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This position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource utilization. This position works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.
1. Current licensure as a Registered Nurse (RN) in the state of California is required.
2. Current American Heart Association (AHA) Healthcare Provider CPR card is preferred.
3. Degree from an accredited baccalaureate nursing program (BSN) is preferred.
4. Certified Case Manager (CCM) national certification is preferred.
5. Interquel training must be obtained within six (6) months of hire into position.
6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required.
7. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
8. The incumbent must be self-directed and able to tolerate frequent interruptions with a demanding workload.
9. Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.
Pay Range:
$49.47 - 71.74
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Essential Functions:
- Knows, understands, incorporates and demonstrates the Trinity Mission, Vision and Values in behaviors, practices, standards policies procedures and decisions.
- Demonstrates understanding of appropriate clinical documentation to ensure the severity of illness, risk of mortality, quality indicators and level of services provided are accurately reflected in the health record.
- Communicates with and educates physicians and all other member of the healthcare team in clinical documentation and monitors provider engagement.
- Conducts concurrent reviews of selected patient health records to address legibility, clarity, completeness, consistency and precision of clinical documentation.
- Formulates compliant clarifications/queries following Trinity Health's documentation integrity procedures.
Minimum Qualifications:
- Must possess an Associate/Diploma Degree in Health Information Technology (HIT) or Advanced degree in nursing (NP, APN) or Physician Assistant. In absence of college degree, must have three (3) years' experience as an inpatient code or documentation specialist.
- Preferred Certifications: RN, RHIA, RHIT, CCS, CCDS or CDIP
- Experienced in critical care, medical or surgical inpatient care nursing as an RN, PA, NP, APN or inpatient coder preferred
- Excellent communication, interpersonal, collaboration and relationship building skills. Strong critical thinking skills, and ability integrate knowledge. Prioritization and organizations skills required.
- Demonstrated ability to use standardized desktop and Windows based computer system. Data entry and typing skills at minimum 30 wph.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Remote working/work at home options are available for this role.
Certification Details
- BLS
- California RN License
Job Details
- Utilization Review Nurse II represents the fully experienced level in utilization review and discharge planning activities.
- Obtains and evaluates medical records for in-patient admissions to determine if required documentation is present.
- Obtains appropriate records as required by payor agencies and initiates Physician Advisories as necessary for unwarranted admissions.
- Conducts on-going reviews and discusses care changes with attending physicians and others.
- Formulates and documents discharge plans.
- Provides on-going consultation and coordination with multiple services within the hospital to ensure efficient use of hospital resources.
- Identifies pay source problems and provides intervention for appropriate referrals.
- Coordinates with admitting office to avoid inappropriate admissions.
- Coordinates with clinic areas in scheduling specialized tests with other health care providers, assessing pay source and authorizing payment under Medically Indigent Adult program as necessary.
- Reviews and approves surgery schedule to ensure elective procedures are authorized.
- Coordinates with correctional facilities to determine appropriate use of elective procedures, durable medical goods and other services.
- Answers questions from providers regarding reimbursement, prior authorization and other documentation requirements.
- Learns the documentation requirements of payor sources to maximize reimbursement to the hospital.
- Keeps informed of patient disease processes and treatment modalities.
- Level II teaches providers the documentation requirements of payor sources to maximize reimbursement to the hospital.
- Level II may assist in training Utilization Review Nurse I's.
- Knowledge of payor source documentation requirements and governmental regulations affecting reimbursement; knowledge of acute care nursing principles, methods and commonly used procedures; knowledge of common patient disease processes and the usual methods for treating them; knowledge of medical terminology, hospital routine and commonly used equipment; knowledge of acute hospital organization and the interrelationships of various clinical and diagnostic services.
- Ability to effectively evaluate the medical records of hospital admissions regarding continuing stay necessity, appropriateness of setting, delivered care, use of ancillary services and discharge plans.
- Ability to assess and judge the clinical performance of physicians and other health professionals.
- Ability to communicate documentation needs in an effective and tactful manner that promotes cooperation.
- Ability to teach co-workers what is needed and required in the medical record for reimbursement and audit purposes.
- Ability to gather and analyze data and prepare reports and recommendations based thereon.
- Ability to get along with physicians, other health providers, outside payor sources and the general public.
- Performs other job related duties as assigned.
Job Requirements
- Possession of a valid license as a Registered Nurse in the State of California.
- Level I: two (2) years of experience or its equivalent as a registered nurse in an acute care hospital, at least one (1) of which was on a medical/surgical ward or unit.
