Utilization jobs in Orange

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with th

WelbeHealth

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, functioning as both a care provider and care plan to those individuals we serve. Our Health Plan Services team plays a critical role in our partici

Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the

Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the

ALOIS Healthcare

ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel A util

Host Healthcare

Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Host Healthca

Travel Nurses, Inc.

Travel Nurses, Inc. is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Ty

Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the

Host Healthcare

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Orange, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Loca

Position/Program Information TYPE OF RECRUITMENT: OPEN COMPETITIVE JOB OPPORTUNITY EXAM NUMBER: Y5126D FILING START DATE: 03/04/2026 AT 8:00 A.M. (PST) This examination will remain open until the needs of the service are met and is subject to closure without prior notice. ABOUT LOS ANGELES COUNTY DE

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive

**Behavioral Health Utilization Management Medical Case Manager CalOptima** Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are r

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and expe

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 04/27/2026Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAbo

Under general supervision, the Utilization Review Case Manager (UR CM) performs review of patient charts as defined by the Hospital's Utilization Review Plan. The UR CM validates the patient’s admission status and level of care to be at the most appropriate based on nationally accepted admission cri

Molina Healthcare

$80,412 - $156,803 /year

Molina Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. Candidates must be licensed to practice in the state of Florida or be able to obtain Florida licensure within 90 days of starting. This position is remote and can be worked from a variety of locations within the U

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: T

TRS Healthcare

TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel TRS Heal

Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the

Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: T