California Utilization Review Case Manager I

Job overview

The California Utilization Review Case Manager I position is remote; the listing location is Rancho Cucamonga, CA. Compensation is $30.64–$45.80 per hour. The role supports CorVel’s Case Management department and its utilization review services. The case manager reviews clinical and demographic information for inpatient admissions and outpatient treatment, assesses medical necessity, and assigns an appropriate length of stay. The work supports treatment review decisions and communication with claims staff, customers, and other stakeholders.

What you'll do

• Identify when review is needed and communicate concerns to claims staff or customers
• collect and analyze information to make certification or denial decisions
• document work
• promote utilization review services
• comply with safety rules and regulations.

What we're looking for

Skills & competencies

utilization review

case manager i

remote

california

corvel

medical necessity review

nursing license

rn

cpt

icd coding

$30.64–$45.80/hr

workers’ compensation

Work arrangement

• Weekend coverage required

Benefits & perks

• For full-time regular employees: medical, dental, vision, long-term disability, HSA, FSA options, life and supplemental insurance, 401(k), Roth 401(k), and paid time off.

Why this role

The posting requires nursing licensure in the state of operation, an associate’s or bachelor’s degree from an accredited nursing school, and four or more years of recent clinical experience. Benefits for full-time regular employees include health coverage, insurance options, retirement plans, and paid time off.

About the employer

CorVel Healthcare Corporation is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.