$78K - 114K a year
Perform utilization review and case management for acute hospital patients remotely during PST hours with weekend rotations.
Must have active California RN license, 3+ years hospital case management or utilization review experience, InterQual and Epic EMR proficiency, BLS certification, and knowledge of relevant healthcare regulations.
π Remote Utilization Review Nurse β Acute Hospital π Location: Remote (Must work in Pacific Standard Time) π Contract: 13 Weeks π Shift: Days | 5x8s | 8:00 AM β 4:30 PM | Every Other Weekend Required About the Role Weβre seeking an experienced Utilization Review Nurse to join a leading acute hospital team on a fully remote contract. The ideal candidate will have strong clinical judgment, case management expertise, and a deep understanding of utilization review processes in a hospital environment. Key Requirements β’ Active California RN License β Required β’ Minimum 3 years of hospital-based Case Management or Utilization Review experience β’ InterQual proficiency β Required (Hard Stop) β’ Epic EMR experience within the last 6β12 months β’ BLS Certification β Required β’ Knowledge of HMOs, IPAs, and Medicare regulations β’ Must be able to work PST hours and participate in weekend rotation β’ Understanding of California labor laws (breaks, overtime, off-the-clock compliance) Why Youβll Love This Opportunity β 100% Remote β Work from home while supporting acute hospital operations β Competitive weekly pay and consistent schedule β Contribute to improving patient care and resource utilization
This job posting was last updated on 10/12/2025