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Entry Level Utilization Review Nurse Jobs in Santa Rosa, CA

Jconnect Infotech Inc

RN Case Manager

Saint Helena, CA · On-site

$2.7K - $2.8K/wk

CA RN license, Cerner/PowerChart experience, recent acute hospital case management experience (within the last year), discharge planning and utilization review knowledge, BSN preferred ...

GQR

RN - Case Manager

Saint Helena, CA · On-site

$2.7K - $2.8K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: St. Helena, California Start Date: September 28, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

New

GQR Global Markets

RN Case Manager

Saint Helena, CA · On-site

$2.7K - $2.8K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: St. Helena, California Start Date: September 28, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

New

GQR Healthcare

Travel RN Case Manager

Saint Helena, CA · On-site

$2.7K - $2.8K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: St. Helena, California Start Date: September 28, 2026 Profession: Registered Nurse (RN) Facility: Estimated ...

Prime Staffing

Travel RN Case Manager

Saint Helena, 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 ...

UnitiMed

RN Case Manager

Saint Helena, CA · On-site

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 ...

New

Sutter Health

Care Manager II, Acute ( RN )

Novato, CA · On-site

$90.58 - $126.81/hr

Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ... families/caretakers, physicians, nurses and other ancillary partners. * Ability to work ...

Sutter Health

Care Manager II, Acute ( RN )

Novato, CA · On-site

$90.58 - $126.81/hr

Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ... families/caretakers, physicians, nurses and other ancillary partners. * Ability to work ...

LanceSoft

Travel Case Manager RN

Santa Rosa, CA · On-site

Work Settings Acute Hospital Case Management/Utilization Review Admission Criteria Benefits ... Posted job title: RN Case Management About LanceSoft Established in 2000, LanceSoft is a Certified ...

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All JobsUtilization Review Nurse JobsEntry Level Utilization Review Nurse JobsEntry Level Utilization Review Nurse Jobs in Santa Rosa, CA

Entry Level Utilization Review Nurse information

See Santa Rosa, CA salary details

$23

$46

$75

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 Santa Rosa, CA is $46.23, according to ZipRecruiter salary data. Most workers in this role earn between $36.54 and $53.08 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 the most commonly searched types of Utilization Review Nurse jobs in Santa Rosa, CA?

The most popular types of Utilization Review Nurse jobs in Santa Rosa, CA are:

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

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

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

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

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

Cities near Santa Rosa, 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 Santa Rosa, CA as of August 2026, with employment types broken down into 5% Internship, 61% Full Time, 24% Part Time, 5% Temporary, and 5% Contract. Highlights an 81% In-person, and 19% Remote job distribution, with an average salary of $96,155 per year, or $46.2 per hour.

Registered Nurse Utilization Review

vTech Solution

Santa Rosa, CA • On-site

Other

Re-posted 9 days ago

Job description

Job Summary:
We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, Operating Room. The Registered Nurse will be responsible for providing skilled nursing care, case management, and hospice care to individuals facing advancing age, frailty, and serious illness. Daily tasks include patient assessments, medication administration, treatment planning, and collaborating with the interdisciplinary team. Critical to this role is strong communication and strong collaboration with patients, providers, and other members of our team. At least 2 years of experience and exceptional skill is required.
Responsibilities:
  • Conduct patient assessments and monitor patient conditions.
  • Administer medications and treatments as prescribed.
  • Develop and implement individualized treatment plans.
  • Collaborate with interdisciplinary teams including physicians, therapists, and social workers.
  • Provide case management and hospice care for patients with advancing age, frailty, and serious illness.
  • Document patient care activities and maintain accurate medical records.
  • Communicate effectively with patients, families, and healthcare providers.
Required Skills & Certifications:
  • Active Registered Nurse license in the state of employment.
  • Bachelor's degree in Nursing or related field.
  • Minimum of 2 years' experience in hospital, home health, or hospice care.
  • Clinical assessment, medication administration, and treatment planning skills.
  • Interdisciplinary team collaboration skills.
  • Excellent communication and interpersonal skills.
  • Driver's license, car insurance, and automobile for field work.
Preferred Skills & Certifications:
  • Experience in Utilization Review or case management roles.
  • Specialty certifications relevant to Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room nursing.
  • Advanced certifications such as CCRN, CMC, or CHPN.
Special Considerations:
  • May require occasional field visits necessitating reliable transportation.
  • Strong ability to work independently in remote settings.
  • Must be able to handle fast-paced and complex clinical situations.
Scheduling:
  • Remote work with flexible scheduling based on utilization review caseload.
  • Standard business hours with potential for occasional extended hours as needed.
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About vTech Solution

Sourced by ZipRecruiter

vTech is a Managed IT Services firm based out of Washington DC with a primary focus on Cloud Computing and Managed Network Security.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Washington, DC, US

Year founded

2006

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