ZipRecruiter

Log In

1

Rn Utilization Management Jobs in California (NOW HIRING)

MSCCN

The Utilization Review Case Manager is responsible for assessing the medical necessity ... RN State License - minimum Basic Life Support (BLS) - minimum Minimum Salary 67.50 Maximum Salary ...

previous pagenext page

Showing results 21-40

All JobsRn Utilization Management JobsRn Utilization Management Jobs in California

Rn Utilization Management information

See California salary details

$38.5K

$88.3K

$160.9K

How much do rn utilization management jobs pay per year?

As of Sep 2, 2026, the average yearly pay for rn utilization management in California is $88,311.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,700.00 and $103,100.00 per year, depending on experience, location, and employer.

What is an RN Utilization Management?

RN Utilization Management nurses are registered nurses who specialize in reviewing healthcare services to ensure patients receive appropriate and cost-effective care. They evaluate the necessity, efficiency, and quality of medical treatments and procedures, often working with insurance companies, hospitals, or healthcare organizations. Their responsibilities include reviewing patient records, coordinating with clinical staff, making coverage recommendations, and ensuring compliance with healthcare regulations. This role helps manage healthcare costs while maintaining high standards of patient care.

What skills and qualifications are needed to thrive as an RN Utilization Management?

To thrive as an RN Utilization Management Nurse, you need a current RN license, strong clinical assessment skills, and experience in care coordination or case management. Familiarity with utilization review tools, electronic health records, and knowledge of insurance guidelines or InterQual/MCG criteria are typically required. Exceptional communication, critical thinking, and negotiation skills help facilitate collaboration among providers, payers, and patients. These abilities are crucial for ensuring appropriate resource use, compliance with regulations, and optimal patient outcomes.

How does an RN Utilization Management typically collaborate with physicians and other healthcare team members?

RN Utilization Management professionals work closely with physicians, case managers, and insurance representatives to ensure patients receive appropriate, high-quality care while managing healthcare costs. They review patient records, communicate clinical findings, and may participate in interdisciplinary meetings to discuss care plans and discharge needs. Building strong relationships and maintaining open lines of communication with the care team is essential for timely authorizations and effective care coordination. This collaborative approach helps optimize patient outcomes and resource utilization.

What is the difference between Rn Utilization Management vs Rn Case Management?

AspectRn Utilization ManagementRn Case Management
CertificationsRN license, possibly certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentUtilization review departments, insurance companies, hospitalsCommunity clinics, hospitals, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Both roles require an RN license, but Rn Utilization Management focuses on reviewing the necessity of services, while Rn Case Management emphasizes coordinating patient care. Understanding these differences helps professionals choose the right career path and employers.

How to get into utilization management as an RN?

To become an RN in utilization management, gain experience as a registered nurse, often in case management or clinical roles, and obtain knowledge of healthcare policies and insurance processes. Certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) can enhance prospects. Strong communication skills and familiarity with electronic health records (EHR) systems are also beneficial.

What are popular job titles related to Rn Utilization Management jobs in California?

For Rn Utilization Management jobs in California, the most frequently searched job titles are:

What job categories do people searching Rn Utilization Management jobs in California look for?

The top searched job categories for Rn Utilization Management jobs in California are:

What cities in California are hiring for Rn Utilization Management jobs?

Cities in California with the most Rn Utilization Management job openings:

Rn Utilization Management jobs near you
Infographic showing various Rn Utilization Management job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $88,311 per year, or $42.5 per hour.

Registered Nurse - Utilization Review

Bestica Healthcare

Apple Valley, CA • On-site

Other

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

Job description

Registered Nurse - Utilization Review

Weekend Requirements - UR RN 4 weekend shifts (days) in a six-week period but can be more

Job Description

• Start date: ASAP

• Floating Expectation: No

• Ratios: 1:40

• Years of experience REQ: 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group)

• First-timers accepted: Seasoned traveler is required Hardstop

• Weekend REQ: minimum of 4 shift w/in a 6-week period

• CA state license: Yes

• Pending License accepted: Yes, but must be licensed upon start date

• RTO Restrictions: No more than 7 days

Hospital Highlights

• Type of Facility: Acute Care Facility

• Scrub Color: Business Attire

About Company Bestica

We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation and synergy are encouraged to build our workplace into a community of like-minded, passionate people. Bestica is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Apply