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Weekend Utilization Review Jobs in California (NOW HIRING)

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity ...

Prime Healthcare

Utilization Review RN

Ontario, CA · On-site

$71K - $104K/yr

At least 3 years of experience in utilization review, referrals, authorizations, denials and appeals. * Current BCLS (AHA) certificate upon hire and maintain current. * Knowledge of MCG Criteria and ...

CorVel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity ...

Acadia Healthcare

Director of Utilization

San Rafael, CA · On-site

$105K - $130K/yr

We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...

Bayside Marin

Director of Utilization

San Rafael, CA

$105K - $130K/yr

We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...

Acadia Healthcare

Director of Utilization

San Rafael, CA · On-site

$105K - $130K/yr

We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...

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All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in California

Weekend Utilization Review information

See California salary details

$21

$41

$68

How much do weekend utilization review jobs pay per hour?

As of Aug 21, 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 are popular job titles related to Weekend Utilization Review jobs in California?

For Weekend Utilization Review jobs in California, the most frequently searched job titles are:

What job categories do people searching Weekend Utilization Review jobs in California look for?

The top searched job categories for Weekend 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:

Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in California as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,795 per year, or $41.7 per hour.

Travel Nurse RN - Utilization Review

Talent4Health

Fairfield, CA • On-site

Contractor

Posted 16 days ago

Job description

Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Fairfield, California.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/07/2026
  • Duration: 8 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Requirements:
• Shift: REMOTE Days | Mon–Fri | 8:00 AM – 4:30 PM 

• BSN required
• Active California RN License
• Magnet ANCC-recognized Case Management certification (CCM, ACM-NBCM, etc.)
• Minimum 5 years of clinical nursing experience
• Minimum 3 years of Utilization Review/Case Management experience
• Cerner experience
• Understanding of MCG and Utilization Review requirements for concurrent and initial reviews
• Utilization review, Case management, Performance improvement
• Managed care reimbursement
• Milliman Care Guidelines (MCG)
• Knowledge of Medicare, Medicaid, managed care, payer, and healthcare financial requirements
• EMR navigation and UR documentation tools
• Proficiency in Cerner, Adobe, and Microsoft Office Suite (Excel, Teams, Outlook, PowerPoint, Word)
Important Notes:
• Candidate must provide their own equipment for chart reviews
• Performs inpatient and observation utilization reviews
• Reviews medical necessity using clinical documentation, evidence-based guidelines, and payer requirements
• Collaborates with physicians, revenue cycle, and healthcare teams
• Prepares clinical summaries for payer communications and peer-to-peer reviews
• Participates in audits and quality improvement initiatives

Referral Bonus $250-$500 [Each referral] Medical and other Benefits. Apply Now!!!

About Talent4Health

A leader and innovator, offering comprehensive talent solutions for the healthcare industry across the nation. Talent4Health, based in Wilmington, DE is a one stop solution that offers access to an inclusive network of excellent healthcare professionals through its state-of-the-art recruitment strategies and extensive career opportunities. We have successfully placed over 3000 plus clinicians with the topmost healthcare facilities across 50 states in the US. 

With countless prestigious clients under our umbrella, backed up by passionate and hard-working recruiters, we are a team you have been looking for! 

Why Choose us?

When it comes to choosing a recruitment agency, it’s imperative to consider what all they have to offer.

  1. Proficiency: Our seasoned team of professionals has years of experience and we are dedicated to provide the highest quality service to our clients and candidates.
  2. Personalized service: We understand that every candidate is unique, and we work closely with each one to develop a customized plan that meets their specific needs.
  3. Consistency: We are devoted to offer dependable recruitment solutions for our candidates, and we are always a phone call away for all their questions or concerns.
  4. Comprehensive care: Our healthcare recruitment team works for different specialties, so there is a job for everyone.

If this is all that excites you, do visit  http://www.talent4health.com today!



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