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), rotating every third weekend required; fully remote work in 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 utilization reviews and determine medical necessity using InterQual criteria
- Conduct pre-certification, prior authorization, concurrent review, and retrospective reviews
- Document cases accurately and timely in Epic and the required charting systems
- Coordinate care across interdisciplinary teams to support appropriate transitions and discharge planning
- Apply CMS and Medicare regulations, DRG, CPT coding, and other regulatory standards to case reviews
- Manage a patient ratio consistent with 1:40 expectations while maintaining quality and compliance
- Rotate coverage across facilities as needed and participate in every-third-weekend rotations
- Adhere to California labor laws and organizational policies related to breaks, overtime, and work hours
Qualifications
- Minimum 3 years acute care case management or utilization management experience in a hospital setting
- Proficient with Epic; recent use required within the last 6-12 months
- InterQual experience required (hardstop)
- Experience with HMOs/IPAs and Medicare regulations and UM processes (CC44s, ABNs, HINNs, MCSNs, etc.)
- Familiarity with CPT coding and billing and DRG principles
- Ability to work Pacific Standard Time and rotate between facilities; every-third-weekend coverage required
- Charting system experience required; Travel experience is not required for this role
- Certifications relevant to case management/utilization review are a plus
Knowledge & Skills
- Utilization review and case management best practices
- InterQual criteria application and hardstop workflows
- Epic electronic health record proficiency
- Pre-certification, prior authorization, concurrent and retrospective review processes
- Medical necessity determinations based on evidence-based guidelines
- CPT coding, billing basics, DRG, HIPAA, and CMS/Medicare regulations
- Care coordination and discharge planning in acute hospital and ambulatory settings
- Flexibility, strong communication, and ability to collaborate across facilities and teams
Benefits
- Medical, dental, and vision coverage to keep you and your family healthy
- Support for professional development and certification assistance
- Licensure assistance and reimbursement to help keep credentials current
- A supportive interdisciplinary team that values your expertise
- Paid time off and scheduling that respects work-life balance
- Comprehensive onboarding with a 60-hour orientation to set you up for success
- Flexible remote setup working Pacific Standard Time
- Opportunities to grow within utilization management and case management specialties
Travel Perks: Explore Torrance, CA
Torrance sits near some of Southern California’s best beaches and outdoor spots. Enjoy walks at Torrance Beach or nearby Redondo and Manhattan Beach piers, explore the Madrona Marsh Preserve for birding and nature, shop and dine at Del Amo Fashion Center, and take scenic drives or hikes in the Palos Verdes Peninsula. Los Angeles attractions, restaurants, museums, and easy access to LAX and Catalina Island excursions make weekends fun and full of options.
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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