Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
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Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
New
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
New
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Remote Case Management RN - California License
San Bernardino, CA · On-site +1
$43 - $48/hr
Education/Licensure: * Active, valid, and unrestricted California RN license. Other Skills ... Ability to work independently in a remote setting. * Experience using standardized clinical ...
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Registered Nurse II - Triage (4762)
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Executive Remote Rn information
What is the difference between Executive Remote Rn vs Registered Nurse?
| Aspect | Executive Remote Rn | Registered Nurse |
|---|---|---|
| Credentials | RN license, possibly additional certifications | RN license, state-specific requirements |
| Work Environment | Remote, administrative or oversight roles | Hospitals, clinics, healthcare facilities |
| Employer & Industry | Healthcare organizations, telehealth companies | Hospitals, clinics, long-term care |
| Search & Comparison Intent | Roles with leadership, management, or telehealth focus | Direct patient care roles |
Executive Remote Rns typically focus on administrative, leadership, or telehealth roles requiring RN credentials, working remotely. Registered Nurses are primarily involved in direct patient care within healthcare facilities. The main difference lies in the work environment and responsibilities, with Executive Remote Rns handling oversight and strategy remotely, while RNs provide hands-on care in clinical settings.
$40/hr
Other
Posted 5 days ago
Job description
Job Title: Registered Nurse - Utilization Review
Location: Santa Rosa, CA
Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)
Required Qualifications
- Active Registered Nurse (RN) License required
- Minimum 1-2 years acute care nursing experience preferred
- Experience in Utilization Review, Case Management, or similar role preferred
- Strong understanding of medical necessity, payer guidelines, and clinical documentation
- Knowledge of insurance authorization processes preferred
- Strong analytical, communication, and decision-making skills
- Ability to work independently in a remote environment
- Proficiency with EMR systems preferred (Epic experience a plus)
Job Responsibilities
- Perform utilization review of inpatient and outpatient cases
- Evaluate medical necessity based on clinical guidelines and payer policies
- Review patient records and documentation for appropriate level of care
- Collaborate with physicians, case managers, and insurance providers
- Process prior authorizations and continued stay reviews
- Document all review decisions accurately in EMR systems
- Identify cases requiring further clinical escalation
- Ensure compliance with regulatory, hospital, and insurance standards
- Support discharge planning and care coordination as needed
- Maintain productivity and quality standards in a remote setting
For more details contact at sthakur@navitashealth.com
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.