Local Contract Nurse RN - Utilization Review
Torrance, CA
LanceSoft
5x8 hrs, Days

Remote Registered Nurse – Utilization Review
Pay Rate: $45/hour on W2
Start Date: February 23, 2026
Contract Length: 8 weeks
Schedule: Day Shift | Monday–Friday
Hours: 5x8s | 40 hours per week
Shift Time: 8:00 AM – 4:30 PM
Work Environment: 100% Remote

Key Responsibilities

• Perform utilization review for inpatient, observation, and extended hospital outpatient services
• Review clinical documentation to determine medical necessity and appropriate level of care
• Apply InterQual criteria consistently and accurately (hard requirement)
• Manage utilization review processes for a variety of adult and pediatric acute and chronic diagnoses
• Collaborate with physicians, care managers, and interdisciplinary teams
• Ensure compliance with Medicare regulations and payer-specific requirements
• Document determinations and actions clearly within Epic

Special Procedures / Unit Details

• Department is 100% remote
• Supports multiple service lines and levels of care, including inpatient, observation, and extended hospital outpatient
• High-volume, fast-paced utilization management environment

Required Qualifications (Hard Stops)

• Active Registered Nurse license (CA)
• InterQual experience required – hard stop
• Epic proficiency required – recent use within the last 6–12 months
• Minimum 3 years of acute care Care Manager or Utilization Review experience in a hospital setting
  • Experience must be hospital-based (not health plan or medical group)

Additional Required Experience

• Experience working with HMOs, IPAs, and managed care payers
• Strong working knowledge of Medicare regulations and UM-related processes, including:
  • CC44s
  • ABNs
  • HINNs
  • MCSNs
• Excellent clinical judgment, critical thinking, and documentation skills

Benefits

• $45/hour competitive pay
• Weekly direct deposit
• Dedicated recruiter and compliance support

Why This Assignment

• Fully remote utilization review role
• Stable weekday schedule
• Exposure to diverse patient populations and service lines
• Short-term contract with efficient onboarding

Apply today to be considered. Candidates who do not meet the InterQual and Epic requirements will not be submitted. Limited openings available.