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Part Time Rn Case Review Jobs in California (NOW HIRING)

RemX

RN (Part-Time)

Beverly Hills, CA · On-site

$27 - $30/hr

Part-Time RN needed for 16 - 29 hours per week (days can vary M-F). The compassionate RN with ... plans and case management. • Monitor and report patient symptoms and condition changes. • ...

Delta-T Group Inc

RN Case Manager

Fresno, CA · On-site

... Part time hours available for supplemental income. CLIENT'S QUALIFICATION & REQUIREMENTS: *CA RN ... Title: RN Case Manager Class: Type: TEMPORARY Ref. No.: 1253368-67 BC: #DTG111 Company: Delta-T ...

Delta-T Group Inc

RN Case Manager

Calexico, CA · On-site

... availability. Part time hours available for supplemental income. CLIENT'S QUALIFICATION ... Title: RN Case Manager Class: Type: TEMPORARY Ref. No.: 1253714-67 BC: #DTG111 Company: Delta-T ...

Delta-T Group Inc

RN Case Manager

Redding, CA · On-site

... availability. Part time hours available for supplemental income. CLIENT'S QUALIFICATION ... Title: RN Case Manager Class: Nursing Type: TEMPORARY Ref. No.: 1237942-111 BC: #DTG111 Company:

Delta-T Group Inc

RN Case Manager

Chico, CA · On-site

... availability. Part time hours available for supplemental income. CLIENT'S QUALIFICATION ... Title: RN Case Manager Class: Type: TEMPORARY Ref. No.: 1253712-66 BC: #DTG111 Company: Delta-T ...

PACS

RN (Part Time) - Loma Linda

Loma Linda, CA · On-site

$44 - $50/hr

Now Hiring: Part-Time Registered Nurse (RN) Location: Loma Linda Post Acute - Loma Linda, CA Pay Range: $44.00-$50.00 per hour (DOE) Are you a compassionate and skilled Registered Nurse looking for a ...

Pacs

RN (Part Time) - Loma Linda

Loma Linda, CA · On-site

$44 - $50/hr

Now Hiring: Part-Time Registered Nurse (RN) Location: Loma Linda Post Acute - Loma Linda, CA Pay Range: $44.00-$50.00 per hour (DOE) Are you a compassionate and skilled Registered Nurse looking for a ...

Anchor Health

RN Hospice Case Manager

Lodi, CA · On-site

$50/hr

RN CASE MANAGER Job details Job Type: Full-time/Part-time Qualifications * RN License (Required ... The Hospice RN regularly reviews and updates the plan of care. Performs prescribed medical ...

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All JobsRn Case Review JobsPart Time Rn Case Review JobsPart Time Rn Case Review Jobs in California

Part Time Rn Case Review information

What is the difference between Part Time Rn Case Review vs Part Time Rn Utilization Review?

AspectPart Time Rn Case ReviewPart Time Rn Utilization Review
CredentialsRegistered Nurse (RN) licenseRegistered Nurse (RN) license
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare organizations
Job FocusReview patient cases for appropriateness of careAssess medical necessity and insurance coverage
Common UsageCase review, patient care evaluationUtilization management, insurance review

Both roles require RN licensure and involve reviewing healthcare cases. However, Part Time Rn Case Review primarily focuses on evaluating patient cases for quality of care, while Part Time Rn Utilization Review emphasizes assessing medical necessity for insurance purposes. Understanding these distinctions helps professionals choose the role that best fits their skills and career goals.

How to become a part time RN case review?

To become a part-time RN case reviewer, you typically need a valid registered nurse license, relevant clinical experience, and knowledge of medical record review and insurance or healthcare regulations. Some positions may require familiarity with electronic health record systems and case management software. Certification in case management can enhance job prospects, and flexible scheduling is common in part-time roles.

What are the most commonly searched types of Rn Case Review jobs in California?

The most popular types of Rn Case Review jobs in California are:

What cities in California are hiring for Part Time Rn Case Review jobs?

Cities in California with the most Part Time Rn Case Review job openings:

Part Time Rn Case Review jobs near you
Infographic showing various Part Time Rn Case Review job openings in California as of September 2026, with employment types broken down into 8% Full Time, and 92% Part Time. Highlights an 100% In-person job distribution.

