LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Fairfield, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...
New
LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Fairfield, California. & Requirements * Specialty: Utilization Review * Discipline: RN * Start ...
New
Description Oncology Utilization Review State Medical Licenses required: Arizona, Florida, Minnesota, North Dakota, Oregon or Tennessee Flexible Independent Contractor (1099) Opportunity ABOUT MRIoA ...
Description Oncology Utilization Review State Medical Licenses required: Arizona, Florida, Minnesota, North Dakota, Oregon or Tennessee Flexible Independent Contractor (1099) Opportunity ABOUT MRIoA ...
Hospital RN - Care Coordination & Utilization Review
San Jose, CA · On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
New
Hospital RN - Care Coordination & Utilization Review
San Jose, CA · On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
New
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Family Medicine to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Family Medicine to conduct ...
Hospital RN - Care Coordination & Utilization Review
San Jose, CA · On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
Hospital RN - Care Coordination & Utilization Review
San Jose, CA · On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA ...
Hospital RN - Care Coordination & Utilization Review
Sunnyvale, CA · On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose , CA ...
Hospital RN - Care Coordination & Utilization Review
Sunnyvale, CA · On-site
$80 - $95/hr
... Utilization Review ... This is a 06+months contract opportunity with long-term potential and is located in San Jose , CA ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Gastroenterology to conduct ...
We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Gastroenterology to conduct ...
Utilization Review/Case Management RN
Santa Clara, CA · On-site
$75 - $85/hr
Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN. This is a 03+ Months Contract opportunity with long-term potential and is located in Santa ...
Utilization Review/Case Management RN
Santa Clara, CA · On-site
$75 - $85/hr
Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN. This is a 03+ Months Contract opportunity with long-term potential and is located in Santa ...
Utilization Review/Case Management RN
Santa Clara, CA · On-site
$75 - $85/hr
Immediate need for a talented Utilization Review/Case Management RN . This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite) . Please review the ...
Utilization Review/Case Management RN
Santa Clara, CA · On-site
$75 - $85/hr
Immediate need for a talented Utilization Review/Case Management RN . This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite) . Please review the ...
RN II-Case Management/ Utilization Review (CNA)
San Luis Obispo, CA · On-site
$2.4K - $2.7K/wk
RN II - Case Management / Utilization Review (CNA) (Contract) - 13 Weeks Location: California 93405 Pay: $2,743 - $2,905/week Schedule: Day Shift, 4x10s (no set days; occasional weekends) Hours: 7:30 ...
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RN II-Case Management/ Utilization Review (CNA)
San Luis Obispo, CA · On-site
$2.4K - $2.7K/wk
RN II - Case Management / Utilization Review (CNA) (Contract) - 13 Weeks Location: California 93405 Pay: $2,743 - $2,905/week Schedule: Day Shift, 4x10s (no set days; occasional weekends) Hours: 7:30 ...
San Luis Obispo, CA Job Type: 13 Weeks Contract Shift Details: Day Shift | 10 hours/day | 40 hours ... The RN II - Case Management / Utilization Review is responsible for assessing the appropriateness ...
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San Luis Obispo, CA Job Type: 13 Weeks Contract Shift Details: Day Shift | 10 hours/day | 40 hours ... The RN II - Case Management / Utilization Review is responsible for assessing the appropriateness ...
Director of Residential & Outpatient Programs
Tarzana, CA · On-site
$165K - $195K/yr
... Utilization Review). * Responsible for budget oversight, contract utilization, contract compliance, and service management for programs/departments under supervision. Required Qualifications
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Director of Residential & Outpatient Programs
Tarzana, CA · On-site
$165K - $195K/yr
... Utilization Review). * Responsible for budget oversight, contract utilization, contract compliance, and service management for programs/departments under supervision. Required Qualifications
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
Burlingame, CA · On-site
$39.69 - $45.10/hr
Responsible to review Referral Requests and Treatment Authorization Requests received daily ... Responsible for preparing UM statistical reports and submit to health plans per contract ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
Burlingame, CA · On-site
$39.69 - $45.10/hr
Responsible to review Referral Requests and Treatment Authorization Requests received daily ... Responsible for preparing UM statistical reports and submit to health plans per contract ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
Burlingame, CA · On-site
$39.69 - $45.10/hr
Responsible to review Referral Requests and Treatment Authorization Requests received daily ... Responsible for preparing UM statistical reports and submit to health plans per contract ...
UTILIZATION MANAGEMENT COORDINATOR II MSO
Burlingame, CA · On-site
$39.69 - $45.10/hr
Responsible to review Referral Requests and Treatment Authorization Requests received daily ... Responsible for preparing UM statistical reports and submit to health plans per contract ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
... reviews of claims for medical necessity, coding accuracy, medical policy, and contract compliance ... utilization of services * Identifies overpayment, third party liability, and coordination of ...
Contract Utilization Review information
See California salary details
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.58 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.38 / hr.
$33.92 - $38.20
23% of jobs
$38.20 - $42.47
13% of jobs
$45.79 is the 75th percentile. Wages above this are outliers.
$42.47 - $46.74
10% of jobs
$46.74 - $51.01
8% of jobs
$51.01 - $55.28
5% of jobs
$55.28 - $59.55
5% of jobs
$59.55 - $63.82
2% of jobs
$63.82 - $68.09
2% of jobs
$21
$41
$68
How much do contract utilization review jobs pay per hour?
As of Aug 6, 2026, the average hourly pay for contract utilization review in California is $41.73, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive in contract utilization review?
To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.
What does a contract utilization review do?
A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.
What is a contract utilization review?
A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.
What are the most commonly searched types of Utilization Review jobs in California? The most popular types of Utilization Review jobs in California are:
What are popular job titles related to Contract Utilization Review jobs in California? For Contract Utilization Review jobs in California, the most frequently searched job titles are:
- Remote Claims Adjuster Trainee
- Entry Level Remote Property Claims Adjuster
- Usaajobs Com
- Cvs Health Claims Benefits Specialist
- Relocation Package Claims Adjuster
- Senior Commercial Underwriter
- Remote Theft Investigator
- Decision Scientist
- Industrial Property Management Specialist
- Remote No Experience Medical Claims Processor
What job categories do people searching Contract Utilization Review jobs in California look for? The top searched job categories for Contract Utilization Review jobs in California are:
What cities in California are hiring for Contract Utilization Review jobs? Cities in California with the most Contract Utilization Review job openings:
Contractor
Posted 3 days ago
New
Job description
LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Fairfield, California.
Job Description & Requirements- Specialty: Utilization Review
- Discipline: RN
- Start Date: 09/08/2026
- Duration: 8 weeks
- 39 hours per week
- Shift: 8 hours, days
- Employment Type: Local Contract
This position is Remote.
Monday - Friday, 8a-4:30p.
Will need to have their own equipment to conduct chart reviews. Need experience in Cerner with understanding of MCG and utilization review requirements for concurrent and initial reviews.
Education: BSN required
Current California RN License and Magnet ANCC-recognized Case Management certification (CCM, ACM-NBCM, etc.).
Minimum of 5 years of clinical nursing experience including 3 years in utilization review/case management. Advanced knowledge of Milliman Care Guidelines, Medicare/Medicaid and managed care requirements.
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About LanceSoftEstablished in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
- Weekly pay
- Medical benefits
About LanceSoft
Sourced by ZipRecruiter
Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Industry
Recruiting and staffing services
Company size
1,001 - 5,000 Employees
Headquarters location
Herndon, VA, US
Year founded
2000