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Insurance Companies Rn Jobs in California (NOW HIRING)

HENRY MAYO NEWHALL MEMORIAL HOSPITAL

... with insurance companies, medical groups, and community resources to ensure timely, efficient use ... Current CA RN license * Current BLS provider card * Case Management certification preferred ...

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Insurance Companies Rn information

What is the difference between Insurance Companies Rn vs Insurance Adjuster?

AspectInsurance Companies RnInsurance Adjuster
Required CredentialsRN license, possibly certifications in insurance or healthcareAdjuster license, certifications like AIC or CPCU
Work EnvironmentHospitals, clinics, insurance companies' health departmentsFieldwork, claims offices, or remote
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, third-party claims firms
Common Search & ComparisonInsurance Companies Rn vs Insurance Adjuster

Insurance Companies Rn and Insurance Adjusters both work within the insurance industry but serve different roles. RNs focus on health-related assessments and patient care within insurance companies, requiring nursing credentials. Adjusters evaluate insurance claims, often in property or casualty insurance, requiring licensing and claims-specific certifications. Understanding these differences helps job seekers identify the right career path based on credentials, work environment, and industry functions.

What cities in California are hiring for Insurance Companies Rn jobs? Cities in California with the most Insurance Companies Rn job openings:
Insurance Companies Rn jobs near you
Infographic showing various Insurance Companies Rn job openings in California as of May 2026, with employment types broken down into 71% Full Time, 22% Part Time, and 7% Contract. Highlights an 93% In-person, and 7% Remote job distribution.

RN - Utilization Review - Apple Valley, CA - RN26-06574

NavitasPartners

Adelanto, CA

$40 - $47/hr

Full-time, Contractor

Posted 5 days ago

Job description

Job Title: Registered Nurse – Utilization Review
Location: Apple Valley, CA
Type: Contract

Position Overview:
Navitas Healthcare, LLC is seeking Registered Nurse – Utilization Review for an exciting Travel or Local job in Apple Valley, CA.

Responsibilities:

  • Perform utilization review activities for inpatient admissions and continued stays
  • Evaluate medical necessity using established clinical criteria and guidelines
  • Collaborate with physicians, case managers, social workers, and interdisciplinary teams to support appropriate patient care and resource utilization
  • Conduct concurrent reviews and identify opportunities to improve patient throughput and length of stay
  • Ensure compliance with CMS, regulatory, and payer requirements
  • Document utilization review findings accurately and timely
  • Participate in discharge planning discussions and care coordination activities
  • Monitor denials, appeals, and authorization processes as required
  • Maintain communication with insurance providers and healthcare teams regarding patient status and coverage determinations

Requirements:

  • Minimum 3 years of acute care Utilization Review and/or Care Management experience required
  • Must have recent hospital-based utilization review experience
  • Experience with health plans, insurance companies, or medical groups alone will not be considered
  • Previous travel assignment experience required
  • Active California Registered Nurse (RN) License required
  • Pending California RN License accepted; must be active prior to start date

Preferred Qualifications:

  • Seasoned traveler strongly preferred

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC: It is a Joint Commission 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.