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Weekday Optum Utilization Review Jobs in California

Talencia

RN - Case Manager

San Pedro, CA · On-site

$68 - $72/hr

Acute hospital, Case Management/Utilization Review * Patient Age Groups: Adults, Geriatrics * Daily Census: 50-55 * Typical Caseload: 1:15 weekdays; may be higher on weekends * Support Services:

Tryfacta, Inc.

RN Care Manager

Chico, CA · On-site

Chico CA 95926 Duration: 2 years Work Schedule: 8-hour shifts, 8am - 4:30pm, weekends and weekdays ... Conduct utilization review, evaluate admission and discharge criteria, observation status ...

New

Pyramid Corporation

RN Case Manager

Chico, CA · On-site

$42/hr

Review admissions, discharge planning, observation stays, readmissions, and utilization management ... Shift: 8-hour shifts, 8am - 4:30pm, weekends and weekdays * Scheduled Hours: 40 hours [Hours per ...

New

Pyramid Consulting

RN Case Manager

Chico, CA · On-site

$42/hr

Review admissions, discharge planning, observation stays, readmissions, and utilization management ... Shift: 8-hour shifts, 8am - 4:30pm, weekends and weekdays * Scheduled Hours: 40 hours [Hours per ...

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All JobsWeekday Optum Utilization Review JobsWeekday Optum Utilization Review Jobs in California

Weekday Optum Utilization Review information

What is the difference between Weekday Optum Utilization Review vs Weekday Optum Claims Reviewer?

AspectWeekday Optum Utilization ReviewWeekday Optum Claims Reviewer
Primary RoleAssess medical necessity and appropriateness of healthcare servicesReview and process insurance claims for accuracy and compliance
CredentialsTypically requires nursing or healthcare-related certificationsUsually requires insurance or claims processing experience, with some certifications preferred
Work EnvironmentOffice-based, healthcare settings, remote optionsOffice or remote, insurance company environment
Industry UsageHealthcare insurance, utilization managementInsurance claims processing, customer service

While both roles are integral to healthcare insurance operations, Weekday Optum Utilization Review focuses on evaluating the medical necessity of services, whereas Weekday Optum Claims Reviewer handles claims processing and verification. Understanding these differences helps job seekers target the right position based on their skills and credentials.

What are the most commonly searched types of Optum Utilization Review jobs in California? The most popular types of Optum Utilization Review jobs in California are:
What are popular job titles related to Weekday Optum Utilization Review jobs in California? For Weekday Optum Utilization Review jobs in California, the most frequently searched job titles are:
What job categories do people searching Weekday Optum Utilization Review jobs in California look for? The top searched job categories for Weekday Optum Utilization Review jobs in California are:
What cities in California are hiring for Weekday Optum Utilization Review jobs? Cities in California with the most Weekday Optum Utilization Review job openings:
Weekday Optum Utilization Review jobs near you
Infographic showing various Weekday Optum Utilization Review job openings in California as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Travel Nurse RN - Case Manager, Utilization Review

AMN Healthcare Revenue Cycle

Chico, 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 nurse RN Case Manager, Utilization Review for a travel nursing job in Chico, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Care Coordinator
StartDate: 8/10/2026 Pay Rate: $1800.00 - $2700.00

POSITION SUMMARY – RN Care Coordinator

POSITION DUTIES – Coordinates the care and services for assigned patients for an episode of illness or treatment in collaboration with the patient, family, physician, patient care team, and payors. Utilizes advanced clinical skills to facilitate the provision of care which includes the assessment, planning, intervention and evaluation principles of the nursing process. Promotes and evaluates the effective utilization of resources using current clinical knowledge, awareness of community services, and assuming a leadership role with the patient care team to achieve optimal clinical and resource outcomes. Evaluates and analyzes quality/utilization cases, admission/discharge criteria, observation/1-day stays, readmits in 30 days, Medicare and diagnosis related criteria.  Participates in outlier review on an ongoing basis. May be assigned to the Emergency Department. In collaboration with the patient/family, multidisciplinary team including physicians and payors ensure the patient’s progress along with emergency episode of care in an efficient and cost effective manner for assigned case load. Advocates for the patient and family throughout the entire episode of care. Maintains availability to the patient/family as a resource to facilitate communication among providers and to monitor services rendered. Remains involved until the patient is discharged or appropriately transferred to the acute care setting or an alternate level of care. Initiate appropriate clinical pathways based on admission diagnosis and to serve as a resource person for utilization management purposes.

MINIMUM REQUIRED QUALIFICATIONS –

  • CA RN license
  • Active CPR / BLS
  • 1+ year of recent Case Management experience in an acute care hospital setting

LENGTH OF ASSIGNMENT – 13 weeks

SHIFT / HOURS PER WEEK – 8am-4:30pm, weekends and weekdays

SYSTEMS – Epic

START DATE – ASAP


Facility Location
Soak up the natural beauty and small-town flavor of this charming Northern California community, nestled in the foothills of the Sierra Nevada Mountains. Take nature walks through its extensive parklands and preserves, visit its pioneer museum and enjoy the town's friendly ambiance and relaxing lifestyle.
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 #3540103. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Care Coordinator

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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