Local Contract Nurse Level I RN - Utilization Review - $60 per hour

Local Contract Nurse Level I RN - Utilization Review - $60 per hour at Yoh, A Day & Zimmermann Company summary:

This role is for a Local Contract Nurse Level I RN specializing in Utilization Review in Fairfield, California. The nurse conducts retrospective claims reviews, evaluates care appropriateness based on regulatory guidelines, and coordinates interventions to ensure cost-effective, high-quality patient care. Requirements include an active California RN license, managed care utilization management experience, and strong communication and organizational skills.

Yoh, A Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield, California.

Job Description & Requirements

• Specialty: Utilization Review
• Discipline: RN
• Start Date: 07/14/2025
• Duration: 26 weeks
• 38 hours per week
• Shift: 8 hours, days
• Employment Type: Local Contract

Utilization Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client located in Fairfield, CA!

Top Skills You Should Possess:

• Utilization Management Experience required
• Must be based in California and able to do in-person training in Fairfield, CA for a few weeks M-F, 8:00am-5:00pm

What You’ll Be Doing:

• Conducts retrospective claims review, either in the aggregate or on an individual basis. Provides summaries of findings to the Team Manager UM.
• Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC and/or CMS regulatory requirements and policies and procedures for each product line.
• Recommends and coordinates interventions to facilitate high quality, cost-effective care, monitoring treatment, progress and outcomes of patients.
• Documents and maintains patient-specific utilization management records in database and files.
• Participates in special projects and assignments as required.

What You Need to Bring to the Table:

• Active and unrestricted California RN license
• Associate’s degree in Nursing required; Bachelor’s degree in Nursing (or higher) preferred
• One (1) year of Managed Care Utilization Management experience required
• Strong organizational, communication, critical thinking skills and attention to detail required
• Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines
• Effective telephone and computer data entry skills required

Any pay ranges displayed are estimations which may have been provided by job boards. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.

What’s In It For You?
We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities.

• Medical, Dental & Vision Benefits
• 401K Retirement Saving Plan
• Life & Disability Insurance
• Direct Deposit & weekly EPayroll
• Employee Discount Programs
• Referral Bonus Programs

What are you waiting for? Apply Now!
Recruiter: Annie Gill

Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK.

Estimated Min Rate : $43.05
Estimated Max Rate : $60.00

Must be based in California and able to do in-person training in Fairfield, CA for a few weeks M-F, 8:00am-5:00pm. No exceptions.

About Yoh, A Day & Zimmermann Company

We welcome you to be a part of the largest global staffing companies to meet

your career aspirations. Yoh’s network of client companies has been

employing professionals like you for over 65 years in the U.S., UK and

Canada. Join Yoh’s extensive talent community that will provide you with

access to Yoh’s vast network of opportunities.

Yoh makes finding and applying for jobs simple. Partner with Yoh to find the

right opportunities across multiple industries in the US and UK.

Benefits

• Medical benefits
• 401k retirement plan
• Dental benefits
• Vision benefits
• Life insurance
• Weekly pay
• Discount program
• Referral bonus

Keywords:

Utilization Review, Registered Nurse, Managed Care, Claims Review, Patient Care, California RN License, Healthcare Compliance, Cost-effective Care, Utilization Management, Nursing Documentation