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Care Manager - Utilization Review
Location: Torrance, CA
Start Date: 02-23-2026
End Date: 04-20-2026
Contract Type: Travel Contract
Shift Type: Monday-Friday, 8:00 AM - 4:30 PM Day shift (5x8); rotating weekends - every 3rd weekend; must work Pacific Standard Time
Hours per Week: 40
Candidate Pay Rate: $50 per hour
About United Health Care Staffing
At United Health Care Staffing (UHC Staffing), we believe healthcare staffing should be more than just finding a job. We are here to connect amazing professionals with opportunities that make their careers exciting, rewarding, and meaningful. With us, you're not just signing up for a contract you are joining a team that's got your back, answers your calls, and maybe even cracks a joke or two to brighten your day. Think of us as the travel buddy who handles the logistics while you focus on what you do best helping people heal.
Roles & Responsibilities
- Perform concurrent review, continued stay review, pre-certification, prior authorization, and retrospective utilization reviews using InterQual criteria
- Determine medical necessity per evidence-based guidelines and document decisions clearly
- Use Epic daily for charting and documentation to ensure accurate records
- Apply CMS, Medicare, DRG, CPT coding, and HIPAA regulations to utilization decisions
- Coordinate care and communicate with interdisciplinary teams, HMOs, and IPAs to support safe, timely patient transitions
- Manage case loads consistent with established patient ratios and organizational expectations
- Assist with care planning, disease management, and discharge planning to improve patient outcomes
- Adhere to California labor laws, facility policies, and strict documentation standards
Qualifications
- Active California license required
- Minimum 3 years acute care Case Management or Utilization Management experience in a hospital setting (not in a health plan or medical group)
- InterQual experience required (hardstop)
- Proficient with Epic with recent use in the last 6-12 months
- Strong knowledge of Medicare regulations and UM processes such as CC44s, ABNs, HINNs, MCSNs
- Experience with CPT coding and billing, DRG, CMS, and HIPAA compliance
- Experience with HMOs/IPAs and Medi-Cal knowledge preferred
- Comfort working Pacific Standard Time and rotating between up to three facilities
- Willingness to work an every-third-weekend rotation
Knowledge & Skills
- Expertise with InterQual criteria and utilization review standards
- Proficiency in Epic electronic health record system
- Knowledge of CPT coding, DRG, CMS, and HIPAA guidelines
- Strong clinical judgment to determine medical necessity
- Excellent documentation and charting skills
- Care coordination and discharge planning
- Experience with acute hospital and ambulatory care settings
- Ability to manage workload with a patient ratio experience of approximately 1:40
Benefits
- Medical, dental & vision coverage to keep you healthy and smiling
- 401K retirement savings plan to help you plan for the future
- Paid time off so you can recharge and actually use a weekend getaway
- Licensure assistance and reimbursement to support your professional growth
- Travel reimbursement and local housing support for contract travelers
- Professional development and certification support so you can level up
- A collaborative, supportive team that values your expertise
- Predictable daytime schedule with orientation support to help you hit the ground running
- Referral bonus program to reward you for bringing great teammates
Travel Perks: Explore Torrance, CA
Torrance sits in the sunny South Bay area with easy access to beautiful beaches like Torrance Beach, Redondo, and Manhattan Beach for weekend strolls or surf-watching. Explore local parks and the Madrona Marsh Nature Center, shop at Del Amo Fashion Center, and enjoy a lively food scene with coastal restaurants and craft breweries. Quick trips take you to Palos Verdes for cliffside hikes, Long Beach for waterfront activities and ferries, and downtown Los Angeles for museums, theaters, and iconic attractions. Great base for weekend escapes to Santa Monica, Malibu, or Disneyland.
Apply Now
Ready to start your next adventure as a Care Manager - Utilization Review? Let's get you moving forward!
Send your resume to [email protected] or call us at 408-441-9200 today.
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