Utilization Review Jobs in California
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Search Results - Utilization Review Jobs in California
Talent4HealthFairfield
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...
Ontarioicims.com
seeking new members to join our corporate team!
Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This position will also serve...
AMN Healthcare Revenue CycleDowney
AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Downey, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: Therapy
• Start Date: 08/17/2026
• Duration: 13 weeks
• 40...
Lynwood (CA)icims.com
and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications:
EDUCATION, EXPERIENCE, TRAINING
Required Qualifications:
1. Minimum 5 years' work experience post...
AMN Healthcare Revenue CycleLos Angeles
AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Los Angeles, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: Therapy
• Start Date: 08/17/2026
• Duration: 13 weeks...
Molina HealthcareFresno
with multidisciplinary teams to promote the Molina care model.
• Adheres to utilization management (UM) policies and procedures.
Required Qualifications
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization...
6 similar jobs: Bakersfield, San Francisco, Sacramento, San Diego, Los Angeles...
American TravelerWest Hills (CA)
Manager for a hospital-based role requiring prior case management experience and an active CA RN license.
Details
• Acute hospital setting within a Case Management/Utilization Review department
• Day shift schedule, Monday through Friday, 8-hour shifts...
Kaiser PermanenteRiverside
and obtaining all authorizations/approvals as needed for outside services for patients/families.
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• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...
BesticaBurbank
first-time travelers may be considered)
• Active California RN License (pending accepted if active by start date)
• Epic EMR experience required
• Experience with HMOs, IPAs, utilization review, DME, and discharge planning
Requirements: Minimum 2 years...
Vista Community ClinicVista (CA)
supervise patient care professionals, technicians and other staff.
• Participate in quality assurance, quality improvement and utilization review
• Provide in-service training to clinic staff to increase staff awareness and to facilitate better patient care...
Kaiser PermanenteAnaheim
and obtaining all authorizations/approvals as needed for outside services for patients/families.
/n
• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...
The Valley Health SystemParadise (CA)
clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant must have knowledge of social and physical factors that affect functional status at discharge, and knowledge of community resources...
FutureSoft Consulting IncChico (CA)workable.com
safety
• Drug utilization review
• Clinical decision-making
• Pharmacy information systems
• Patient-specific therapy review
• Problem solving
• Attention to detail
• Prioritization...
Irvineuci.edu
and regulations regarding appropriate clinical documentation including coding guidelines and coding clinics
• Five (5) or more years of clinical experience as either an RN or Physician and 3 years’ experience in CDI
• Familiarity with Utilization Review criteria...
Fresnopacificclinics.org
regional quality improvement committees, processes and activities using a Continuous Quality Improvement - Continuous Learning Approach.
• Develop, implement and maintain the regional utilization review process that is consistent with federal, state, county...
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