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Utilization Review RN

Job in Arcata, Humboldt County, California, 95522, USA
Listing for: Love Health LLC
Contract position
Listed on 2026-02-19
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

Job Title:

Utilization Review Registered Nurse (RN)

Location:

Arcata, California
Contract Length: 13 Weeks

Start Date:

February 13, 2026

Schedule:

Five 8-hour shifts per week (8:00 AM – 4:30 PM)
Guaranteed

Hours:

40 hours/week

Key Responsibilities
  • Perform utilization review and case management functions
  • Assess medical necessity and appropriateness of care
  • Collaborate with physicians, case managers, and insurance providers
  • Ensure compliance with facility policies and healthcare regulations
  • Document reviews accurately using EMR systems
Facility Details
  • Bed Size: 50–149 beds
  • Trauma Level: N/A
  • Holiday coverage required
Qualifications
  • Active California RN License (must be current)
  • Minimum 3 years of Utilization Management experience
  • BLS & ACLS certifications required
  • Proof of negative TB screening within the last 12 months
  • Experience with CPSI/Evident EMR preferred
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