Utilization Review Case Manager - PT Days

Torrance, CA • On-site

Torrance Memorial Medical Center
Health Care and Social Assistance • 5 - 10K employees
Learn more about Torrance Memorial Medical Centerexternal

$56.39 - $87.25/hr

Part-time

Posted 16 days ago

Key responsibilities

  • Performs review of patient charts to determine appropriate levels of care based on admission criteria and medical necessity screening tools.

  • Secures authorization for clinical services by communicating and collaborating with payers and external case managers.

  • Documents review findings, updates insurance providers, and follows up on delays, obstacles, and denial claims to facilitate appropriate patient care and reimbursement.

Torrance Memorial Medical Center rating

7.8

Company rating: 7.8 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

Job description

Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. The UR CM uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial (if not complete) and continued stay reviews in determining appropriate levels of patient care. The UR CM secures authorization for the patient's clinical services through collaboration and communication with the payers as required. The UR CM follows the UR process as defined in the Utilization Review Plan in accordance with the CMS condition of Participation for Utilization Review.Core Competencies
  • Anticipates and assesses and informs payers of patient's discharge planning needs.
  • Assesses need for home durable equipment, follows-up with home health and include(s) anticipated need in communication with payers
  • Assists and supports a new or transferred employee through a planned orientation.
  • Assists with the orientation and competency assessment of staff.
  • Attends denial management committee.
  • Collaborates with interdisciplinary and communicates this plan to the payer
  • Collaborates with RN Case Managers and the Physician Advisors to facilitate the peer to peer process in order to mitigate potential denials
  • Collaborates/communicates with external case managers.
  • Communicates with the patient, family, medical staff and others during the continuum of care
  • Completes all documentation in a clear, clean, concise manner.
  • Complies with all applicable laws and regulations.
  • Complies with organizational quality dashboard/benchmarking goals
  • Complies with Joint Commission's national patient safety goals
  • Demonstrates culturally competent patient care.
  • Demonstrates good customer relations skills.
  • Demonstrates independent judgment, autonomy, initiative, time management and organizational skills and the ability to prioritize projects/functions in a busy work environment.
  • Demonstrates knowledge of clinical norms for the different age groups as applicable to job functions.
  • Develops and maintains cooperative relationships with hospital personnel, physicians, suppliers and insurance case managers.
  • Demonstrates interpersonal communication skills that enable exchange of ideas and information effective with patients, families, and colleagues of all levels
  • Documents daily using MCG criteria.
  • Ensures optimal customer service/patient experience by role modeling excellent customer service
  • Ensures the physician writes an order to admit the patient to appropriate level of care along with nursing, verify the physician writes a valid patient status order.
  • Evaluates and makes positive suggestions for change in the environment.
  • Follows up with a phone call in order to answer questions, problem solve.
  • Facilitates transfer to other facilities.
  • Follows up with Medi-Cal TAR submission during the patients stay according to the DHS requirement.
  • Gives initial review and updates to insurance provider.
  • Identifies and monitors Observation cases on a daily basis.
  • Identifies and resolves delays and obstacles in collaboration with the RN Case Managers, nursing and the attending physicians
  • Identifies inappropriate bed utilization and quality of care problems and refers them to Utilization Management physician advisor.
  • Maintains Blue Cross Hold under 2 million dollars daily.
  • Maintains working knowledge of Medicare requirements for patient status (Two-Midnight Rule, Inpatient Only List)
  • Performs chart reviews and quality assessments on all patients using MCG criteria and secondary review as directed by Administration and the Medical Staff or as per contract or payer expectation (UR Committee).
  • Performs retrospective reviews.
  • Provides documentation for denial letter, collaborates with RN case manager for the delivery of denial letters to patients.
  • Researches denial claims and submits additional clinical for reconsideration when appropriate, or refers to physician advisor for recommendation
  • Reviews all commercial accounts daily or as per contract or payer expectation
  • Tracks avoidable days.
EducationDegreeProgramBachelorsNursing
ExperienceNumber of Years ExperienceType of Experience1Acute hospital case management, Health Plan Utilization Review2Clinical experience in an acute care facilityLicense / Certification RequirementsRegistered Nurse License

Compensation Range:

$56.39 - 87.25 / Hour

Employment Type: Part-Time

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