- Level II: one (1) year of utilization review/discharge planning experience in an acute care hospital or as a Case Manager in an alternate medical setting such as a clinic or physician’s office performing utilization review or discharge planning.
- Alternatively, possession of a valid license as a Registered Nurse in the State of California and five (5) years of experience as a Case Manager in an alternate medical setting such as a clinic or physician’s office performing utilization or discharge planning.
- Incumbents may be required to possess and maintain specific certificates competency based on unit specific requirements as a condition of employment.
Additional Details
- Case management experience in California (excluding Kaiser), preferably more than 1 assignment.
- Able to do both Utilization review and Care Coordination/Discharge planning.
- Experience in acute care/ICU/ED units.
- Extra: Trauma facilities experience.
- Experience with teaching facilities.
GLC On-The-Go is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Whittier, California.
Job Description & Requirements
- Specialty: Utilization Review
- Discipline: RN
- Start Date: 04/20/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours
- Employment Type: Travel
GLC is hiring: RN Case Management - Whittier, CA - 13-week contract
GLC – Named Best Nurse Agency 2024–2025
We connect nurses, nursing professionals, and allied health professionals like you to contracts that align with your skills, schedule, and career goals.
About this Assignment
Join the care team in Case Management where you’ll provide patient-centered care in a collaborative environment. Typical responsibilities include direct patient care, timely documentation, and coordination with the care team. Specific duties will be confirmed during your interview with a recruiter.
Assignment Details
- Location: Whittier, CA
- Assignment Length: 13 weeks
- Start Date: 04/20/2026
- End Date: 07/20/2026
- Pay Range: $2,933 - $3,259
Minimum Requirements
- Active license in Case Management
- 1 year full-time RN, Case Management experience within the last 2 years
What you can expect from GLC
- Weekly on-time pay with direct deposit
- Transparent communication, clear assignment details, and recruiter support from start to finish - or extension
- Referral bonus up to $500
- Health, dental, and vision insurance
- 401(k) plan
- Completion and signing bonuses may also be available
Ready to move forward?
Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review pay, start date, and assignment details so you can make the best decision for your next contract.
GLC On-The-Go Job ID #504835. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Utilization Review Registered Nurse
About GLC On-The-Go
GLC is more than just a staffing agency – we’re your trusted partner in finding travel, local, and PRN contracts that align with your career aspirations and lifestyle.
We specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S.
Our attentive and friendly recruiters are always just a call or text away, ready to guide you at every step, ensuring you feel valued and heard.
We understand the unique needs of travel healthcare professionals, which is why we offer comprehensive benefits and 24/7 support.
Join GLC, where our 20+ years of experience mean we know how to help you find the assignments that turn your career goals into reality.
With us, it's not just a placement – it's your dream career made possible
JOB DESCRIPTION
We are seeking detail‑oriented Document Reviewers to ensure documents meet defined standards for accuracy, formatting, and compliance. In this role, you will systematically review and compare documents against established guidelines using structured checklists, identify inconsistencies, and proofread for quality and clarity. This position is ideal for individuals with strong attention to detail and experience in editing, proofreading, or document quality review.
Key Responsibilities:
- Meet productivity and quality benchmarks in a deadline‑driven environment of 100 assets/items per week.
- Review documents against predefined guidelines and standards using structured checklists..
- Compare documents for accuracy, consistency, and compliance with requirements.
- Identify and document errors, omissions, formatting issues, and inconsistencies.
- Proofread content for grammar, spelling, punctuation, and overall clarity.
- Verify document formatting, layout, and presentation align with established standards.
- Confirm documents have incorporated recommended changes
- Record findings clearly and escalate issues as needed.
- Maintain accuracy and consistency while handling repetitive review tasks.
REQUIRED:
- 2+ years of experience reviewing documents for accuracy on a daily basis.
- Strong attention to detail and ability to spot inconsistencies or errors.
- Excellent reading comprehension and written communication skills.
- Comfort working with structured checklists and completing repetitive tasks.
PREFERRED:
- Degree or coursework in English, Communications, Journalism, Writing, or a related field.
- Experience working with style guides or compliance‑based documentation.
- Familiarity with educational formatting standards and document comparison processes.
LOCATION:
- This role requires you to live in Houston, TX or a surrounding area, so you can be on-site at least once every three months for meetings etc.
- When not on-site, you can work from home.
HOURS:
- 7am – 3:30pm or 7:30am – 4pm CST.
- Monday – Friday.
