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Remote Optum Rn Jobs in California (NOW HIRING)

Molina Healthcare

Care Manager (RN)

Long Beach, CA · Remote

This is a remote role with up to 40% possible travel. Job Summary Provides support for care ... Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may ...

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What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

What are the most commonly searched types of Optum Rn jobs in California? The most popular types of Optum Rn jobs in California are:
What are popular job titles related to Remote Optum Rn jobs in California? For Remote Optum Rn jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Optum Rn jobs in California look for? The top searched job categories for Remote Optum Rn jobs in California are:
What cities in California are hiring for Remote Optum Rn jobs? Cities in California with the most Remote Optum Rn job openings:
Remote Optum Rn jobs near you
Infographic showing various Remote Optum Rn job openings in California as of May 2026, with employment types broken down into 76% Full Time, 14% Part Time, and 10% Contract. Highlights an 100% Remote job distribution.

Registered Nurse - Utilization Review - RNUR26-06086

NavitasPartners

Rohnert Park, CA • Remote

$40/hr

Full-time

Posted 4 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 experience preferred
  • Experience in Utilization Review, Case Management, or similar clinical coordination role preferred
  • Strong understanding of medical necessity criteria and payer guidelines
  • Knowledge of insurance authorization and review processes
  • Strong documentation, analytical, and communication skills
  • Ability to work independently in a remote setting
  • Experience with EMR systems preferred (Epic preferred)
Job Responsibilities
  • Perform utilization review for inpatient and outpatient services
  • Evaluate medical records for appropriate level of care and medical necessity
  • Process prior authorizations and continued stay reviews
  • Collaborate with physicians, case managers, and insurance payers
  • Document review decisions accurately in EMR systems
  • Identify cases requiring escalation to clinical reviewers or medical directors
  • Support discharge planning and care coordination when needed
  • Ensure compliance with regulatory, payer, and facility guidelines
  • Maintain productivity and quality standards in a remote environment

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.