California Licensed RN Utilization Review

Location: Remote
Compensation: To Be Discussed
Reviewed: Tue, Dec 23, 2025
This job expires in: 30 days

Job Summary

A company is looking for an RN Utilization Review.

Key Responsibilities
  • Conduct prospective, retrospective, and concurrent utilization reviews for Southern CA ministries
  • Perform clinical reviews and daily medical record assessments during patient admissions for all payers
  • Manage a diverse workload effectively in a fast-paced regulatory environment
Required Qualifications
  • Associate's Degree in Nursing
  • California Registered Nurse License upon hire
  • 2 years of experience in a remote Utilization Review environment or as an acute hospital case manager

COMPLETE JOB DESCRIPTION

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