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

KTI Health

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Registered Nurse Utilization Review - Remote

Torrance, CA · Remote

$2.1K - $2.2K/wk

Travel Registered Nurse - Utilization Review Location: Torrance, CA Position: Registered Nurse (RN) - Utilization Review Job Type: Remote Travel/Contract Contract: 13 weeks Start Date: September 21 ...

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Imh

RN Care Manager

West Covina, CA · Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Zócalo Health

RN Case Manager

Los Angeles, CA · Remote

$85K/yr

RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us ... Support quality, utilization, and member outcome goals established by the organization and health ...

YO AI Labs

Hospitalist Physician - Remote

Los Angeles, CA · Remote

$70 - $100/hr

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

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Remote Utilization Review Rn information

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$73

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

As of Aug 28, 2026, the average hourly pay for remote utilization review rn in Orange, CA is $45.17, according to ZipRecruiter salary data. Most workers in this role earn between $35.67 and $51.88 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 Orange, CA?

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

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

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

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

Cities near Orange, 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 Orange, CA as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $93,950 per year, or $45.2 per hour.

Registered Nurse Utilization Review - Remote

Torrance, CA • Remote

KTI Health
See more jobs at KTI Healthexternal

$2.1K - $2.2K/wk

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Posted 3 days ago

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Job description

Travel Registered Nurse – Utilization Review

Location: Torrance, CA
Position: Registered Nurse (RN) – Utilization Review
Job Type: Remote Travel/Contract
Contract: 13 weeks
Start Date: September 21, 2026
Pay: $55/hour & $2200 / week
Shift: Day | 5×8 hours
Schedule: 8:00 AM–4:30 PM or 9:00 AM–5:30 PM PST
Openings: 1


Requirements

  • Active California RN license required
  • Utilization Review / Case Management experience preferred
  • Must be available for the assigned PST schedule
  • Strong clinical documentation and review skills

Equipment

  • Laptop, keyboard, and mouse will be provided.

Interested? Send your updated resume and contact information.

Company Description

KTI Health is a Veteran-Owned Staffing and Recruitment firm specializing in healthcare and IT workforce solutions.
We are committed to connecting talented professionals with high-paying career opportunities while delivering a fast, efficient hiring process. Our team works diligently to provide quick employment offers, exceptional support, and access to some of the highest-paying healthcare and IT positions across the nation.