RN - Utilization Review
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Ontario, CA · On-site +1
$24.65 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
We are currently seeking Board-Certified physicians in Oncology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no ...
We are currently seeking Board-Certified physicians in Oncology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
Quick apply
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
We are currently seeking Board-Certified physicians in Family Medicine to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week ...
We are currently seeking Board-Certified physicians in Family Medicine to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week ...
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Quick apply
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
We are currently seeking Board-Certified physicians in Gastroenterology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week ...
We are currently seeking Board-Certified physicians in Gastroenterology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week ...
Sacramento, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Sacramento, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Los Angeles, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Los Angeles, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
The Utilization Review Supervisor RN is responsible for directing the operations of their ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ...
Quick apply
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
The Utilization Review Supervisor RN is responsible for directing the operations of their ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ...
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
The Utilization Review Supervisor RN is responsible for directing the operations of their ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ...
Rancho Cucamonga, CA · Remote
$77K - $120K/yr
The Utilization Review Supervisor RN is responsible for directing the operations of their ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ...
Long Beach, CA · Remote
$29.05 - $56.64/hr
... weekend and holiday coverage as business needs require . Prior experience in Utilization Management (UM) and appeals review , preferably within a Managed Care Organization (MCO) environment, is ...
Long Beach, CA · Remote
$29.05 - $56.64/hr
... weekend and holiday coverage as business needs require . Prior experience in Utilization Management (UM) and appeals review , preferably within a Managed Care Organization (MCO) environment, is ...
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
The most popular types of Weekend Utilization Review jobs in California are:
For Remote Weekend Utilization Review jobs in California, the most frequently searched job titles are:
The top searched job categories for Remote Weekend Utilization Review jobs in California are:
Cities in California with the most Remote Weekend Utilization Review job openings:

Torrance, CA • Remote
Full-time
This job post has expired today. Applications are no longer accepted.
Registered Nurse – Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).InterQual experience is mandatory; candidates without this will not be considered.Proficient in Epic, with recent use within the last 6–12 months.Experience working with HMOs, IPAs, and similar managed care organizations.Strong knowledge of Medicare regulations and associated utilization management processes, including:Condition Code 44 (CC44)Advance Beneficiary Notices (ABNs)Hospital-Issued Notices of Noncoverage (HINNs)Medicare Coverage Status Notices (MCSNs)
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Health care and social assistance
51 - 200 Employees
Iselin, NJ, US
2024