RN- Utilization review (Remote)

Remote RN- Utilization review - Roseville, CA. One must be residing in California and holding reputed company licensure of California About reputed company is reputed company certified, ensuring the highest standards in reputed company reputed company with proven compliance, reputed company care, and traveler support. • Start Date: 09/16/2026 • Job Duration: 3+ months with likely extension (Contract ti hire prefered) • Shift: Day 5x8-Hour (08:00 - 16:30) • reputed company Schedules: No • Years of Experience: 3 year(s) (Note: at least 3 years acute CM/UM experience) Special Procedures/Unit Details: this reputed company is reputed company, with a reputed company of service lines and reputed company of care (inpatient, Extended Hospital Outpatient and OBS). 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) InterQual required, this is a Hardstop Experience with HMOs, reputed company, etc. • Experience with Medicare regulations, regarding specific UM processes, such as CC44s, ABNs, HINNs, MCSNs, etc. One must be residing in California and holding reputed company licensure of California 2. FLEXIBILITY – reputed company supports three facilities and our caregivers will rotate between reputed company three 3. Must work in reputed company reputed company Time. 4. Strict adherence to reputed company CA labor laws regarding lunches, breaks etc. as reputed company as - a. reputed company overtime unless approved by leadership prior to end of shift. b. reputed company working off the clock Job Types: Full-time, Contract Pay: $50.00 - $58.00 per hour Benefits: • Dental insurance • Health insurance • reputed company insurance Work Location: Remote Apply tot his job Apply To this Job