Utilization jobs in Orange

Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for

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: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Loca

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

Description: 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. Inte

TNAA TotalMed RN is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We're looking for RN Case manag

Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Orange, CA. Shift: 5x8 hr days Start Date: 05/11/2026 Duration: 13 weeks Pay: $2747 / Week Coast Medical Service is a nationwide travel nursing & allied healthcare staffing a

Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 05/04/2026Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelHost Healthcare Job ID

Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Orange, CA. Shift: 5x8 hr days Start Date: 05/04/2026 Duration: 13 weeks Pay: $2747 / Week Coast Medical Service is a nationwide travel nursing & allied healthcare staffing a

Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Orange, CA. Shift: 5x8 hr days Start Date: 05/04/2026 Duration: 13 weeks Pay: $2747 / Week Coast Medical Service is a nationwide travel nursing & allied healthcare staffing a

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. F

eTeam Inc

eTeam Inc 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: 04/27/2026 Duration: 12 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Must be highl

A company is looking for a Utilization Management Coordinator I. Key Responsibilities Act as a liaison between financial counselors and business office staff, providing support to the Intake Department Work with the management team to address customer service issues and ensure smooth operations Obta

A company is looking for a Utilization Review RN. Key Responsibilities Assure effective communication of medical necessity to applicable payors Review and evaluate clinical information to support Utilization Management decisions Collaborate with interdisciplinary teams to optimize reimbursement and

Providence Service

A leading healthcare organization is seeking a Manager of Utilization Management in Irvine, California. This role involves leading the hospital utilization management program, evaluating patient admissions, and fostering team collaboration. Candidates should possess a Bachelor's Degree in Nursing, C

A company is looking for a Utilization Management RN (Registered Nurse). Key Responsibilities Evaluate the efficiency, appropriateness, and medical necessity of medical services and procedures Review medical services using evidence-based criteria and authorize requested services as appropriate Docum

A company is looking for a Utilization Management LVN (Remote, Texas-based). Key Responsibilities Coordinate and manage prior authorization workflows with the Utilization Management team Review clinical documentation and verify CPT codes for prior authorization requirements Support high-need members

A company is looking for a Utilization Review Coordinator. Key Responsibilities Accesses, triages, and assigns cases for utilization review Enters demographics and utilization review information into claims or clinical management systems Obtains necessary information for utilization review processin

A company is looking for a Utilization Review Coordinator. Key Responsibilities Accesses, triages, and assigns cases for utilization review Enters demographics and utilization review information into claims or clinical management systems Obtains necessary information for utilization review processin

GQR Healthcare

GQR Healthcare 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: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel

A company is looking for a Utilization Review Specialist. Key Responsibilities Complete preadmission and concurrent reviews to obtain treatment authorizations and ensure ongoing communication with payors Coordinate peer reviews and manage the provision of Letters of Medical Necessity as needed Suppo