RN Utilization Review Nurse

Position: RN / Utilization Review Nurse
Location: Sacramento CA (ON-SITE)
Employment Type: Potential contract to hire
Pay Range: $35.00 $45.00/hour (Paid Weekly)
Schedule: Monday Friday Standard Business Hours

Position Summary

We are seeking an experienced Utilization Review Nurse to support a potential contract to hire assignment in a healthcare review environment. This role is responsible for reviewing medical records treatment requests and clinical documentation to support timely accurate and compliant care decisions in accordance with established guidelines and regulatory standards. Training will be provided.

Key Responsibilities

• Review medical records and treatment requests for completeness and guideline compliance.
• Evaluate diagnoses treatment plans and clinical documentation using established care guidelines and best practices.
• Collaborate with internal teams providers and physician reviewers to support case review processes.
• Assist with coordination of peer reviews and communication of review determinations.
• Maintain accurate documentation and ensure cases are processed within required timelines.
• Support case management activities and identify cases requiring additional review or follow-up.
• Communicate effectively with clients providers and team members regarding case status and documentation needs.
• Assist with administrative and reporting tasks related to utilization review activities.

Required Qualifications

• Active Licensed Vocational Nurse (LVN) license.
• Minimum 3 years of clinical experience.
• Strong knowledge of medical terminology and clinical documentation.
• Experience in utilization review managed care or workers compensation preferred.
• Familiarity with healthcare regulations and evidence-based clinical guidelines.
• Strong organizational analytical and communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Comfortable working independently in a remote or office-based setting.

Working Conditions:

• May on occasion be exposed to loud sounds and distracting noise levels such as from office equipment.
• The ability to lift up to 30lbs.
• Use of computers and technology.

Here at Canon Recruiting People are our priority and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity; we are made a stronger organization and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm we devote to quality and competency and using the experience from a diverse assortment of backgrounds and experiences Canon can improve the services and value we deliver to clients employees and customers.

At Canon Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate based on race national origin gender gender identity sexual orientation protected veteran status disability age or other legally protected status.

The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation please email

Required Experience:

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