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Part Time Rn Legal Nurse Chart Review Jobs in California

PACS

Part time RN

Carmichael, CA · On-site

Registered Nurse (RN) 48-55.00 an hour General Purpose The primary responsibility of your job ... review the department's policies, procedure manuals, s, etc. Make recommendations for revisions to ...

Compass Health Inc

Registered Nurse

San Luis Obispo, CA

$40 - $43/hr

Description Registered Nurse Full-time, Part-time Description Mission View Health Center, a skilled nursing facility here in San Luis Obispo is currently seeking a full or part time RN. Our nurses ...

Pacs

RN (part time) - Highland Palms

Highland, CA

$50/hr

PartTime Registered Nurse (RN) Highland Palms Healthcare Center Pay Range: $44-$50 per hour (based on experience) Schedule: Part-Time Bring Your RN Skills Somewhere They're Truly Valued At Highland ...

PACS

RN (part time) - Highland Palms

Highland, CA · On-site

$44 - $50/hr

Now Hiring: Part-Time Registered Nurse (RN) Highland Palms Healthcare Center Pay Range: $44-$50 per hour (based on experience) Schedule: Part-Time Bring Your RN Skills Somewhere They're Truly Valued ...

Chapa-De

Part-time Registered Nurse

Grass Valley, CA · On-site

$52.65 - $60/hr

As the RN Supervisor in Auburn, you'll provide clinical leadership, coach and develop a high-performing team, and ensure exceptional care for every patient we serve. If you're passionate about ...

Sun Mar Health Care

PART TIME - RN

Bellflower, CA

We are looking for RNs for all shifts for full-time or part-time. Competitive Salary. Directly supervises employees and carries out supervisory responsibilities in accordance with the Facility ...

Sun Mar Health Care

PART TIME - RN

Bellflower, CA · On-site

We are looking for RNs for all shifts for full-time or part-time. Competitive Salary. * Directly supervises employees and carries out supervisory responsibilities in accordance with the Facility ...

Acadia Healthcare

RN Beh Health Part Time

Indio, CA · On-site

$52 - $62.34/hr

RN - Part Time Nights (12 hr shift) Coachella Valley Behavioral Health - Indio, CA (Near Palm Springs) Hourly Rate: $52.00-$62.34/hr Coachella Valley Behavioral Health is hiring Part Time RNs for our ...

Acadia Healthcare

RN Beh Health Part Time

Indio, CA · On-site

$52 - $62.34/hr

Overview RN - Part Time Nights (12 hr shift) Coachella Valley Behavioral Health - Indio, CA (Near Palm Springs) Hourly Rate: $52.00-$62.34/hr Coachella Valley Behavioral Health is hiring Part Time RN ...

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All JobsRn Legal Nurse Chart Review JobsPart Time Rn Legal Nurse Chart Review JobsPart Time Rn Legal Nurse Chart Review Jobs in California

Part Time Rn Legal Nurse Chart Review information

What is the difference between Part Time Rn Legal Nurse Chart Review vs Part Time Rn Medical Records Reviewer?

AspectPart Time Rn Legal Nurse Chart ReviewPart Time Rn Medical Records Reviewer
CredentialsRegistered Nurse (RN), Legal Nurse Consultant certification often preferredRegistered Nurse (RN), sometimes with medical records certification
Work EnvironmentLegal settings, law firms, insurance companiesHealthcare facilities, insurance companies, medical record companies
Job FocusAnalyzing medical records for legal cases, case reviewReviewing and organizing medical records for accuracy and completeness
Common UsageLegal cases, malpractice suits, insurance claimsMedical record management, compliance, data organization

Both roles involve reviewing medical records as an RN, but Part Time Rn Legal Nurse Chart Review focuses on legal case analysis, while Part Time Rn Medical Records Reviewer emphasizes record organization and accuracy. Understanding these differences helps professionals choose the right role based on their skills and career goals.

What are the most commonly searched types of Rn Legal Nurse Chart Review jobs in California?

The most popular types of Rn Legal Nurse Chart Review jobs in California are:

What cities in California are hiring for Part Time Rn Legal Nurse Chart Review jobs?

Cities in California with the most Part Time Rn Legal Nurse Chart Review job openings:

Part Time Rn Legal Nurse Chart Review jobs near you
Infographic showing various Part Time Rn Legal Nurse Chart Review job openings in California as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Utilization Review Case Manager - PT Days

Torrance Memorial Medical Center

Torrance, CA • On-site

$56.39 - $87.25/hr

Part-time

Posted 12 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

201st of 1,065 rated hospitals

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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