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 ...
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 ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
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Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Quick apply
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Quick apply
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location ... Strong knowledge of care coordination, discharge planning, and utilization review. * Excellent ...
$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 ...
$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 ...
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 ...
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 ...
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 ...
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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Mission Viejo, CA · On-site
$58 - $63/hr
This role focuses on care coordination, utilization review, and discharge planning for adult and geriatric patients. Job Title: RN Case Manager Shift: Day (5x8) | 08:00 AM - 04:30 PM Contract Length ...
New
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Mission Viejo, CA · On-site
$58 - $63/hr
This role focuses on care coordination, utilization review, and discharge planning for adult and geriatric patients. Job Title: RN Case Manager Shift: Day (5x8) | 08:00 AM - 04:30 PM Contract Length ...
New
Upland, CA · On-site
$47.90 - $71.84/hr
Experience in utilization review, discharge planning and/or case management is preferred. For Per ... Current RN licensure in the State of California and a current American Heart Association (AHA) BLS ...
Upland, CA · On-site
$47.90 - $71.84/hr
Experience in utilization review, discharge planning and/or case management is preferred. For Per ... Current RN licensure in the State of California and a current American Heart Association (AHA) BLS ...
Orange, CA · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Orange, CA · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Mission Viejo, CA · On-site
This position does not involve Utilization Review responsibilities. Assignment Details * Position: RN Case Manager * Start Date: 07/13/2026 * Shift: Days, 5x8-Hour Shifts * Shift Hours: 8:00 AM - 4 ...
Mission Viejo, CA · On-site
This position does not involve Utilization Review responsibilities. Assignment Details * Position: RN Case Manager * Start Date: 07/13/2026 * Shift: Days, 5x8-Hour Shifts * Shift Hours: 8:00 AM - 4 ...
... Manager, RN for Workers Compensation managed care team. PRIMARY PURPOSE: The complex care case ... Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ...
... Manager, RN for Workers Compensation managed care team. PRIMARY PURPOSE: The complex care case ... Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ...
Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...
Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...
Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...
Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...
San Bernardino, CA · On-site
$45 - $48/hr
The role supports utilization management (UM), care coordination, discharge processing, and urgent ... Graduated from an accredited Registered Nursing program. Preferred: Bachelor of Science in Nursing ...
San Bernardino, CA · On-site
$45 - $48/hr
The role supports utilization management (UM), care coordination, discharge processing, and urgent ... Graduated from an accredited Registered Nursing program. Preferred: Bachelor of Science in Nursing ...
San Bernardino, CA · On-site
$45 - $48/hr
The role supports utilization management (UM), care coordination, discharge processing, and urgent ... Graduated from an accredited Registered Nursing program. Preferred: Bachelor of Science in Nursing ...
San Bernardino, CA · On-site
$45 - $48/hr
The role supports utilization management (UM), care coordination, discharge processing, and urgent ... Graduated from an accredited Registered Nursing program. Preferred: Bachelor of Science in Nursing ...
$22.32 - $26.83
2% of jobs
$26.83 - $31.35
9% of jobs
$34.44 is the 25th percentile. Wages below this are outliers.
$31.35 - $35.86
21% of jobs
The median wage is $39.52 / hr.
$35.86 - $40.38
23% of jobs
$40.38 - $44.89
13% of jobs
$48.40 is the 75th percentile. Wages above this are outliers.
$44.89 - $49.40
10% of jobs
$49.40 - $53.92
8% of jobs
$53.92 - $58.43
5% of jobs
$58.43 - $62.95
5% of jobs
$62.95 - $67.46
2% of jobs
$67.46 - $71.97
2% of jobs
$22
$44
$71
$31 - $50/hr
Per diem
Posted 11 days ago
6.1
Based on 186 frontline employees who took The Breakroom Quiz
712th of 875 rated healthcare providers
Pacific Grove Hospital in Riverside, CA., is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated to the treatment of behavioral health and substance abuse services. Come join TEAM PGH as a UR Specialist!
Hourly pay range: $31-50 DOE and licensure held
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
ESSENTIAL FUNCTIONS:
OTHER FUNCTIONS:
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
LICENSES/DESIGNATIONS/CERTIFICATIONS:
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Hospitals
10,000+ Employees
Franklin, TN, US
2005
