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Remote Utilization Review Rn Jobs in Carson, CA (NOW HIRING)

Moffitt

REMOTE VISUAL MONITOR TECH

Long Beach, CA · Remote

$16.66 - $23.43/hr

... Nurse (RN) of assigned patients. Observation includes more than one patient at a time at the ... We are committed to maintaining fair and equitable pay practices and regularly review compensation ...

New

Moffitt

PATIENT OBSERVER PRN

Long Beach, CA · Remote

$16.75/hr

... (RN) of assigned patients. Observation may include more than one patient at a time at the remote ... We are committed to maintaining fair and equitable pay practices and regularly review compensation ...

Centene

Psychologist Reviewer

Palos Verdes Estates, CA · Remote

$87K - $157K/yr

Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ... Interact with network practitioners to provide education on best practice models and utilization ...

Centene

Psychologist Reviewer

La Palma, CA · Remote

$87K - $157K/yr

Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ... Interact with network practitioners to provide education on best practice models and utilization ...

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Remote Utilization Review Rn information

See Carson, CA salary details

$22

$44

$72

How much do remote utilization review rn jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote utilization review rn in Carson, CA is $44.22, according to ZipRecruiter salary data. Most workers in this role earn between $34.95 and $50.77 per hour, depending on experience, location, and employer.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are popular job titles related to Remote Utilization Review Rn jobs in Carson, CA?

For Remote Utilization Review Rn jobs in Carson, CA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Carson, CA look for?

The top searched job categories for Remote Utilization Review Rn jobs in Carson, CA are:

What cities near Carson, CA are hiring for Remote Utilization Review Rn jobs?

Cities near Carson, CA with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Carson, CA as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, 2% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $91,977 per year, or $44.2 per hour.

Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) CA & AZ

AC & CS ADVANCED COGNITIVE AND CLIN

Glendale, CA • Remote

$187K - $215K/yr

Full-time

Re-posted 27 days ago

Job description

Overview

We are seeking a highly qualified, Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) to join our multidisciplinary behavioral health team serving California and Arizona. AHCCCS credentialing (Arizona Medicaid) is preferred.  You will need to have your DEA available and ready for California; if not, you will need to apply.
This role involves providing comprehensive psychiatric evaluations, medication management, clinical oversight, and therapeutic interventions across diverse patient populations with behavioral health needs. The position supports outpatient and telehealth services, with an emphasis on collaborative, patient-centered care in a fast-paced clinical environment.
The ideal candidate demonstrates strong clinical judgment, excellent documentation skills, and a commitment to teamwork, quality improvement, and continuity of care.
Responsibilities

  • Conduct comprehensive psychiatric evaluations and diagnostic assessments for patients across the lifespan.
  • Develop and implement individualized treatment plans, incorporating medication management, psychotherapy, and behavioral interventions.
  • Prescribe, monitor, and adjust psychotropic medications in compliance with HIPAA, state, and federal regulations.
  • Coordinate comprehensive patient care in collaboration with interdisciplinary clinical teams.
  • Provide clinical oversight and supervision to behavioral health staff, including bi-weekly clinical reviews as required.
  • Review, supervise, and sign off on clinical documentation to ensure accuracy, compliance, and quality standards.
  • Deliver Telehealth psychiatric services using secure telemedicine platforms.
  • Educate patients and families on: 
    • Mental health diagnoses
    • Medication adherence and side-effect management
    • Lifestyle modifications and wellness strategies (e.g., health coaching, nutrition awareness)
  • Participate in discharge planning, case management, utilization review, and quality assurance activities, aligned with NCQA and organizational standards.
  • Work as part of a team-based care model, including providing clinical coverage for teammates when needed to ensure continuity of patient care.
Required Skills & Qualifications

  • Board Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
  • Active or eligible licensure in California and/or Arizona
  • AHCCCS credentialing preferred (or willingness to obtain)
  • Active DEA registration for California, or willingness to apply and obtain DEA registration before prescribing
  • Strong proficiency in clinical documentation and treatment planning
  • Experience in outpatient behavioral health settings; ER, urgent care, or acute settings is a plus
  • Demonstrated ability to work with individuals experiencing mental health and substance use disorders
  • Excellent communication skills for patient education and interdisciplinary collaboration
  • Ability to function effectively in a team-oriented environment, including flexibility to assist with coverage when required
  • Knowledge of infection control protocols and patient safety standards
Technology Requirements

  • Proficiency with Microsoft Teams is required for clinical collaboration, supervision, and meetings
  • Experience with EClinicalWorks (eCW) EMR is preferred
  • Comfort with telehealth platforms and electronic health record systems
Position Details

  • Job Types: Full-time, Part-time, Permanent
  • Compensation:$187,000 – $215,000 annually, commensurate with experience, licensure, and scope of responsibilities
  • Work Location: In-person (with Telehealth components as applicable)