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

Talented Medical Solutions

RN - CASE MANAGEMENT

Lodi, CA · On-site

$2.9K - $2.9K/wk

Discusses with physicians, the appropriateness of resource utilization, consultations, treatment ... Manages frequent emergency department visitors by conducting a focus study review of the previous ...

Hallway Healthcare

Registered Nurse

Brentwood, CA · On-site

$630 - $709/day

Private Duty Registered Nurse Registered Nurse Seeking Private Duty Registered Nurses to join our ... to review a wide variety of materials in electronic or hard copy form; * Sufficient manual ...

Dameron Hospital

Registered Nurse 2

Stockton, CA · On-site

$57.52 - $73.54/hr

Demonstrates primary concern for infection control and for patient safety including utilization of ... Reviews, revises or develops nursing policies and procedures as directed with assistance.

Dameron Hospital

Registered Nurse 2

Stockton, CA · On-site

$57.52 - $73.54/hr

Demonstrates primary concern for infection control and for patient safety including utilization of ... Reviews, revises or develops nursing policies and procedures as directed with assistance.

HALLWAY HEALTHCARE INC.

Registered Nurse

Brentwood, CA · On-site

$45 - $50.68/hr

Registered Nurse Seeking Private Duty Registered Nurses to join our team of nurses who are ... to review a wide variety of materials in electronic or hard copy form; * Sufficient manual ...

Hallway Healthcare

Registered Nurse

Livermore, CA · On-site

$630 - $709/day

Private Duty Registered Nurse Registered Nurse Seeking Private Duty Registered Nurses to join our ... to review a wide variety of materials in electronic or hard copy form; * Sufficient manual ...

HALLWAY HEALTHCARE INC.

Registered Nurse

Livermore, CA · On-site

$45 - $50.68/hr

Registered Nurse Seeking Private Duty Registered Nurses to join our team of nurses who are ... to review a wide variety of materials in electronic or hard copy form; * Sufficient manual ...

Creekside Center

RN NOC Shift FT

Stockton, CA · On-site

$44/hr

Registered Nurse (RN) Are you ready to make a difference in healthcare? We are currently seeking a ... For further information, please review the Know Your Rights notice from the Department of Labor.

Anchor Health

RN Admissions Nurse

Brentwood, CA · On-site

Admissions Registered Nurse evaluates patients for hospice appropriateness, e.g. medical records review as requested. * Admissions Registered Nurse Obtains agreement for admission of referred ...

Anchor Health

Admission Registered Nurse

Antioch, CA · On-site

... review as requested. 3. Admissions Registered Nurse Obtains agreement for admission of referred patients and families who meet admission criteria. 4. Admissions Registered Nurse analyzes data ...

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

Utilization Review Rn information

See Stockton, CA salary details

$22

$44

$72

How much do utilization review rn jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization review rn in Stockton, CA is $44.54, according to ZipRecruiter salary data. Most workers in this role earn between $35.19 and $51.15 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 Stockton, CA? The most popular types of Utilization Review Rn jobs in Stockton, CA are:
What are popular job titles related to Utilization Review Rn jobs in Stockton, CA? For Utilization Review Rn jobs in Stockton, CA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Stockton, CA look for? The top searched job categories for Utilization Review Rn jobs in Stockton, CA are:
What cities near Stockton, CA are hiring for Utilization Review Rn jobs? Cities near Stockton, CA with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Stockton, CA as of August 2026, with employment types broken down into 7% Internship, 79% Full Time, 7% Part Time, and 7% Contract. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $92,638 per year, or $44.5 per hour.

Registered Nurse - RN

Windsor Elmhaven Care Center

Stockton, CA • On-site

$42.25 - $46.89/hr

Full-time

Medical, Dental, Vision

Re-posted yesterday

Job description

Are You Ready to Make a Difference in Healthcare? We are currently seeking a Registered Nurse (RN) to join our exceptional healthcare team!
Salary Range: $42.25 - $46.89 per hour
$2,500 Sign On Bonus for FULL TIME status only!!! Terms applied
We are passionate about providing high-quality care and fostering a compassionate, family-oriented environment. We believe in building a positive and collaborative culture that prioritizes trust, communication, and person-centered care.
What Makes Us Special?
  • UKG Wallet: Access earned wages before payday.
  • Competitive Wages: We offer a great salary package.
  • Great Benefits: Medical, dental, and vision coverage.
  • Growth Opportunities: We support your professional development.
  • Continuing Education & Training: Stay current with industry standards.

Are you ready to contribute to a team, committed to excellent customer service and dedicated to each individual's unique talent?
If yes, here's how you will contribute to the team:
As a Registered Nurse (RN), you will plan and deliver nursing care to residents in accordance with current company, federal, state, and local standards, guidelines, and regulations to ensure that the highest degree of quality care and dignity is maintained at all times. As a nurse leader, you will guide and support a team of LVN/LPNs and CNAs to ensure optimal care for our residents.
Must Have:
  • Current and unencumbered license to practice as an RN in the state - New Grads Welcomed!
  • Associate's or Bachelor's degree in Nursing
  • CPR/BLS
  • Must be knowledgeable of nursing practices, procedures, terminology, laws, regulations, and guidelines that pertain to long-term care

Nice to Have:
  • Nursing experience providing direct care to multiple residents
  • Experience in Skilled Nursing environment
  • Experience with PointClickCare

Equal Opportunity Employer
All qualified applicants will be considered for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, veteran or disability status, or any other characteristic protected by law.
Pay Transparency Statement
Compensation for roles varies depending on factors such as location, role, skill set, and level of experience. As required by state or local law, we provide a reasonable pay scale, including the hourly or salary range we reasonably expect to pay for this role.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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