Utilization Specialist PRN
$31 - $50/hr
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist PRN
$31 - $50/hr
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist PRN
$31 - $50/hr
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist PRN
$31 - $50/hr
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist PRN
Riverside, CA · On-site
$31 - $50/hr
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist PRN
Riverside, CA · On-site
$31 - $50/hr
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
RN Case Manager (PRN)
Ventura, CA · On-site
$71/hr
PRN RN Case Manager The PRN RN Case Manager works collaboratively with patients, families, and the ... Monitors length of stay (LOS) and ancillary resource utilization on an ongoing basis. Takes ...
RN Case Manager (PRN)
Ventura, CA · On-site
$71/hr
PRN RN Case Manager The PRN RN Case Manager works collaboratively with patients, families, and the ... Monitors length of stay (LOS) and ancillary resource utilization on an ongoing basis. Takes ...
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
Occupational Therapist- PRN
Sunnyvale, CA · On-site
$57 - $67/hr
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
Occupational Therapist- PRN
Sunnyvale, CA · On-site
$57 - $67/hr
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
Occupational Therapist- PRN
Sunnyvale, CA · On-site
$57 - $67/hr
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
Occupational Therapist- PRN
Sunnyvale, CA · On-site
$57 - $67/hr
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
Occupational Therapist- PRN
Sunnyvale, CA · On-site
$57 - $67/hr
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
Occupational Therapist- PRN
Sunnyvale, CA · On-site
$57 - $67/hr
PRN Occupational Therapist (OTR) Sunnyvale Gardens Post Acute - Sunnyvale, CA Sunnyvale Gardens ... Participate in patient care conferences, utilization review, and rehabilitation meetings as needed ...
Physical Therapist PRN
Bakersfield, CA · On-site
$60 - $65/hr
PRN / Per Diem Setting: Skilled Nursing Facility | Short-Term Rehabilitation Join a Team That Truly ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Bakersfield, CA · On-site
$60 - $65/hr
PRN / Per Diem Setting: Skilled Nursing Facility | Short-Term Rehabilitation Join a Team That Truly ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Bakersfield, CA · On-site
$60 - $65/hr
PRN / Per Diem Setting: Skilled Nursing Facility | Short-Term Rehabilitation Join a Team That Truly ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Bakersfield, CA · On-site
$60 - $65/hr
PRN / Per Diem Setting: Skilled Nursing Facility | Short-Term Rehabilitation Join a Team That Truly ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist (PT) - PRN
Concord, CA · On-site
$64 - $65/hr
Participate in interdisciplinary care planning, patient conferences, and utilization review ... a flexible PRN opportunity where your clinical expertise and patient care truly matter, we ...
Physical Therapist (PT) - PRN
Concord, CA · On-site
$64 - $65/hr
Participate in interdisciplinary care planning, patient conferences, and utilization review ... a flexible PRN opportunity where your clinical expertise and patient care truly matter, we ...
Physical Therapist (PT) - PRN
Concord, CA · On-site
$64 - $65/hr
Participate in interdisciplinary care planning, patient conferences, and utilization review ... a flexible PRN opportunity where your clinical expertise and patient care truly matter, we ...
Physical Therapist (PT) - PRN
Concord, CA · On-site
$64 - $65/hr
Participate in interdisciplinary care planning, patient conferences, and utilization review ... a flexible PRN opportunity where your clinical expertise and patient care truly matter, we ...
Travel Case Management RN
Carmichael, CA · On-site
Uses Cerner EMR and Interqual criteria for utilization review * 8-hour day shifts, scheduled ... Candidates employed PRN through outside staffing firms will be considered American Traveler Job ID ...
Travel Case Management RN
Carmichael, CA · On-site
Uses Cerner EMR and Interqual criteria for utilization review * 8-hour day shifts, scheduled ... Candidates employed PRN through outside staffing firms will be considered American Traveler Job ID ...
Staffing Coordinator Part-time
Long Beach, CA · On-site
$18.64 - $28.53/hr
Summary Reports to Central Staffing Office Manager and assists the Ambulatory Nursing Director with review of PRN utilization processes for Moffitt Clinics. The coordinator is responsible for ...
Staffing Coordinator Part-time
Long Beach, CA · On-site
$18.64 - $28.53/hr
Summary Reports to Central Staffing Office Manager and assists the Ambulatory Nursing Director with review of PRN utilization processes for Moffitt Clinics. The coordinator is responsible for ...
Coordinator Hospital Support and Staffing
Long Beach, CA · On-site
$18.64 - $28.53/hr
Summary Reports to Central Staffing Office Manager and assists the Ambulatory Nursing Director with review of PRN utilization processes for Moffitt Clinics. The coordinator is responsible for ...
Coordinator Hospital Support and Staffing
Long Beach, CA · On-site
$18.64 - $28.53/hr
Summary Reports to Central Staffing Office Manager and assists the Ambulatory Nursing Director with review of PRN utilization processes for Moffitt Clinics. The coordinator is responsible for ...
Speech Language Pathologist PRN
Bakersfield, CA · On-site
$70 - $75/hr
Speech-Language Pathologist (SLP) - PRN Kern River Transitional Care - Bakersfield, CA Pay Range ... Participate in Patient Care Conferences, Utilization Review meetings, and Rehabilitation ...