DURATION:
- This is a contract job through April of 2027.
The Review Assistant II is responsible for inbound and outbound communication in support of case review activities including collection and confirmation of data integrity in support of clinical review services.
Essential functions include interpreting review guidelines to facilitate forward movement of the case review process including requests for clinical information, treatment plans, and more.
Join Our Team as a Website Tester at Little Wheel
Little Wheel is a gambling technology company focused on researching and building products that put players first. We are currently hiring Website Testers across Michigan, New Jersey, Pennsylvania, and West Virginia.
This is a great opportunity to earn extra income on a flexible schedule while helping us test online casinos. No prior experience is required, and all training is provided.
This is a short-term contract, with opportunities for ongoing work for high performers.
Role Overview
As a Website Tester, you will:
- Participate in user experience testing on various online casino platforms.
- Follow step-by-step instructions to complete assigned tasks.
- Record feedback and report bugs or usability issues.
- Provide detailed insights into your testing experience.
- Complete all testing assignments within set timelines.
Requirements
To be eligible, you must:
- Be at least 21 years old.
- Reside in one of the following states: Michigan, New Jersey, Pennsylvania, or West Virginia.
- Own a laptop or desktop computer.
- Be able to complete a short, paid online training and onboarding process.
No previous testing or gambling experience is needed. You will not be gambling with your own money, and there are no fees or out-of-pocket costs. All the interactions/game-play would be for testing purposes.
Compensation and Benefits
- Guaranteed earnings of at least $1,000 for approximately 20 hours of testing.
- Minimum of $25/hour, with higher pay for faster testers.
- $100 bonus upon completing the onboarding program.
- Flexible schedule – choose when you want to work.
- Work from home – test websites from the comfort of your own space.
- Fast payments – get paid after each of the 4 testing stages.
- Excellent support – coordinators available daily from 6 AM to 11 PM ET.
What Our Testers Say
"Great side gig for some extra cash. The team is very communicative and will answer any questions/concerns!" – Maria, Trustpilot (2021)
"Tasks are clearly explained with step-by-step instructions. You can work when it's convenient. Support is very helpful and responsive." – Anonymous, Glassdoor (2025)
Read more reviews on Glassdoor, Trustpilot, and Google.
Equal Opportunity Statement
Little Wheel LLC is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive environment for all applicants and employees, regardless of race, religion, color, national origin, gender identity, sexual orientation, age, disability, or veteran status. We celebrate diversity and strive to create a workplace where everyone feels valued.
Company Info
Website: Address: Little Wheel LLC, 250 Pehle Ave, Suite 200, Saddle Brook, NJ 07663 Phone: (833) 313-7490
Join Our Team as a Website Tester at Little Wheel
Little Wheel is a gambling technology company focused on researching and building products that put players first. We are currently hiring Website Testers across Michigan, New Jersey, Pennsylvania, and West Virginia.
This is a great opportunity to earn extra income on a flexible schedule while helping us test online casinos. No prior experience is required, and all training is provided.
This is a short-term contract, with opportunities for ongoing work for high performers.
Role Overview
As a Website Tester, you will:
- Participate in user experience testing on various online casino platforms.
- Follow step-by-step instructions to complete assigned tasks.
- Record feedback and report bugs or usability issues.
- Provide detailed insights into your testing experience.
- Complete all testing assignments within set timelines.
Requirements
To be eligible, you must:
- Be at least 21 years old.
- Reside in one of the following states: Michigan, New Jersey, Pennsylvania, or West Virginia.
- Own a laptop or desktop computer.
- Be able to complete a short, paid online training and onboarding process.
No previous testing or gambling experience is needed. You will not be gambling with your own money, and there are no fees or out-of-pocket costs. All the interactions/game-play would be for testing purposes.
Compensation and Benefits
- Guaranteed earnings of at least $1,000 for approximately 20 hours of testing.
- Minimum of $25/hour, with higher pay for faster testers.
- $100 bonus upon completing the onboarding program.
- Flexible schedule – choose when you want to work.
- Work from home – test websites from the comfort of your own space.
- Fast payments – get paid after each of the 4 testing stages.
- Excellent support – coordinators available daily from 6 AM to 11 PM ET.
What Our Testers Say
"Great side gig for some extra cash. The team is very communicative and will answer any questions/concerns!" – Maria, Trustpilot (2021)
"Tasks are clearly explained with step-by-step instructions. You can work when it's convenient. Support is very helpful and responsive." – Anonymous, Glassdoor (2025)
Read more reviews on Glassdoor, Trustpilot, and Google.
