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Entry Level Rn Utilization Review Nurse Jobs in Riverside, CA

UnitiMed

RN Case Manager

Redlands, CA

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

UnitiMed

RN Case Manager

Redlands, CA

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

UnitiMed

RN Case Manager

Mission Viejo, CA

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

Pacific Grove

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...

Acadia Healthcare

Utilization Specialist PRN

Riverside, CA · On-site

$31 - $50/hr

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...

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How much do entry level rn utilization review nurse jobs pay per hour?

As of May 29, 2026, the average hourly pay for entry level rn utilization review nurse in Riverside, CA is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.
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Entry Level Rn Utilization Review Nurse jobs near you
Registered Nurse (RN) - Case Manager

Registered Nurse (RN) - Case Manager

Navitas Healthcare LLC

Mission Viejo, CA

$60 - $70/hr

Other

Posted 12 days ago

Job description

Position Title: Registered Nurse (RN) - Case Manager
Location: Mission Viejo, California
Facility Type: Acute Care Hospital
Duration: 13 Weeks
Unit: Case Management
Schedule
  • Day Shift: 08:00 AM - 04:30 PM
  • 5x8-hour shifts
  • 40 hours per week
  • Weekend rotation required (every other weekend)
Pay Rate
  • Local: Up to $42.00 - $52.00 per hour
  • Travel: Up to $60.00 - $70.00 per hour
Position Overview
"Navitas Healthcare, LLC" is an experienced Registered Nurse Case Manager to support care coordination, discharge planning, and utilization management in an acute care hospital setting. The RN Case Manager will work closely with interdisciplinary teams to ensure safe, efficient, and timely patient transitions while optimizing clinical and financial outcomes.
Key Responsibilities
  • Conduct patient assessments and develop individualized care plans
  • Coordinate discharge planning including SNF placement, DME, and transportation
  • Collaborate with interdisciplinary teams for care coordination
  • Participate in family meetings and care conferences
  • Ensure compliance with CMS, HIPAA, Joint Commission, and hospital policies
  • Support appeals, denials, and utilization review processes
  • Coordinate complex discharges involving social, behavioral, and medical needs
  • Educate patients and families on care plans and post-discharge resources
  • Maintain accurate and timely documentation in Epic EMR
  • Work with providers to optimize patient outcomes and reduce length of stay
Required Qualifications
  • Minimum 2 years of acute care Case Management experience
  • Strong experience in discharge planning and care coordination
  • Ability to independently arrange SNF placement, DME, and transportation
  • Experience in hospital-based case management setting
Education
  • Graduate of an accredited Nursing program (ADN or BSN)
Licensure / Certification
  • Active California RN License (required)
  • BLS certification preferred
Required Skills & Experience
  • Epic EMR proficiency (required)
  • Strong knowledge of insurance processes (HMOs, IPAs, authorizations)
  • Experience with adult and geriatric patient populations
  • Strong understanding of community resources and post-acute care options
  • Ability to manage high caseloads (approx. 1:25 ratio)
  • Weekend rotation flexibility
  • Strong communication, problem-solving, and organizational skills
  • Knowledge of CMS, DRG, HIPAA, and regulatory compliance standards

For more details contact athdavda@navitashealth.comor Call / Text at 516-862-1169.
About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

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