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Entry Level Utilization Review Nurse Jobs in Riverside, CA

GQR

RN - Case Manager

Orange, CA · On-site

$2.0K - $2.1K/wk

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: $2090 ...

GQR Global Markets

RN - Case Manager

Orange, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Orange, California Start Date: September 14, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2090 ...

UC Irvine Medical Center

RN - Case Manager

Orange, CA · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

UCI Medical Center

RN - Case Manager

Orange, CA · On-site

Utilization Review Duration: 13 weeks Shift: Day Hours per Shift: 8 hours Experience: Minimum of 1 year in utilization review License: Valid state nursing license required Certifications: All ...

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 ...

Prime Staffing

Travel RN Case Manager

Orange, CA · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Kaiser Permanente

CM Utiliz RN

Riverside, CA · On-site

Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and ...

New

Kaiser Permanente

CM Utiliz RN-PD

Riverside, CA · On-site

Conducts daily clinical reviews for utilization/quality management activities based on guidelines ... Two (2) years combined RN experience in an acute care setting or case management required.

New

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All JobsUtilization Review Nurse JobsEntry Level Utilization Review Nurse JobsEntry Level Utilization Review Nurse Jobs in Riverside, CA

Entry Level Utilization Review Nurse information

See Riverside, CA salary details

$22

$44

$71

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

As of Sep 6, 2026, the average hourly pay for entry level 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.

What is an entry level utilization review nurse?

An Entry Level Utilization Review Nurse is a registered nurse (RN) who is new to the field of utilization review. Their main responsibilities include assessing medical records, ensuring that patients receive appropriate and necessary care, and verifying that health services are delivered according to established guidelines and insurance requirements. They typically work for hospitals, insurance companies, or managed care organizations and collaborate with healthcare providers to support quality patient outcomes while managing costs. This role often serves as a stepping stone to more advanced positions in healthcare administration or case management.

What are the key skills and qualifications needed to thrive as an entry level utilization review nurse, and why are they important?

To thrive as an Entry Level Utilization Review Nurse, you need a registered nurse (RN) license, knowledge of clinical guidelines, and an understanding of healthcare regulations. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) are often beneficial. Strong analytical thinking, attention to detail, and effective communication skills help you review cases accurately and collaborate with providers. These skills ensure appropriate care decisions, compliance with payer requirements, and optimal patient outcomes.

What are some common challenges faced by entry level utilization review nurses, and how can they overcome them?

Entry level Utilization Review Nurses often encounter challenges such as adapting to complex insurance policies, learning to review medical records efficiently, and communicating effectively with physicians and case managers. To overcome these challenges, new nurses should seek mentorship from experienced colleagues, participate in ongoing training sessions, and familiarize themselves with the organization's review protocols and documentation systems. Building strong communication skills and staying up to date with regulatory changes will also help in navigating the learning curve and ensuring successful case reviews.

What is the difference between Entry Level Utilization Review Nurse vs Utilization Review Nurse?

AspectEntry Level Utilization Review NurseUtilization Review Nurse
CredentialsRN license, possibly some certificationRN license, often with additional certifications
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare organizations
Job ResponsibilitiesAssist in reviewing patient cases, gather data, support senior staffEvaluate medical necessity, review patient records, make coverage decisions

The Entry Level Utilization Review Nurse typically supports the more experienced Utilization Review Nurse by gathering information and assisting in case reviews. Both roles require an RN license and work within healthcare or insurance settings, but the entry-level position involves more support tasks, while the Utilization Review Nurse makes critical coverage decisions.

What are popular job titles related to Entry Level Utilization Review Nurse jobs in Riverside, CA?

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

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

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

What cities near Riverside, CA are hiring for Entry Level Utilization Review Nurse jobs?

Cities near Riverside, CA with the most Entry Level Utilization Review Nurse job openings:

Entry Level Utilization Review Nurse jobs near you
Infographic showing various Entry Level Utilization Review Nurse job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $91,752 per year, or $44.1 per hour.

Travel Utilization Review RN - $2,386 per week

Vivian Health

Irvine, CA • On-site

$2.3K/wk

Other

Medical, Dental, Vision, Retirement

Posted 3 days ago

New

Job description

TNAA TotalMed RN is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Irvine, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

We're looking for RN Case managers for an immediate travel nurse opening in Irvine, CA. The right RN should have 1-2 years recent case management experience. Read below for more requirements. As a RN Case Manager, you'll work with a highly skilled team of professionals to advocate for patients, evaluate, plan, provide resources and facilitate communication with family members. You will be responsible for comprehensive coordination of short and long-term care for patients, with the goal of decreasing hospital stay lengths and reducing readmission rates to generate cost-effective outcomes.
As a Case Management Travel Nurse, you should be prepared to perform the following tasks:

  • Evaluate and assess new patients.
  • Create and update comprehensive short and long-term patient care plans.
  • Educate families and patients about resources and health care options.
  • Collaborate with other RNs, doctors and social workers.
  • Properly document and submit medical records.
  • Communicate with Insurance companies to collaborate or appeal decisions.
  • Improve financial status by analyzing results, monitoring variances, identifying trends and recommending actions to management.
Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up to 10 pounds of weight, as well as bend, lean and stoop without difficulty. RN Case Managers should be able to manage a fluctuating caseload during times of high census andwork efficiently in a collaborative environment. Because of the cooperative nature of this role, RN Case Managers should possess good oral and written communication abilities to communicate effectively with patients, families and co-workers. Requirements*: BLS, 3 Years
* Additional certifications may be required before beginning an assignment.

TNAA TotalMed RN Job ID #1492775. 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: Case Manager - Case Mgr RN - Travel Nurse

About TNAA TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.

TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Weekly pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Sick pay
  • Wellness and fitness programs
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1

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