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Entry Level Utilization Review Nurse Jobs in Santa Rosa, CA

Sutter Health

Utilization Coordinator

Santa Rosa, CA · On-site

$77.29 - $102.55/hr

Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Working ...

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

Santa Rosa, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa Rosa, California Start Date: September 8, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

GQR Global Markets

RN Case Manager

Santa Rosa, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa Rosa, California Start Date: September 8, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

New

GQR Healthcare

Travel Case Manager RN

Santa Rosa, CA · On-site

$2.0K - $2.1K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa Rosa, California Start Date: September 8, 2026 Profession: Registered Nurse (RN) Facility: Estimated ...

Prime Staffing

Travel Case Manager RN

Santa Rosa, 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

Santa Rosa, 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

$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 ...

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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 Aug 18, 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, 66% Full Time, 19% 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.

Travel Utilization Review Registered Nurse

Prime Staffing

Santa Rosa, CA • On-site

Contractor

Medical

Re-posted 25 days ago

Job description

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/24/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Travel RN Case Manager | Santa Rosa, CA
 

Position Overview

We are seeking an experienced RN Case Manager for a travel assignment in a fast-paced acute care hospital setting. The ideal candidate will have strong experience in care coordination, discharge planning, utilization management principles, and interdisciplinary collaboration. This position offers an excellent opportunity to work with a diverse adult and geriatric patient population while supporting positive patient outcomes through effective case management services.

Assignment Details
  • Position: RN Case Manager
  • Start Date: 07/13/2026
  • Shift: Days, 5x8-Hour Shifts
  • Shift Hours: 8:00 AM – 4:30 PM
  • Contract Type: Travel Assignment
  • Weekend Requirement: 2 weekends every 6 weeks
  • On-Call Requirement: None
  • Floating: Yes, based on department needs
Required Qualifications
 Experience
  • Minimum 2 years of Acute Care Hospital Case Management experience
  • Recent experience in:
    • Care Coordination
    • Discharge Planning
    • Fast-paced Acute Care environments
  • Current work history within the last 2 years (Hard Stop)
Required Skills
  • Epic EMR experience (Required)
  • Experience managing a patient caseload of approximately 20 patients per day
  • Strong communication and interdisciplinary collaboration skills
Certifications
  • BLS Certification
Travel Experience
  • Preferred, but first-time travelers may be considered based on clinical review and experience.
Core Responsibilities
  • Care Coordination
  • Discharge Planning
  • Needs Assessment
  • Durable Medical Equipment (DME) Coordination
  • Prior Authorizations
  • Benefits Eligibility Verification
  • Plan of Care Development
  • Admission Criteria Assessment
  • Patient and Family Education
  • Interdisciplinary Team Collaboration
Additional Responsibilities
  • Facilitate and participate in family meetings
  • Assist with treatment plan development
  • Coordinate Skilled Nursing Facility (SNF) placements
  • Arrange ambulance transportation
  • Coordinate post-acute services and community resources
  • Work independently to ensure timely and safe patient discharges
Preferred Knowledge & ExperienceCase Management & Utilization Review
  • Medical Necessity Determination
  • InterQual Criteria
  • Disease Management
  • Disability Case Management
  • Workers' Compensation Case Management
  • Data Abstraction
Regulatory Knowledge
  • CMS Regulations
  • HIPAA Compliance
  • OSHA Standards
  • Department of Health Regulations
  • DRG Methodology
  • Joint Commission Standards
  • Core Measures & National Patient Safety Goals
  • ICD-10 Coding
  • CPT Coding & Billing
  • NCQA Standards
Preferred Acute Care Specialty Experience

Experience in any of the following areas is highly desirable:

  • Medical-Surgical
  • Intensive Care Unit (ICU)
  • Emergency Department
  • Step-Down / PCU / IMC / Observation
  • Pediatrics
  • NICU
  • Behavioral Health
  • Trauma Level I
  • Trauma Level II
Patient Population
  • Adult Patients
  • Geriatric Patients
Patient Caseload
  • Approximately 1:20 Case Manager-to-Patient Ratio
Interdisciplinary Support Services

The Case Management team works closely with:

  • Physical Therapy
  • Respiratory Therapy
  • Social Services
  • Radiology
  • Phlebotomy
  • IV Teams
  • Transportation Services
  • Interpretation Services
  • Rapid Response Teams
  • Unit Secretaries
Additional Preferred Experience

Candidates with experience working with the following are highly valued:

  • HMOs and IPAs
  • Skilled Nursing Facilities (SNFs)
  • Durable Medical Equipment (DME) Vendors
  • Community Resources
  • Post-Acute Care Coordination
  • Ambulance Transportation Arrangements
Documentation & TechnologyRequired
  • Epic EMR

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About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.



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