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Utilization Review Rn Jobs in Los Angeles, CA (NOW HIRING)

OU Health (Parent)

Utilization Review RN

Whittier, CA · On-site

$2.8K/wk

Details Client Name PIH HEALTH Job Type Travel Offering Nursing Profession Registered Nurse Specialty Utilization Review Job ID 18027156 Job Title Utilization Review RN Weekly Pay $2800.0 Shift ...

Voyage Health

Travel RN Utilization Review

Torrance, CA · On-site

$1.8K - $1.9K/wk

Position Details Specialty: RN Utilization Review Location: Torrance, California Employment Type: Travel/Contract Pay: $1816 - $1912 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

New

KTI Health

Be Seen First

Registered Nurse Utilization Review - Remote

Torrance, CA · Remote

$2.1K - $2.2K/wk

Travel Registered Nurse - Utilization Review Location: Torrance, CA Position: Registered Nurse (RN) - Utilization Review Job Type: Remote Travel/Contract Contract: 13 weeks Start Date: September 21 ...

New

GQR Global Markets

RN Case Manager

Burbank, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Burbank, California Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Hospital Estimated Pay ...

Medix

Utilization Review Nurse

Orange, CA · On-site

$38 - $53/hr

Job Summary Our client is seeking a Utilization Review Nurse responsible for managing the complete ... Active and unencumbered California RN or LVN License. * Strongly prefer 5+ years of concurrent ...

KPC Health

Utilization Review Tech

Santa Ana, CA · On-site

Utilization Review Technician Under direction of the Utilization Review Technician Supervisor, the ... Position is non-RN/LVN. Requirements * Ability to establish and maintain effective working ...

KPC Global MSO

Utilization Review Tech

Santa Ana, CA · On-site

SUMMARY Under direction of the Utilization Review Technician Supervisor, the Utilization Review ... Position is non-RN/LVN. REQUIREMENTS * Ability to establish and maintain effective working ...

GQR

RN - Case Manager

Orange, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Orange, California Start Date: September 14, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2090 ...

GQR Global Markets

RN Case Manager

Orange, CA · On-site

$2.0K - $2.1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Orange, California Start Date: September 14, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2090 ...

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Utilization Review Rn information

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How much do utilization review rn jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for utilization review rn in Los Angeles, CA is $45.56, according to ZipRecruiter salary data. Most workers in this role earn between $36.01 and $52.31 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 Los Angeles, CA?

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

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

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Los Angeles, CA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $94,763 per year, or $45.6 per hour.

Utilization Review RN

Whittier, CA • On-site

OU Health (Parent)
Hospitals • 10K+ employees

7.2

Company rating: 7.2 out of 10

Based on 150 frontline employees who took The Breakroom Quiz

345th of 895 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about OU Health (Parent)external

$2.8K/wk

Other

Re-posted 2 days ago

Job description

Details
Client Name
PIH HEALTH
Job Type
Travel
Offering
Nursing
Profession
Registered Nurse
Specialty
Utilization Review
Job ID
18027156
Job Title
Utilization Review RN
Weekly Pay
$2800.0
Shift Details
Shift
12 Hour Mid 11-11
Scheduled Hours
36
Job Order Details
Start Date
04/20/2026
End Date
07/20/2026
Duration
13 Week(s)
Job Description
Performs utilization review for ER admissions and interfacility transfers, ensuring medical necessity, appropriate level of care, and compliance with CMS, EMTALA, and regulatory guidelines while coordinating authorizations and reimbursement
Client Details
City
Whittier
State
CA
Zip Code
90603
OU Health logo

About OU Health

Sourced by ZipRecruiter

OU Health is a leading company in the healthcare industry, based in Oklahoma City, OK, US. As the state's only comprehensive academic health system, OU Health provides a full spectrum of medical care, from world-class cancer treatments to life-saving emergency care. Founded with a mission to advance healthcare, medical education, and research across the state, the company has a solid reputation for clinical excellence and a patient-centered approach. Upholding its core values of compassion, integrity, and innovation, OU Health has remarkably made a significant contribution to medical research and education and raised the standard of care across a broad range of specialties.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Oklahoma City, OK, US

Year founded

2020

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