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

Jconnect Infotech Inc

RN Case Manager

Saint Helena, CA · On-site

$2.7K - $2.8K/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 ...

Netpace

RN Case Manager

Larkspur, CA · On-site

Must have strong Utilization Review and InterQual experience REQUIRED! * Conducting patient initial assessments * Acute Care hospital experience * EPIC EMR documentation experience * Active CA RN ...

Integrated Resources

RN Case Manager Travel

Fairfield, CA · On-site

$3.0K - $3.5K/wk

Position: RN Case Manager Location: Fairfield, CA Schedule: Monday - Friday | 8:00 AM - 4:30 PM PST ... Conduct utilization review and ensure medical necessity using MCG guidelines. * Collaborate with ...

Netpace

RN Case Manager

Greenbrae, CA · On-site

Must have strong Utilization Review and InterQual experience REQUIRED! * Conducting patient initial assessments * Acute Care hospital experience * EPIC EMR documentation experience * Active CA RN ...

LanceSoft

Travel RN Case Manager

Fairfield, CA · On-site

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Fairfield ... Minimum of 3 years of utilization review and/or case management experience. * Strong experience ...

UnitiMed

RN Case Manager

San Francisco, CA · On-site

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Fairfield, CA

Utilization Review Rn information

See Fairfield, CA salary details

$21

$43

$70

How much do utilization review rn jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization review rn in Fairfield, CA is $43.03, according to ZipRecruiter salary data. Most workers in this role earn between $33.99 and $49.42 per hour, depending on experience, location, and employer.

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.

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 knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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.

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.
What are the most commonly searched types of Utilization Review Rn jobs in Fairfield, CA? The most popular types of Utilization Review Rn jobs in Fairfield, CA are:
What are popular job titles related to Utilization Review Rn jobs in Fairfield, CA? For Utilization Review Rn jobs in Fairfield, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Fairfield, CA look for? The top searched job categories for Utilization Review Rn jobs in Fairfield, CA are:
What cities near Fairfield, CA are hiring for Utilization Review Rn jobs? Cities near Fairfield, CA with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Fairfield, CA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $89,502 per year, or $43 per hour.

Travel Case Manager RN - $2,566 per week

GQR Healthcare

San Francisco, CA • On-site

$2.5K/wk

Other

Medical, Dental, Vision

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

Job description

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in San Francisco, California.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 09/08/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: San Francisco, California
Start Date: September 8, 2026
Profession: Registered Nurse (RN)
Facility:
Estimated Pay: $2566.35 - $2661.35
Duration:13 weeks
Specialty: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 clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.

GQR Job ID #835679. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)

About GQR Healthcare

GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.

In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.

Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

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About GQR Healthcare

Sourced by ZipRecruiter

Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Austin, TX, US

Year founded

2019

Social media

Facebook

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