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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