Utilization jobs in Orange

A company is looking for a Utilization Specialist to support home health care quality assurance in a remote position based in Florida. Key Responsibilities Review and evaluate OASIS documentation and care plans for quality assurance Verify clinical documentation for accuracy and compliance with regu

A company is looking for a Utilization Review Specialist. Key Responsibilities Perform admission and continued stay reviews to determine medical necessity and maintain documentation Facilitate interactions between medical center personnel and payers to address potential denials and ensure reimbursem

A company is looking for a Utilization Review & Quality Assurance Specialist. Key Responsibilities Evaluate clinical information and write/review various reports, ensuring compliance with standards Perform quality assurance reviews of peer reports and provide feedback to ensure clarity and professio

A company is looking for a Utilization Review & Quality Assurance Specialist. Key Responsibilities Evaluate clinical information and write/review various reports, ensuring compliance with standards Perform quality assurance reviews of peer reports and provide feedback to ensure clarity and professio

A company is looking for a Utilization Review Specialist. Key Responsibilities Perform admission and continued stay reviews to determine medical necessity and maintain documentation Facilitate interactions between medical center personnel and payers to address potential denials and ensure reimbursem

A company is looking for a Utilization Review & Quality Assurance Specialist. Key Responsibilities Evaluate clinical information and write/review various reports, ensuring compliance with standards Perform quality assurance reviews of peer reports and provide feedback to ensure clarity and professio

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

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

Meda Health

Meda Health 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: Trav

CalOptima

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 ready

Assured Nursing 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: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Assured Nursi

Care Team Solutions

Care Team Solutions 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: Tr

Akido builds AI-powered doctors . Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more comp

Assured Nursing

Assured Nursing 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: 04/20/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Assured Nursi

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

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

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: 04/20/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel A util

HonorVet Technologies 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: 12 weeks 40 hours per week Shift: 8 hours, days Employment

Utilization Management / Medical Management Nurse – California HMO (JR179164) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-

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: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Tr