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Utilization Review Rn Jobs in Carlsbad, CA (NOW HIRING)

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$22

$43

$71

How much do utilization review rn jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization review rn in Carlsbad, CA is $43.86, according to ZipRecruiter salary data. Most workers in this role earn between $34.66 and $50.38 per hour, depending on experience, location, and employer.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

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

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

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

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are the most commonly searched types of Utilization Review Rn jobs in Carlsbad, CA?

The most popular types of Utilization Review Rn jobs in Carlsbad, CA are:

What are popular job titles related to Utilization Review Rn jobs in Carlsbad, CA?

For Utilization Review Rn jobs in Carlsbad, CA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Carlsbad, CA look for?

The top searched job categories for Utilization Review Rn jobs in Carlsbad, CA are:

What cities near Carlsbad, CA are hiring for Utilization Review Rn jobs?

Cities near Carlsbad, CA with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Carlsbad, CA as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $91,232 per year, or $43.9 per hour.

Travel Utilization Review RN

TNAA TotalMed RN

Escondido, CA • On-site

Contractor

Medical, Dental, Vision, Retirement

Posted 2 days ago

New

Job description

TNAA TotalMed RN is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Escondido, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 10/05/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 10 hours, days
  • Employment Type: Travel

We're looking for RN Case managers for an immediate travel nurse opening in Escondido, CA. The right RN should have 1-2 years recent case management experience. Read below for more requirements. As a RN Case Manager, you'll work with a highly skilled team of professionals to advocate for patients, evaluate, plan, provide resources and facilitate communication with family members. You will be responsible for comprehensive coordination of short and long-term care for patients, with the goal of decreasing hospital stay lengths and reducing readmission rates to generate cost-effective outcomes.
As a Case Management Travel Nurse, you should be prepared to perform the following tasks:

  • Evaluate and assess new patients.
  • Create and update comprehensive short and long-term patient care plans.
  • Educate families and patients about resources and health care options.
  • Collaborate with other RNs, doctors and social workers.
  • Properly document and submit medical records.
  • Communicate with Insurance companies to collaborate or appeal decisions.
  • Improve financial status by analyzing results, monitoring variances, identifying trends and recommending actions to management.
Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up to 10 pounds of weight, as well as bend, lean and stoop without difficulty. RN Case Managers should be able to manage a fluctuating caseload during times of high census and work efficiently in a collaborative environment. Because of the cooperative nature of this role, RN Case Managers should possess good oral and written communication abilities to communicate effectively with patients, families and co-workers.
Requirements*: BLS, 3 Years
* Additional certifications may be required before beginning an assignment.

TNAA TotalMed RN Job ID #1492460. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Manager - Case Mgr RN - Travel Nurse

About TNAA TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.


TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Benefits
  • Weekly pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Sick pay
  • Wellness and fitness programs
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1
Travel Nurse Across America logo

About Travel Nurse Across America

Sourced by ZipRecruiter

Travel Nurse Across America (TNAA) is a leading healthcare staffing firm headquartered in North Little Rock, Arkansas, USA. Their primary focus lies within the healthcare industry, specializing in providing travel nurses for medical facilities across the country. Founded in 1999, TNAA has thrived over the years by maintaining an unwavering dedication to quality service, reliability, and personalized care for both the clients and the teams they contract. Their mission is driven by their commitment to improve the lives of the patients they serve by ensuring they're provided with the most highly skilled, caring, and dedicated healthcare professionals.

Industry

Recruiting and staffing services and health care and social assistance

Company size

201 - 500 Employees

Headquarters location

North Little Rock, AR, US

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