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

Prime Staffing

Travel Case Manager RN

Roseville, CA · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

New

CommonSpirit Health

RN (Registered Nurse)

Carmichael, CA · On-site

$3.1K/wk

Registered Nurse (RN) Specialty: Care Coordination/Case Management Duration: 17 weeks Shift: 8H ... Utilization review is a necessary component of this role. Candidates will be trained in Interqual ...

Medlivo

Travel Case Management RN

Carmichael, CA · On-site

Medlivo is seeking a travel nurse RN Case Management for a travel nursing job in Carmichael ... Utilization Review & Discharge Planning required / InterQual experience required / Cerner EMR / 15 ...

New

Care Career

Travel Case Manager RN

Roseville, CA · On-site

Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Roseville ... Utilization Review Knowledge of levels of care and observation status Knowledge of healthcare ...

Medlivo

Travel RN Case Manager

Carmichael, CA · On-site

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 ...

Sutter Health

Care Manager, Registered Nurse

Roseville, 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

Roseville, 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

Roseville, 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 ...

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Utilization Review Rn information

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How much do utilization review rn jobs pay per hour?

As of Sep 2, 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.

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 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 5% Internship, 69% Full Time, 5% Part Time, and 21% Contract. Highlights an 84% In-person, and 16% Remote job distribution, with an average salary of $92,191 per year, or $44.3 per hour.

Travel Case Manager RN

Prime Staffing

Roseville, CA • On-site

Contractor

Posted 2 days ago

New

Job description

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Roseville, California.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 09/28/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

About the Position
Specialty: RN Case Manager
Experience: 1+ year of recent case management or discharge planning experience preferred
License: Active State or Compact RN License
Certifications: BLS – AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills


Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2–4 weeks based on documentation and clearance processes.

Requirements

Required for Onboarding:

  • Active RN License
  • BLS

Prime Staffing Job ID #37982272. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Manager,08:00:00-16:00:00

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.



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