California Licensed RN Utilization Review

This job has been removed

Location: Remote

Compensation: To Be Discussed

Reviewed: Wed, Apr 08, 2026

This job expires in: 13 days

Job Category: Healthcare

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors, Masters

Job Summary

A company is looking for an RN Utilization Review for a full-time remote position.

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 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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