Utilization Review Case Manager RN

4 weeks ago


Fountain Valley, California, United States UCI Health Full time
Job Title:
Registered Nurse (RN)

Job Specialty:
Case Manager

Job Summary:
UCI Health is seeking a skilled RN Case Manager to perform comprehensive utilization reviews and coordinate patient care with interdisciplinary teams. The ideal candidate will have strong organizational and communication skills, with the ability to maintain accurate and timely documentation in electronic systems.

Key Responsibilities:

  • Perform comprehensive utilization reviews to ensure appropriate use of resources.
  • Coordinate patient care with interdisciplinary teams to deliver effective case management services.
  • Evaluate and ensure the effectiveness of discharge plans.
  • Collaborate with insurance companies for pre-authorizations and claims.
  • Adhere to confidentiality and HIPAA regulations.


  • Fountain Valley, California, United States UCI Health Full time

    Job Title: Registered Nurse (RN) - Case ManagerJob Specialty: Case ManagementJob Duration: 13 weeksShift: AM 8.00 Hours, includes some weekend shiftsGuaranteed Hours: Not specifiedExperience: Not specifiedLicense: Active RN LicenseCertifications: Not specifiedMust-Have: Not specifiedJob Responsibilities:Perform comprehensive utilization reviews to ensure...


  • Fountain Valley, California, United States UCI Health Full time

    Job Title: Registered Nurse (RN)Job Specialty: Case ManagerJob Duration: 13 weeksShift: AM 8.00 Hours, includes some weekend shiftsGuaranteed Hours: Not specifiedExperience: Not specifiedLicense: Active RN LicenseCertifications: Not specifiedMust-Have: Not specifiedJob Summary: As a Clinical Utilization Review Specialist, you will perform comprehensive...


  • Apple Valley, California, United States Providence Full time

    h2Job Summary/h2pProvidence is seeking a skilled Utilization Review Nurse to join our team at St. Mary Medical Center in Apple Valley, CA. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes./ppbKey Responsibilities:/b/pulliConduct thorough reviews...


  • Apple Valley, California, United States Providence Health & Service Full time

    Job SummaryAs a Utilization Review Nurse with Providence Health & Services, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes. This position requires a strong clinical background, blended with a well-developed knowledge and skills in Utilization Management, medical necessity,...


  • Fountain Valley, California, United States AMN Healthcare Full time

    Job DetailsAs a skilled RN Case Manager, you will play a vital role in delivering high-quality patient care in an acute care setting. This is a 13-week assignment, offering the opportunity to gain valuable experience and work with a talented team.Key Responsibilities:Float between units as needed, providing exceptional care to patientsCollaborate with...


  • Fountain Valley, California, United States HealthCare Support Full time

    RN Case Manager Job DescriptionHealthCare Support is seeking a RN Case Manager for a 13-week contract in California. The RN Case Manager will provide healthcare support to patients and families. Benefits of this position include immediate enrollment in health insurance, dental insurance, life insurance, employee assistance program, and access to open...

  • RN, Case Manager

    3 weeks ago


    Fountain Valley, California, United States MemorialCare Health System Full time

    Job SummaryAs a skilled RN, Case Manager, you will play a vital role in optimizing patient health status and goals at MemorialCare Health System. This dynamic position requires a professional and friendly demeanor, with a focus on delivering exceptional customer service and assistance to internal and external customers of the Case Management unit.Key...

  • RN, Case Manager

    4 weeks ago


    Fountain Valley, California, United States MemorialCare Health System Full time

    Job SummaryAs a RN, Case Manager at MemorialCare Health System, you will play a vital role in optimizing and supporting the health status and goals of our patients. This is a full-time position that requires minimal supervision and involves working in a professional and friendly manner to provide exceptional customer service and assistance to both internal...


  • Castro Valley, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a skilled travel nurse RN Case Manager to join their team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a dedicated Case Manager-Registered Nurse for an assignment in California.TotalMed Case Management Staffing offers a unique opportunity for a travel...


  • Fountain Valley, California, United States Host Healthcare Full time

    Job Title: Travel Nurse RN Case ManagementHost Healthcare is seeking a skilled travel nurse RN Case Management to join our team.About the JobSpecialty: Case ManagementDiscipline: RNDuration: 13 weeksShift: 8 hours, daysEmployment Type: TravelAs a travel nurse RN Case Management, you will have the opportunity to work with a variety of patients and healthcare...


  • Fountain Valley, California, United States Host Healthcare Full time

    At Host Healthcare, we are committed to making your travel nursing journey as seamless and enjoyable as possible. As a travel nurse RN Case Manager, you will be working in Fountain Valley, California, and will be responsible for providing exceptional patient care and case management services to our clients.The estimated salary for this position is around...


  • Castro Valley, California, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN Case Manager to join their team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work...


  • Castro Valley, California, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerJob Description:TotalMed Case Management Staffing is seeking a travel nurse RN case manager for a travel nursing job. The ideal candidate will have experience in case management and be able to work independently.Responsibilities:Provide case management services to patientsDevelop and implement care plansCollaborate with...


  • Fountain Valley, California, United States Host Healthcare Full time

    Travel Nurse RN Case Management Job OpportunityHost Healthcare is seeking a skilled travel nurse RN Case Management professional to join our team for a 13-week assignment in Fountain Valley, California.Job Requirements:Specialty: Case ManagementDiscipline: RNShift: 8 hours, daysEmployment Type: TravelWhy Choose Host Healthcare?We offer a comprehensive...


  • Castro Valley, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in California.TotalMed Case Management Staffing Job ID #1657587. Pay package is based on 8 hour shifts and 40...


  • Fountain Valley, California, United States Host Healthcare Full time

    Job Title: Travel Nurse RN Case ManagementHost Healthcare is seeking a skilled travel nurse RN Case Management to join our team. As a travel nurse, you will have the opportunity to work in a variety of settings and locations, while also enjoying the benefits of travel and exploration.About the JobSpecialty: Case ManagementDiscipline: RNDuration: 13...


  • Apple Valley, California, United States Talent Healthcare Staffing Inc Full time

    Talent Healthcare Staffing Inc is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in a healthcare setting. Job Description & Requirements Specialty: Utilization Review Discipline: RN Employment Type: Travel As a dedicated professional, you will enhance patient care services through thoughtful case management. Your...


  • Fountain Valley, California, United States Host Healthcare Full time

    Job Title: Travel Nurse RN Case ManagementHost Healthcare is seeking a travel nurse RN Case Management professional for a travel nursing job in California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelWhy Choose Host Healthcare?At Host Healthcare, we...

  • Travel Nurse

    4 weeks ago


    Fountain Valley, California, United States Emerald Health Services Full time

    Job Opportunity:Job Title: Travel Nurse - Case ManagerJob Summary: We are seeking a skilled Travel Registered Nurse - Case Manager to join our team at Emerald Health Services. As a Travel Nurse - Case Manager, you will be responsible for providing high-quality patient care and managing cases in a fast-paced healthcare environment. Responsibilities:Provide...


  • Castro Valley, California, United States medical solutions Full time

    Job Title: Travel Nurse RN Case ManagerMedical Solutions is seeking a skilled travel nurse RN case manager to join our team in Northern California.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe're looking for a dedicated healthcare professional with...