Speech Language Pathologist PRN
Bakersfield, CA · On-site
$70 - $75/hr
Speech-Language Pathologist (SLP) - PRN Kern River Transitional Care - Bakersfield, CA Pay Range ... Participate in Patient Care Conferences, Utilization Review meetings, and Rehabilitation ...
Speech Language Pathologist PRN
Bakersfield, CA · On-site
$70 - $75/hr
Speech-Language Pathologist (SLP) - PRN Kern River Transitional Care - Bakersfield, CA Pay Range ... Participate in Patient Care Conferences, Utilization Review meetings, and Rehabilitation ...
Speech Language Pathologist PRN
Bakersfield, CA · On-site
$70 - $75/hr
Speech-Language Pathologist (SLP) - PRN Kern River Transitional Care - Bakersfield, CA Pay Range ... Participate in Patient Care Conferences, Utilization Review meetings, and Rehabilitation ...
Physical Therapist PRN
Visalia, CA · On-site
$60 - $65/hr
Physical Therapist (PT) - PRN Location: Visalia Post Acute - Visalia, CA Employment Type: Full-Time ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Visalia, CA · On-site
$60 - $65/hr
Physical Therapist (PT) - PRN Location: Visalia Post Acute - Visalia, CA Employment Type: Full-Time ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Visalia, CA · On-site
$60 - $65/hr
Physical Therapist (PT) - PRN Location: Visalia Post Acute - Visalia, CA Employment Type: Full-Time ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Visalia, CA · On-site
$60 - $65/hr
Physical Therapist (PT) - PRN Location: Visalia Post Acute - Visalia, CA Employment Type: Full-Time ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Visalia, CA · On-site
$60 - $65/hr
Physical Therapist (PT) - PRN Location: Visalia Post Acute - Visalia, CA Employment Type: Full-Time ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Physical Therapist PRN
Visalia, CA · On-site
$60 - $65/hr
Physical Therapist (PT) - PRN Location: Visalia Post Acute - Visalia, CA Employment Type: Full-Time ... Participate in patient care conferences, utilization review meetings, and rehab meetings as needed
Prn Utilization Review information
See California salary details
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.58 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.38 / hr.
$33.92 - $38.20
23% of jobs
$38.20 - $42.47
13% of jobs
$45.79 is the 75th percentile. Wages above this are outliers.
$42.47 - $46.74
10% of jobs
$46.74 - $51.01
8% of jobs
$51.01 - $55.28
5% of jobs
$55.28 - $59.55
5% of jobs
$59.55 - $63.82
2% of jobs
$63.82 - $68.09
2% of jobs
$21
$41
$68
How much do prn utilization review jobs pay per hour?
As of Sep 1, 2026, the average hourly pay for prn utilization review in California is $41.73, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.
What are the typical daily responsibilities for someone in a prn utilization review role?
A PRN Utilization Review professional typically reviews patient medical records, assesses the appropriateness of hospital admissions and ongoing care, and ensures adherence to established criteria and payer requirements. They often communicate with physicians, nurses, case managers, and insurance representatives to gather information and provide recommendations. The role may involve balancing multiple cases, preparing case summaries, and documenting findings in electronic systems. While the schedule offers flexibility, time management and attention to deadlines are important, especially when working with fast-paced healthcare environments.
What are the key skills and qualifications needed to thrive in the prn utilization review position, and why are they important?
To excel as a PRN Utilization Review professional, you need a background in nursing or a related healthcare field, along with knowledge of medical necessity criteria and insurance guidelines. Familiarity with electronic medical record (EMR) systems and utilization management software, as well as certification such as CCM or URAC, is often required. Strong analytical abilities, attention to detail, and effective communication are valuable soft skills in this role. These skills are crucial for accurately assessing patient care needs, ensuring compliance, and collaborating efficiently with healthcare teams and payers.
What are popular job titles related to Prn Utilization Review jobs in California?
For Prn Utilization Review jobs in California, the most frequently searched job titles are:
- Home Based Utilization Review Nurse
- Remote Utilization Review Rn
- Night Utilization Review Nurse
- Part Time Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Non Clinical Utilization Review
- Physician Advisor Utilization Review
- Utilization Review Physician
- Remote Utilization Review Social Worker
- Senior Behavioral Health Utilization Review
What job categories do people searching Prn Utilization Review jobs in California look for?
The top searched job categories for Prn Utilization Review jobs in California are:
- Dental Utilization Review
- Flex Schedule Utilization Review
- Behavioral Utilization Review
- Remote Utilization Review
- Weekend Utilization Review
- Work From Home Utilization Review
- Manager Aetna Utilization Review
- Part Time Utilization Review Manager
- Aetna Utilization Review
- Full Time Cigna Utilization Review Nurse
Acadia Healthcare rating
6.2
Based on 191 frontline employees who took The Breakroom Quiz
698th of 896 rated healthcare providers
Job description
Pacific Grove Hospital in Riverside, CA., is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated to the treatment of behavioral health and substance abuse services. Come join TEAM PGH as a UR Specialist!
- Flexible scheduling
- Competitive Pay
- Employee Assistance Program (EAP)
Hourly pay range: $31-50 DOE and licensure held
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
ESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
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About Acadia Healthcare
Sourced by ZipRecruiter
Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005