Inpatient Review Nurse (Remote | California RN/LVN License Required | Pacific Ti
Alignment Health · United States · US
Utilization Review
Remote
physician
Nurse
Demand80
Career growth68
Healthcare fit84
Remote potential95
Salary band
USD 78k – 117k
5-year outlook
Stable demand is likely for remote utilization review nurses with managed care and MCG experience; compensation should grow with UM leadership, quality, or complex case management responsibilities, though exact pay depends on region, licensure, and employer.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-19
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for California-licensed nurses with inpatient case management and MCG/UM experience who want remote non-bedside work; less suitable for clinicians without managed care review experience.
Who should apply
California-licensed RNs or LVNs with inpatient case management, utilization review, managed care, discharge planning, or senior-care experience.
CV angle
Frame bedside and case management experience around utilization review, MCG criteria, length-of-stay decisions, discharge planning, interdisciplinary collaboration, payer/IPA communication, and documentation in EZ-Cap or similar systems; quantify caseloads and complex patient coordination without inventing UM titles.
Skills to highlight
- Utilization management
- Milliman Care Guidelines (MCG)
- Inpatient case management
- Length-of-stay review
- Discharge planning
- Managed care/IPA collaboration
- Care coordination
- EZ-Cap documentation
Role summary
A remote inpatient review nurse role focused on utilization management for a senior-focused health plan, reviewing admissions and continued stays, coordinating care with physicians and facility teams, and documenting against evidence-based criteria.
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