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

Medlivo

Travel RN Case Manager

Carmichael, CA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Medlivo is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in ... Both Utilization Review and Discharge Planning Required; InterQual Experience Preferred but ...

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

Utilization Review Rn information

See Roseville, CA salary details

$22

$44

$72

How much do utilization review rn jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization review rn in Roseville, CA is $44.32, according to ZipRecruiter salary data. Most workers in this role earn between $35.05 and $50.91 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 Roseville, CA?

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

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

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Roseville, CA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $92,191 per year, or $44.3 per hour.

Travel Utilization Review

AMN Healthcare Revenue Cycle

Carmichael, CA • On-site

$1.8K - $2.7K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

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

Job description

AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Carmichael, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: Therapy
  • Start Date: 08/18/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 8/18/2026 Pay Rate: $1800.00 - $2700.00

POSITION SUMMARY – RN Case Manager

POSITION DUTIES – Discharge planning; Utilization review; Dealing with all payers, including uninsured and homeless; Completing Initial assessments.

MINIMUM REQUIRED QUALIFICATIONS – 

  • CA RN license
  • BSN
  • BLS
  • 2 years recent acute hospital experience in specialty
  • DC Planning and UM/UR experience
  • Must be familiar with Interqual
  • Must have prior Dignity/CommonSpirit experience to be considered

LENGTH OF ASSIGNMENT – 13 Weeks

SHIFT / HOURS PER WEEK – Between 8-5pm (8hr days); EOW with at least one full weekend per month

SYSTEMS – Cerner / Interqual

START DATE – ASAP


Facility Location
Carmichael is an affluent suburb in the Greater Sacramento metropolitan region of Northern California and home to several breathtaking parks and beautiful gardens such as The Jensen Botanical Gardens; exhibitor of a great selection of amazing flora such as rhododendrons, dogwoods, camellias and azaleas. There is also The Chautauqua Playhouse; a theater which seats up to 95 people and shows a variety of musicals, comedies and dramas for both adults and children.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3518961. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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