manager utilization review nurse in Riverside, CA is $49.59, according to ZipRecruiter salary data. Most workers in this role earn between $36.88 and $59.95 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 Riverside, CA?

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

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

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

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

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

Case Manager Utilization Review Nurse jobs near you

Travel Utilization Review RN - $2,590 per week

Orange, CA • On-site

Assured Nursing Inc
Recruiting and Staffing Services • 51 - 200 employees
Learn more about Assured Nursing Incexternal

$2.5K/wk

Other

Medical, Dental, Vision, Retirement

Posted 8 days ago

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: 10/05/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Looking for a great Travel Utilization Review Nursing Job in Orange, California? Assured Nursing posted this Travel Nursing Job that offers 40 hours a week for 13 weeks in Orange, California.

Vivian Health provides transparent Travel Utilization Review Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so you can compare travel opportunities matching your desired criteria.

With Vivian, you can chat directly with recruiters and apply to staffing agencies with a Single Reusable Profile to find your ideal job faster and easier than ever.

The details for this Travel Utilization Review Nursing Job are:

  • Specialty: Utilization Review
  • Job Location: Orange, California
  • Travel Nurse Salary: $2,590/week
  • Start Date: 10/05/2026
  • Assignment Length: 13 weeks
  • Total Hours Per Week: 40 weekly
  • Shift Breakdown: 5x8 hrs
  • Shift: 8 hours, days

Assured Nursing Job ID #38000343. Pay package is based on 8 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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