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Utilization Review Case Manager Jobs in San Ramon, CA

Prime Staffing

Travel RN Case Manager

Oakland, CA · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Care Career

Travel RN Case Management

San Leandro, CA · On-site

Care Career is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel ... utilization review/management, discharge planning, resource utilization, patient advocacy, and ...

GQR

RN - Case Manager

Oakland, CA · On-site

$2.5K - $2.6K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Oakland, California Start Date: July 27, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2557 ...

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Showing results 21-40

All JobsUtilization Review Case JobsUtilization Review Case Manager JobsUtilization Review Case Manager Jobs in San Ramon, CA

Utilization Review Case Manager information

See San Ramon, CA salary details

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How much do utilization review case manager jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization review case manager in San Ramon, CA is $40.77, according to ZipRecruiter salary data. Most workers in this role earn between $33.03 and $42.98 per hour, depending on experience, location, and employer.

What is a utilization review case manager?

A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.

What are some common challenges utilization review case managers face when coordinating care across multiple departments?

Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.

What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?

To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.

What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing medical records, clinical review, patient care evaluation

Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Review Case Manager jobs in San Ramon, CA?

For Utilization Review Case Manager jobs in San Ramon, CA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Case Manager jobs in San Ramon, CA look for?

The top searched job categories for Utilization Review Case Manager jobs in San Ramon, CA are:

What cities near San Ramon, CA are hiring for Utilization Review Case Manager jobs?

Cities near San Ramon, CA with the most Utilization Review Case Manager job openings:

Utilization Review Case Manager jobs near you
Infographic showing various Utilization Review Case Manager job openings in San Ramon, CA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 17% Part Time, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $84,810 per year, or $40.8 per hour.

Travel RN Case Management

HealthTrust Workforce Solutions

San Leandro, CA • On-site

Contractor

Posted 29 days ago

Job description

HealthTrust Workforce Solutions is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in San Leandro, California.

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

JA3

Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning. Provides ongoing support and expertise through comprehensive assessment, care coordination, plan implementation and overall evaluation of individual patient needs while ensuring patient preferences. Serves as a patient advocate through resource utilization, discharge planning and addressing the holistic needs of the patient.

Facility Requirements:

  • Must have BLS certification must be attached to submission packet (Must be through the American Heart Association)
  • Must have mininum 2 years recent RN Case Management experience, with experience in a LTAC or STACH setting,  MCG, discharge planning across acute care settings, strong IDT collaboration
  • Must have CA RN license (must be attached to resume)
  • Shift will be Monday - Friday 8:30a-5p

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