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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