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Remote Weekend Utilization Review Jobs in California

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

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Remote Weekend Utilization Review information

What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?

AspectRemote Weekend Utilization ReviewRemote Weekday Utilization Review
CredentialsTypically requires a healthcare professional license and utilization review certificationSame as weekend role, healthcare license and utilization review certification
Work EnvironmentRemote, weekend hours, often part-time or flexibleRemote, weekday hours, standard business hours
Employer & IndustryHealth insurance companies, third-party administratorsSame as weekend role, health insurance industry
Work SchedulePrimarily weekends, possibly eveningsWeekdays, 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.

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

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

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

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

Infographic showing various Remote Weekend Utilization Review job openings in California as of August 2026, with employment types broken down into 69% Full Time, 14% Part Time, and 17% Contract. Highlights an 22% In-person, and 78% Remote job distribution.

RN - Utilization Review

Torrance, CA • Remote

3B Healthcare, Inc.
Health Care and Social Assistance • 51 - 200 employees

Full-time

This job post has expired today. Applications are no longer accepted.


Job description

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)