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Care Manager - Utilization Management – UHC Staffing

Care Manager - Utilization Management

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); every third weekend rotation (Day)

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 utilization reviews using InterQual criteria to determine medical necessity
  • Conduct concurrent and continued stay reviews to support safe, efficient patient care
  • Complete pre-certifications, prior authorizations and retrospective reviews as needed
  • Document thoroughly and accurately in Epic and other required charting systems
  • Coordinate care across interdisciplinary teams and communicate with clinical stakeholders
  • Apply CPT coding and billing knowledge and adhere to CMS/Medicare guidelines
  • Support disease management and plan-of-care activities to optimize outcomes
  • Ensure compliance with HIPAA, The Joint Commission standards and state regulations
  • Participate in orientation and ongoing learning to keep skills current and effective

Qualifications

  • Minimum 3 years acute care case management / utilization management experience in a hospital setting (explicit requirement)
  • Proficient with InterQual (HARDSTOP — required)
  • Recent Epic experience (used within the last 6–12 months required)
  • Knowledge of Medicare regulations and CA Medi-Cal policies
  • Experience with HMOs, IPAs and payer processes (prior authorizations, CC44s, ABNs, HINNs, MCSNs)
  • Experience performing concurrent, continued stay, pre-cert and retrospective reviews
  • Comfort working remotely while adhering to Pacific Standard Time expectations
  • Ability to work every third weekend rotation and rotate across multiple facilities
  • Familiarity with CPT coding/billing and regulatory frameworks (CMS, DRG, HIPAA)

Knowledge & Skills

  • Utilization Management and Utilization Review (InterQual-driven)
  • Case Management and Care Coordination
  • Epic electronic health record proficiency
  • Concurrent Review, Continued Stay Reviews, and Determine Medical Necessity
  • Pre-Cert Review, Prior Authorizations and Retrospective Review
  • CPT coding and billing knowledge
  • Understanding of Medicare regulations and CA Medi-Cal
  • Experience with HMOs, IPAs and managed care processes
  • Remote UR work best practices and time-zone discipline (PST)
  • Familiarity with regulatory standards: CMS, HIPAA, The Joint Commission, DRG

Benefits

  • Comprehensive orientation (60 hours) to set you up for success
  • 100% remote utilization review work while operating in Pacific Standard Time
  • Supportive interdisciplinary team that values your expertise
  • Opportunities to sharpen skills with InterQual and Epic — both required and actively used
  • Work-life balance with a predictable day schedule and a clear weekend rotation
  • Professional development focus — refine case management and utilization review expertise
  • Clear policies around breaks and overtime in line with California labor laws
  • Meaningful work affecting patient care and system efficiency every day

Travel Perks: Explore Torrance, CA

Explore the best of South Bay living while on assignment: stroll or surf at Torrance Beach and nearby Manhattan, Hermosa and Redondo Beaches; hike the scenic Palos Verdes Peninsula and visit Point Vicente for stunning coastal views; enjoy shopping and dining at Del Amo Fashion Center and local waterfront restaurants; discover nature at Madrona Marsh Preserve or relax in Wilson Park. Los Angeles attractions, cultural sites and LAX are a short drive away for easy weekend adventures.

Apply Now

Ready to start your next adventure as a Care Manager - Utilization Management? Let's get you moving forward!

Send your resume to [email protected] or call us at 408-441-9200 today.

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#CareManagerJobs #TorranceCAJobs #UtilizationManagement #UHCCareers #HealthcareJobs #EpicJobs #InterQual #RemoteUR #CareCoordination #TravelHealthcare