Top 8 Utilization review nurse Jobs in Chico, Ca

Utilization Management Clinical
BUTTE HOME HEALTH INC —Chico, CA
- $50 - $60 an hour
- Full-time
- RN License
- Mid-level
- Office
Quick Apply
12d
Care Coordinator (RN) - Case Management (Full-Time, Temporary, Days)
Enloe Medical Center —Chico, CA
- $58.56 - $79.06 an hour
- 8 hour shift
- CPR Certification
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Quality Registered Nurse
BUTTE HOME HEALTH INC —Chico, CA
- $50 - $60 a month
- Part-time
- Nursing
- RN License
- Mid-level
Quick Apply
Travel RN - Leadership - Nurse Manager
American Traveler —Chico, CA
- $2,762.90 a week
- 8 hour shift
- Acute care
- RN License
- BLS Certification
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Utilization Management Clinical
BUTTE HOME HEALTH INC —Chico, CA
Active Registered Nurse (RN) license in the state of California. This role serves as a key clinical resource within the organization, assisting with nursing…
$50 - $60 an hour
Quick Apply
12d
Quality Registered Nurse
BUTTE HOME HEALTH INC —Chico, CA
Current California Registered Nurse license in good standing. Participate in preparation for state, federal, accreditation, and payer audits or reviews.
$50 - $60 a month
Quick Apply

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
6d
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
6d

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utilization review nurse jobs near chico, ca

Utilization Management Clinical

BUTTE HOME HEALTH INC
Chico, CA

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Job Details

Full-time
$50 - $60 an hour
12 days ago

Qualifications

Collaborate with healthcare professionals
Computer operation
Customer communication
Case assessment
Electronic health records (EHR) management
RN License
Patient management software
Multidisciplinary team collaboration for treatment planning
Computer skills

Full Job Description

The Utilization Manager, Registered Nurse, is an office-based nursing position responsible for supporting high-quality patient care through clinical oversight, utilization management, and real-time guidance to field clinicians. This role serves as a key clinical resource within the organization, assisting with nursing calls, care coordination, and clinical decision-making to promote positive patient outcomes while ensuring regulatory and payer compliance.

Key responsibilities include:

Provide clinical support and guidance to field clinicians, including RNs, LVNs, and therapy staff.
Take and triage nursing calls from clinicians, patients, and caregivers as appropriate.
Collaborate with field staff to assist with clinical problem-solving, patient status changes, and care planning.
Review plans of care and clinical documentation to ensure appropriate utilization of services and skilled need.
Monitor visit frequencies and service utilization in alignment with physician orders, payer guidelines, and agency standards.
Support case managers with recertifications, discharges, transitions of care, and care coordination.
Participate in interdisciplinary collaboration to promote continuity of care and effective communication.
Identify clinical risks or concerns and escalate issues appropriately.
Support compliance with Medicare Conditions of Participation, regulatory requirements, and agency policies.
Contribute to quality improvement initiatives focused on patient outcomes, documentation accuracy, and clinical best practices.

Required Qualifications

Active Registered Nurse (RN) license in the state of California.
Strong clinical assessment, critical-thinking, and decision-making skills.
Excellent verbal and written communication skills.
Ability to work collaboratively with interdisciplinary teams.
Proficiency with electronic medical records (EMR) systems and basic computer applications.

Preferred Qualifications

Experience in utilization management, case management, or clinical coordination.
Home Health experience preferred but not required.
Knowledge of Medicare home health regulations, payer guidelines, and Conditions of Participation.
Experience providing clinical support, education, or mentorship to field clinicians.
Strong organizational skills with the ability to manage multiple priorities in a fast-paced office environment.

Quick Apply

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utilization review nurse jobs in chico, ca

Utilization Management Clinical

Care Coordinator (RN) - Case Management (Full-Time, Temporary, Days)

Quality Registered Nurse

Travel RN - Leadership - Nurse Manager

Utilization Management Reviewer

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