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Utilization Review Case Management Rn Jobs in Temecula, CA

KPC Health

Utilization Review RN (Hemet)

Hemet, CA · On-site

Utilization Review RN The Utilization Review RN reviews client health records to ensure proper ... Actively participates in Case Management and Treatment Team meetings * Serves as on-going educator ...

New

KPC Global MSO

Utilization Review RN (Hemet)

Hemet, CA · On-site

SUMMARY The Utilization Review RN reviews client health records to ensure proper utilization of ... Actively participates in Case Management and Treatment Team meetings * Serves as on-going educator ...

New

Palomar Health

Acute Care Case Manager II

Escondido, CA · On-site

$54.15 - $78.82/hr

Bachelor's Degree and/or National Certification in Utilization Review or Case Management Minimum Experience: 1 - 3 years of directly related RN experience Preferred Experience : 3 - 5 years acute ...

UHS

CASE MANAGER (RN/LIC) - Full Time

Wildomar, CA · On-site

Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...

UHS

CASE MANAGER (RN/LIC) - Full Time

Wildomar, CA · On-site

Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an accredited Registered Nursing program. REQUIRED LICENSURE / CERTIFICATIONS Current California ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life ...

Socket.dev

Case Manager*

Murrieta, CA · On-site

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Licensures and Certifications Active and unrestricted California Registered Nurse (RN) license ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

$68.03 - $91.49/hr

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life ...

Loma Linda University Health

Case Manager*

Murrieta, CA · On-site

... nursing experience required. Minimum two years of case management, utilization review, or discharge ... Active and unrestricted California Registered Nurse (RN) license required. Current Basic Life ...

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Showing results 1-20

All JobsUtilization Review Case Management Rn JobsUtilization Review Case Management Rn Jobs in Temecula, CA

Utilization Review Case Management Rn information

See Temecula, CA salary details

$19

$47

$79

How much do utilization review case management rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for utilization review case management rn in Temecula, CA is $47.22, according to ZipRecruiter salary data. Most workers in this role earn between $35.10 and $57.07 per hour, depending on experience, location, and employer.

What cities near Temecula, CA are hiring for Utilization Review Case Management Rn jobs?

Cities near Temecula, CA with the most Utilization Review Case Management Rn job openings:

Utilization Review RN (Hemet)

Hemet, CA • On-site

KPC Health
Health Care and Social Assistance • 201 - 500 employees
Learn more about KPC Healthexternal

Other

Posted 2 days ago

New

Job description

Utilization Review RN

The Utilization Review RN reviews client health records to ensure proper utilization of treatment resources.

Responsibilities And Duties:

  • Coordinates and reviews all medical records, as assigned to caseload.
  • Actively participates in Case Management and Treatment Team meetings
  • Serves as on-going educator to all departments.
  • Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting
  • Able to work independently and use sound judgment.
  • Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment.
  • Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families.
  • Performs other duties as assigned.

This position is a mid-shift (3pm - 11:30pm) and will need to work on weekends.

Education & Experience Requirements:

  • Bachelor's or Master's degree in social work, behavioral or mental health, nursing or other related health field preferred.
  • CA RN License Required
  • Minimum of 2 years' experience with the population of the facility and previous experience in utilization management preferred.

Skills & Abilities Requirements:

  • Communication
  • Planning & Organizing
  • Problem Solving
  • Attention to Detail

Physical Requirements:

  • Body Positions: Sitting and standing for prolonged periods.
  • Body Movements: Arm and hand dexterity.
  • Body Senses: Must have command of close and distant sight, color perception and hearing.
  • Strength: Ability to lift and move up to 25-pounds.

Working Environment:

  • Work in an office, where the climate is controlled.
  • OSHA exposure category: I
  1. Category I – Position includes tasks that involve exposure to Blood borne Pathogens.
  2. Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
  3. Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.
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About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

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