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Remote Utilization Review Jobs in California (NOW HIRING)

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Remote Utilization Review information

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How much do remote utilization review jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote 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 is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are the most commonly searched types of Utilization Review jobs in California?

The most popular types of Utilization Review jobs in California are:

What are popular job titles related to Remote Utilization Review jobs in California?

For Remote Utilization Review jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in California look for?

The top searched job categories for Remote Utilization Review jobs in California are:

What cities in California are hiring for Remote Utilization Review jobs?

Cities in California with the most Remote Utilization Review job openings:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in California as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,795 per year, or $41.7 per hour.

Registered Nurse - Fully Remote | Upto $65/hr

Mercor

San Francisco, CA • Remote

$65/hr

Full-time

Posted 9 hours ago

Posted today

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Adult Inpatient Nurses (RN)
Type: Contract
Compensation: $55–$65/hour
Location: Remote

Role Responsibilities

  • Review and evaluate AI-generated clinical outputs based on nursing flowsheet documentation.
  • Validate the accuracy, completeness, and adherence to current documentation standards.
  • Annotate and structure inpatient nursing assessment data for AI training datasets.
  • Provide expert feedback on nursing assessments and documentation practices.
  • Identify gaps, inconsistencies, or risks in AI-generated responses.
  • Collaborate with technical teams to improve model performance.

Qualifications

Must-Have

  • Active RN license (U.S., outside California)
  • Recent adult acute care inpatient bedside experience
  • Experience within the last 5–10 years
  • Comfortable performing and documenting comprehensive nursing assessments
  • Comfortable following detailed annotation guidelines consistently
  • Excellent written communication skills
  • Ability to work independently and meet deadlines

Preferred

  • Epic EHR experience
  • Comfortable learning new annotation tools and web-based platforms
  • Able to navigate transcripts efficiently and use AI-assisted tools appropriately
  • Experience reviewing charts for quality improvement, utilization review, CDI, or clinical informatics
  • Previous annotation, chart abstraction, or healthcare AI experience

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.