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Utilization Management Jobs in Santa Rosa, CA (NOW HIRING)

Case Management/Utilization Review Location: Santa Rosa, CA 95405 Shift: Day - 08:00 - 16:30 Shift Length: 5*8hours Guaranteed Hours: 40 hours per week Weekends Required: 2 weekends every 6 weeks ...

New

RN Case Manager

Saint Helena, CA · On-site

$2K - $2K/wk

CA RN license, Cerner/PowerChart experience, recent acute hospital case management experience (within the last year), discharge planning and utilization review knowledge, BSN preferred ...

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa Rosa, California Start Date: June 1, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2065 ...

Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible ...

Travel Contract - W2 Case Management/Utilization Review Job Location: Santa Rosa, California Start Date: June 15, 2026 Profession: Facility: Estimated Pay: $2065.88 - $2160.88 Duration:13 weeks ...

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Utilization Management information

See Santa Rosa, CA salary details

$42.6K

$97.8K

$178.2K

How much do utilization management jobs pay per year?

As of Jun 10, 2026, the average yearly pay for utilization management in Santa Rosa, CA is $97,834.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,500.00 and $114,300.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is a Utilization Management job?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a Utilization Management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are popular job titles related to Utilization Management jobs in Santa Rosa, CA? For Utilization Management jobs in Santa Rosa, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Santa Rosa, CA look for? The top searched job categories for Utilization Management jobs in Santa Rosa, CA are:
What cities near Santa Rosa, CA are hiring for Utilization Management jobs? Cities near Santa Rosa, CA with the most Utilization Management job openings:
Infographic showing various Utilization Management job openings in Santa Rosa, CA as of June 2026, with employment types broken down into 79% Full Time, 19% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $97,834 per year, or $47 per hour.
Travel Nurse RN - Case Management - $2,701 per week

Travel Nurse RN - Case Management - $2,701 per week

Bestica

Santa Rosa, CA

$2K/wk

Other

Posted 13 days ago


Job description

Bestica is seeking a travel nurse RN Case Management for a travel nursing job in Santa Rosa, California.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

                                                     3292410

                                        RN- CASE MANAGEMENT

DESCRIPTION:

Job Title: Case Management RN Location: Santa Rosa, CA 95405 Start Date: 06/01/2026 Shift & Schedule:
  • Weekends required: 2 weekends every 6 weeks
  • No on-call required
  • May be required to float between like units based on facility needs
Requirements
  • Experience: Minimum 2 years of Case Management experience required
  • First-time travelers: Accepted with clinical approval (screen required)
  • License: Active RN license (state of practice)
  • Certifications:
    • BLS (Basic Life Support) – Required
  • Charting System: Experience with Epic preferred
  • Local Candidates: Accepted
  • RTO: Must be disclosed at time of submission
Clinical Skills & Expertise Required
  • Acute Hospital Case Management
  • Utilization Review
  • Discharge Planning
  • Care Coordination
Preferred
  • Data Abstraction
  • InterQual Criteria utilization
  • Disease Management
  • Disability and Worker’s Compensation Case Management

3292410 RN- CASE MANAGEMENT DESCRIPTION: Job Title: Case Management RN Location: Santa Rosa, CA 95405 Start Date: 06/01/2026 Shift & Schedule: Weekends required: 2 weekends every 6 weeks No on-call required May be required to float between like units based on facility needs Requirements Experience: Minimum 2 years of Case Management experience required First-time travelers: Accepted with clinical approval (screen required) License: Active RN license (state of practice) Certifications:BLS (Basic Life Support) – Required Charting System: Experience with Epic preferred Local Candidates: Accepted RTO: Must be disclosed at time of submission Clinical Skills & Expertise Required Acute Hospital Case Management Utilization Review Discharge Planning Care Coordination Preferred Data Abstraction InterQual Criteria utilization Disease Management Disability and Worker’s Compensation Case Management

About Bestica

We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. Headquartered in San Antonio, TX, we were founded in 2005 and are certified as an 8(a) Business.

Benefits
  • Referral bonus

Bestica logo

About Bestica

Sourced by ZipRecruiter

Bestica is a recognized leader in the field of IT consulting and UX/UI staffing, located in San Antonio, TX, US. Its primary service offering revolves around connecting high-caliber IT and User Interface (UI)/User Experience (UX) talent with premier clients across a range of industries, with a particular emphasis on government services, healthcare, automotive, and education. Founded in 2011, Bestica has consolidated its position as a trusted service provider, exceeding client expectations and delivering expert insight into the rapidly evolving technology marketplace. The firm revolves around a mission of bridging the gap between businesses and exceptional IT and UX/UI professionals, recognizing the crucial role these experts play in contemporary business success.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

San Antonio, TX, US

Year founded

2005