Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Case Management * Discipline: RN * Start Date: 06/08/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Registered Nurse must have 2+ years of recent experience ...
Case Management * Discipline: RN * Start Date: 06/08/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Registered Nurse must have 2+ years of recent experience ...
Clinical Care Advocate - Field Case Manager (RN)
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Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out of the traditional hospital setting and into the field, acting as the vital link between injured ...
Quick apply
Clinical Care Advocate - Field Case Manager (RN)
San Diego, CA · Remote
$82K - $105K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out of the traditional hospital setting and into the field, acting as the vital link between injured ...
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Job SummaryThe experienced Case Manager II - RN is responsible for managing a caseload of moderate to high-complexity members, including those with multiple chronic conditions, behavioral health ...
Case Manager II, RN
Arcadia, CA · Remote
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Job SummaryThe experienced Case Manager II - RN is responsible for managing a caseload of moderate to high-complexity members, including those with multiple chronic conditions, behavioral health ...
RN Field Case Manager
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Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Sacramento, CA · On-site +1
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Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Sacramento, CA · On-site +1
$85K - $107K/yr
Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Sacramento, CA · On-site +1
$85K - $107K/yr
Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · Remote
$75K - $88K/yr
Coordinate and implement medical case management to facilitate case closure * Timely and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · Remote
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Coordinate and implement medical case management to facilitate case closure * Timely and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · Remote
$75K - $88K/yr
As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · Remote
$75K - $88K/yr
As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · On-site +1
$75K - $88K/yr
Coordinate and implement medical case management to facilitate case closure * Timely and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · On-site +1
$75K - $88K/yr
Coordinate and implement medical case management to facilitate case closure * Timely and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · Remote
$75K - $88K/yr
Coordinate and implement medical case management to facilitate case closure * Timely and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
San Diego, CA · Remote
$75K - $88K/yr
Coordinate and implement medical case management to facilitate case closure * Timely and ... Graduate of an accredited school of nursing and possess a current RN license. * RN California ...
Remote Home Health RN - Chart Review Specialist (CA)
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$43 - $47/hr
A healthcare staffing company in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home Health experience and must ...
Remote Home Health RN - Chart Review Specialist (CA)
Torrance, CA · Remote
$43 - $47/hr
A healthcare staffing company in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home Health experience and must ...
Care Manager (RN- Salt Lake City Area)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Experience with maternity/OB. * Previous care/case management is a plus. To all current Molina ...
Care Manager (RN- Salt Lake City Area)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Experience with maternity/OB. * Previous care/case management is a plus. To all current Molina ...
CA Telephonic Case Manager II
San Diego, CA · Remote
$32.18 - $48.68/hr
This is a remote part-time position. Candidates are required to have CA RN License and Compact License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals ...
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CA Telephonic Case Manager II
San Diego, CA · Remote
$32.18 - $48.68/hr
This is a remote part-time position. Candidates are required to have CA RN License and Compact License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals ...
Remote Ob Case Rn information
What is the difference between Remote Ob Case Rn vs Remote Labor and Delivery Nurse?
| Aspect | Remote Ob Case Rn | Remote Labor and Delivery Nurse |
|---|---|---|
| Certifications | RN license, OB/GYN certifications | RN license, OB certifications |
| Work Environment | Remote case management, patient coordination | Remote support during labor, patient monitoring |
| Industry Usage | Healthcare, telehealth, case management | Healthcare, telehealth, labor support |
The Remote Ob Case Rn primarily focuses on managing obstetric cases remotely, coordinating care, and ensuring patient compliance. In contrast, the Remote Labor and Delivery Nurse supports patients during labor remotely, often assisting with monitoring and education. Both roles require RN licensure and OB certifications but differ in their specific responsibilities and patient interaction focus.
$40/hr
Other
Posted 10 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.