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Weekend Utilization Review Jobs in California (NOW HIRING)

SUMMARY The Utilization Review RN reviews client health records to ensure proper utilization of ... This position is a mid-shift (3pm - 11:30pm) and will need to work on weekends. EDUCATION ...

Overview In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases, collaborating with ...

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 ...

Showing results 21-40

Weekend Utilization Review information

See California salary details

$21

$41

$68

How much do weekend utilization review jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for weekend utilization review in California is $41.73, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is a weekend utilization review?

A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.

What does a weekend utilization review professional do?

Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.

What are the key skills and qualifications needed to thrive in the weekend utilization review position?

Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.

What are the most commonly searched types of Utilization Review jobs in California?

The most popular types of Utilization Review jobs in California are:

What cities in California are hiring for Weekend Utilization Review jobs?

Cities in California with the most Weekend Utilization Review job openings:

Infographic showing various Weekend Utilization Review job openings in California as of September 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,795 per year, or $41.7 per hour.

Registered Nurse - Utilization Review (Remote)

Torrance, CA • On-site

Talencia
Recruiting and Staffing Services • 11 - 50 employees

$57/hr

Contractor

Re-posted 22 days ago


Job description

Job Title: RN - Utilization Review (Remote) 
Location: Remote – Must work in Pacific Standard Time (PST)
Duration: 13 Weeks
Unit: Remote Utilization Management
Pay Rate: $54/hr (W2) or $57/hr (1099)
 

Shift & Schedule
  • Schedule: Monday to Friday, 5x8-Hour Days
  • Hours: 08:00 AM – 04:30 PM (PST)
  • Weekend Requirement: Every third weekend

Position Summary
We are seeking a Registered Nurse (RN) with a strong background in Utilization Review to work remotely.
This role involves reviewing medical necessity, documentation, and level of care decisions across multiple hospitals and service lines.

Key Responsibilities
  • Perform utilization review for inpatient, observation, and extended outpatient cases
  • Apply InterQual criteria (required – Hardstop)
  • Use Epic for documentation and review workflows (recent use within 6–12 months required)
  • Interpret and apply Medicare rules and documentation (e.g., CC44s, ABNs, HINNs, MCSNs)
  • Rotate across three hospital systems under centralized UM
  • Adhere to California labor laws (breaks, meals, and time reporting)

Required Qualifications
  • Active CA RN License
  • Minimum 3 years of acute care CM/UM experience in a hospital setting (not health plan or medical group)
  • InterQual experience (Hardstop)
  • Recent Epic use (within the last 6–12 months)
  • Strong understanding of Medicare, HMO, and IPA processes
  • High attention to detail, organizational, and communication skills
  • Comfortable working independently in a fully remote environment