Equal Opportunity Statement
Little Wheel LLC is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive environment for all applicants and employees, regardless of race, religion, color, national origin, gender identity, sexual orientation, age, disability, or veteran status. We celebrate diversity and strive to create a workplace where everyone feels valued.
Company Info
Website: Address: Little Wheel LLC, 250 Pehle Ave, Suite 200, Saddle Brook, NJ 07663 Phone: (833) 313-7490
Ready to Rock Your Document Review Skills?
Hey legal eagles! Are you a newly licensed attorney looking for an exciting, long-term project that lets you flex your document review muscles? A fantastic firm in the Charleston, SC area is on the hunt for sharp onsite Document Review Attorneys to jump into an immediate, 6+ month gig. This isn't just another project; it's a chance to supercharge your resume and gain invaluable experience with a team that truly values you. Please note, if you have done extensive document review for Defense firms, you are likely conflicted out.
What You'll Be Doing as a Document Review Attorney (Your Superpower Moves!):
- Sleuthing through documents with precision and speed, using Relativity or other cool e-discovery software.
- Uncovering crucial information and sharing those "aha!" moments with your team leaders.
- Crafting top-notch litigation documents, like those all-important Deposition Dossiers.
- Tackling other fascinating tasks as your project leaders need a hand.
Who We're Searching For (Are You Our Next Superstar?):
- You've got that shiny JD from an ABA-accredited law school.
- You're either a licensed member of the SC Bar, or have a UBE score ready to transfer to SC, or are licensed in another state.
- You're a detail-oriented dynamo – thorough, organized, and nothing gets past your eagle eyes.
- You're a master of managing your time and can work independently like a pro.
- Your communication skills, both written and verbal, are top-notch.
- Bonus points if you're already a Relativity guru or have document review attorney experience, but no worries if not – we're ready to help you learn!
- You've got that natural knack for problem-solving.
The Sweet Deal (What's In It For You!):
- Competitive hourly rates ranging from $27 to $30.
- Subsidized health insurance for our awesome full-time reviewers!
Be ready to pass a comprehensive conflicts check! And rest assured, your resume is held in the strictest confidence.
Think you're a fit? We can't wait to hear from you! Apply at : This job description is not intended to be all-inclusive. The employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
Paralegal (Contracts & SOW Review)
Our client is seeking a Paralegal to support contract review and remediation initiatives across third-party vendor agreements. This role is ideal for a paralegal with experience reviewing and revising Statements of Work (SOWs) and corporate vendor contracts in a fast-paced enterprise environment. You will work closely with procurement, legal, and business stakeholders to ensure agreements are accurate, compliant, and aligned with corporate governance standards.
As part of our process after applying, you may receive an invitation from our AI Recruiter Avery for a short conversation that lets you share more about your background beyond your resume. For questions, contact
• Location: Atlanta, GA (Hybrid)
• Compensation: This job is expected to pay about $32–$36/hr W2
• Job Type: Contract
• Duration: 12+ Month Contract (Potential to extend or convert to full-time)
• No Visa Sponsorship Available for this role
What You'll Do:
• Review and revise Statements of Work (SOWs) and vendor agreements to ensure contract terms align with internal policies and governance standards.
• Support ongoing contract remediation initiatives, analyzing contract language and coordinating updates with legal and procurement teams.
• Partner with procurement, category management, finance, and legal teams to ensure contracts accurately reflect scope, pricing, and service terms.
• Track contract revisions and maintain documentation throughout the contract lifecycle.
• Serve as a point of contact for stakeholders regarding contract updates, compliance questions, and agreement changes.
What Gets You the Job:
• 3–5 years of experience reviewing and revising corporate contracts or Statements of Work (SOWs).
• Paralegal experience required, preferably supporting corporate contracts or vendor agreements.
• Experience working in an enterprise or professional services environment.
• Bachelor's degree required; Paralegal certificate or legal studies background is a plus.
• Strong attention to detail with the ability to review and update contract language accurately.
• Excellent communication and stakeholder management skills.
Irvine Technology Corporation (ITC) connects top talent with exceptional opportunities in IT, Security, Engineering, and Design. From startups to Fortune 500s, we partner with leading companies nationwide. Our AI recruiter, Avery helps streamline the first step of your journey—so we can focus on what matters most: helping you grow. Join us. Let us ELEVATE your career!
Irvine Technology Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Irvine Technology Corporation complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.
