Utilization Management - Care Management Shift options: 8:00-16:30 PST or 9:00-17:30 PST. Every third weekend rotation required. Must commit to working 3 of the following holidays: Thanksgiving ...
New
Providence Socal Shared Services Case Management
6 jobs near Columbus, OH
Utilization Management - Care Management Shift options: 8:00-16:30 PST or 9:00-17:30 PST. Every third weekend rotation required. Must commit to working 3 of the following holidays: Thanksgiving ...
New
RN - UR
Carson, CA · On-site
$1.9K/wk
Travel RN Job Type: Travel Profession: RN Specialty: UR Weekly Pay: $1,912 Shift Details: Shift Variable Days Job Order Details: Start Date 09/21/2026 End Date 12/21/2026 Duration 13 Week(s) Client ...
RN - UR
Carson, CA · On-site
$1.9K/wk
Travel RN Job Type: Travel Profession: RN Specialty: UR Weekly Pay: $1,912 Shift Details: Shift Variable Days Job Order Details: Start Date 09/21/2026 End Date 12/21/2026 Duration 13 Week(s) Client ...
RN - Utilization
Torrance, CA · On-site
RN - Utilization Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States. Start Date: 09/21/2026 Duration: 91 days City: Torrance State:
RN - Utilization
Torrance, CA · On-site
RN - Utilization Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States. Start Date: 09/21/2026 Duration: 91 days City: Torrance State:
Utilization
Torrance, CA · On-site
RN - Utilization Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States. Start Date: 09/21/2026 Duration: 91 days City: Torrance State:
New
Utilization
Torrance, CA · On-site
RN - Utilization Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States. Start Date: 09/21/2026 Duration: 91 days City: Torrance State:
New
Utilization Review
Torrance, CA · On-site
$1.7K - $1.8K/wk
Utilization Review Rn Job Type: Travel Profession: RN Specialty: Utilization Review Weekly Pay: $1748 - $1848 Shift Details: 5 x 8 Days Scheduled Hours: 40 Start Date: 09/21/2026 End Date: 12/21/2026 ...
New
Utilization Review
Torrance, CA · On-site
$1.7K - $1.8K/wk
Utilization Review Rn Job Type: Travel Profession: RN Specialty: Utilization Review Weekly Pay: $1748 - $1848 Shift Details: 5 x 8 Days Scheduled Hours: 40 Start Date: 09/21/2026 End Date: 12/21/2026 ...
New
RN Travel Assignment Genie Healthcare is looking for an RN to work in Utilization Review or Concurrent Review for a 13 weeks travel assignment located in Torrance, CA for the shift (5x8 Days - Please ...
RN Travel Assignment Genie Healthcare is looking for an RN to work in Utilization Review or Concurrent Review for a 13 weeks travel assignment located in Torrance, CA for the shift (5x8 Days - Please ...
Registered Nurse (RN) - Utilization Review
Remote
Providence SoCal Shared Services Case Management
Other
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Job description
Utilization Management – Care Management
Shift options: 8:00–16:30 PST or 9:00–17:30 PST. Every third weekend rotation required. Must commit to working 3 of the following holidays: Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, New Year's Day.
Assignment DetailsThis is a 100% remote position.
Requirements- 3 years of acute medical Care Management / Utilization Management experience in a hospital setting.
- Recent experience with Epic (within the last 6–12 months).
- Knowledge of Medicare regulations and processes.
- Proficiency in InterQual criteria.
- Valid CA state license required at submission.
- Perform utilization review and medical necessity determinations, including concurrent, continued stay, and retrospective reviews.
- Conduct prior authorization and pre-certification processes.
- Familiarity with DRG/CPT coding and care coordination.
1-week orientation required. Pre-approved time off is limited, and must be requested in advance. Overtime must be approved by leadership.