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

UnitiMed

RN Case Manager

Oakland, 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 ...

LanceSoft

Travel RN Case Manager

Oakland, CA · On-site

Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type ... Collaborate with physicians, bedside nurses, social workers, utilization review, and ...

Sutter Health

Care Manager, Registered Nurse

Davis, CA · On-site

$82.48 - $115.46/hr

Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Sutter Health

Care Manager, Registered Nurse

Davis, CA · On-site

$82.48 - $115.46/hr

Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Veracity

RN Manager - Care Management

Petaluma, CA · On-site

RN Manager - Care Management Petaluma, California Full Time 8-hour, Day shifts. Ideal Candidate ... Experience managing Care Management, Utilization Review, Discharge Planning, Care Coordination, or ...

Sutter Health

Care Manager II, Acute ( RN )

Novato, CA · On-site

$90.58 - $126.81/hr

Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Sutter Health

Care Manager II, Acute ( RN )

Novato, CA · On-site

$90.58 - $126.81/hr

Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: * RN-Registered Nurse of ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

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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.

RN Case Manager

UnitiMed

Oakland, CA • On-site

Other

Medical, Dental, Vision

Re-posted 11 days ago

Job description

Summary:
Uniti Med is looking for a Registered Nurse (RN) in Oakland, California.
This assignment lasts 13 weeks and is scheduled to start on ASAP.
Benefits:
    • Day 1 Insurance
    • Cigna medical, MetLife dental and vision insurance
    • License reimbursement for new licenses needed for each assignment
    • Continuing Education Unit (CEU) reimbursement after 750 hours worked
    • Employee Assistance Program (EAP)
    • Discounts with hotels and rental cars
    • A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience
    • 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 services with heart. Apply today to speak with a recruiter!
Awards:
    • BluePipes - The Best Trave Nursing Companies - 2025, 2024, & 2023
    • ClearlyRated's Best of Staffing - Talent Satisfaction 2025, 2024, & 2023
    • SIA Largest Staffing Firms in the US - 2025
    • SIA Best Staffing Firms to Temp For - 2024

*Estimated weekly pay includes projected hourly wages, weekly meals, 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.
For all employees and employee applicants, Uniti Med is an Equal Employment Opportunity ("EEO") Employer, including Disability/Vets, and welcomes all to apply.

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