Travel Nurse RN - Utilization Review

Company: HonorVet Technologies
Location: Costa Mesa
Posted on: February 5, 2026

Job Description:

Job Description HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Costa Mesa, California. Job Description & Requirements - Specialty: Utilization Review - Discipline: RN - Start Date: 02/23/2026 - Duration: 13 weeks - 40 hours per week - Shift: 8 hours, days - Employment Type: Travel UM Nurse Manager – Direct Hire (Remote) Client: Hoag Memorial Hospital Presbyterian Department: Hoag Clinic Utilization Management (87615) Location: Costa Mesa, CA (Remote Role) Assignment Details - Schedule: Monday–Friday | 8 AM–5 PM - Hours: 40 hrs/week - Work Type: 100% Remote - On-Call: Required - Employment Type: Direct Hire - Reports To: UM Director - Team Size: 15 (RNs & Non-Clinical Staff) Compensation - Expected Pay Range: $65.67/hr Position Summary The UM Nurse Manager oversees utilization management operations, ensuring regulatory compliance, staff performance, and high-quality care delivery. This leader serves as the subject-matter expert for UM processes, manages escalations, supports audits, and drives process improvement initiatives. Key Responsibilities - Lead and train UM staff on medical necessity reviews and authorization workflows - Ensure compliance with federal, state, health plan, and accreditation standards (URAC, NCQA) - Conduct performance evaluations and support staff development - Oversee accurate documentation in medical management systems - Collaborate with hospital teams, providers, and Medical Directors - Monitor referral trends and inappropriate authorizations - Manage complex cases and high-risk members - Support discharge planning and post-acute coordination - Serve as UM SME for clinical criteria (MCG, NCCN, LCD/LCA, etc.) - Participate in UM committee meetings and audits - Drive quality improvement initiative Required Qualifications - Active California RN License - Bachelor’s Degree in a Healthcare-Related Field - 5–10 years of clinical nursing experience - 3–5 years in nursing leadership/management - Prior authorization experience in ambulatory or health-plan settings - Experience managing UM in California - Audit experience in UM - Strong analytical, communication, and leadership skills - Proficiency with MS Office Preferred Qualifications - 2–3 years of UM Manager experience - Experience in medical groups, hospitals, or risk-based MSOs - Familiarity with Epic Tapestry and MCG (training provided) About HonorVet Technologies HonorVet Technologies: Pioneering Purpose, Empowering Heroes Founded in 2015, HonorVet Technologies stands as a Service-Disabled Veteran-Owned Small Business (SDVOSB), proudly certified by NaVOBA and the U.S. Department of Veterans Affairs. Our mission goes beyond staffing—we are committed to transforming lives by addressing the critical unemployment challenges faced by veterans. As a Joint Commission-certified clinical staffing agency, we deliver unmatched expertise in placing top-tier healthcare professionals—RNs, LPNs/LVNs, CNAs/CMAs, and NPs—across diverse facilities, including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more. At HonorVet, we don't just fill roles; we bridge gaps, uplift communities, and honor the ones who served. Benefits - Vision benefits - License and certification reimbursement - Continuing Education - Medical benefits - Wellness and fitness programs - Dental benefits - Guaranteed Hours - Mileage reimbursement - Referral bonus - Bereavement - Holiday Pay - Sick pay - Retention bonus

Keywords: HonorVet Technologies, Baldwin Park , Travel Nurse RN - Utilization Review, Healthcare , Costa Mesa, California