Utilization Review RN
Orange, CA
Prime Staffing
5x8 hrs
$2,553/weekOverview
- Start Date02/23/2026
- Shift Breakdown5x8 hrs
- Duration13 weeks
Pay
Description
About the Position
Specialty: RN – Utilization Review
Experience: 2+ years of experience in utilization review, case management, or acute care nursing
License: Active State or Compact RN License
Certifications: BLS – AHA; Certified Case Manager (CCM) preferred
Must-Have: Strong understanding of insurance guidelines, medical necessity criteria (e.g., InterQual or MCG), and discharge planning
Description: The Utilization Review RN is responsible for reviewing medical records to determine the appropriateness and medical necessity of hospital admissions and continued stays. The nurse collaborates with providers, insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes while managing healthcare costs.
Requirements
Required for Onboarding:
- Active RN License
- BLS
Employer
Prime Staffing
4 nurses recommend working with Prime Staffing
About Orange, CA
As a Travel Utilization Review Nurse in Orange, CA here's what you should know:- The cost of living in Orange, CA is higher than the national average.
- Wages may be higher to match the cost of living.
- Average summer highs are around 85°F and winter lows around 45°F.
- Short term rentals are available but may require some searching due to high demand in the area.
- Orange, CA is car-friendly with good freeway access.
- Public transportation options are available within the city and to neighboring areas.
- The population is diverse with a wide age range.
- Common health issues may include allergies due to the warm climate.
- There is a substantial population of travel nurses in Orange, CA.
- Plenty of restaurants, art galleries, and music venues can be found in Orange.
- Sports enthusiasts can enjoy local parks and golf courses, and outdoor activities are popular due to the city's proximity to beaches and hiking trails.
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