Utilization Review Coordinator
Community Health System
Fresno, CA
Health system employer
RN · Clinical Documentation & Utilization Review Nurses · Administrative & Consulting Nurses
Posted Jun 8
- Shift
- Days
- Unit
- Clinical Documentation & Utilization Review Nurses
What the listing says
Role
- Schedule
- Days
- Term
- Permanent
- Setting
- Hospital
- Accepts
- RN
- Experience
- 2+ years
Ratio not posted. Ask in the interview.
Pay
- Against the board
- $12/hr below the median
The median for Administrative & Consulting Nurses in California is $70/hr, across 46 postings.
About this role
Overview
Opportunities for you!
- Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Utilization Review Coordinator is responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other departments, and physicians to facilitate efficient and appropriate management of all cases.
Qualifications
Education
- Associate's Degree in Nursing required
- Bachelor's Degree in Nursing preferred
Experience
- 2 years of clinical nursing experience required
- Experience in discharge planning, case management, or utilization review preferred
Licenses and Certifications
- RN - Current and valid Registered Nurse license to work within the state of California required
- BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
- ACM - Accreditation in Case Management preferred
- CCM - Certified Case Management preferred
Disclaimers
- Pay ranges listed are an estimate and subject to change.
- If any bonuses are noted, they are only applicable to external hires meeting criteria.
Sourced from a public job board.
Requirements
- Associate's Degree in Nursing required
- Bachelor's Degree in Nursing preferred
- 2 years of clinical nursing experience required
- Experience in discharge planning, case management, or utilization review preferred
- RN - Current and valid Registered Nurse license to work within the state of California required
- BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required
- ACM - Accreditation in Case Management preferred
- CCM - Certified Case Management preferred
Benefits
- Free parking
- 403(b) matching
Place
- City
- Fresno, CA
- Median rent
- $1,421/mo
- Local household income
- $70,991/yr
- Metro price level
- 2% above the national average
rent and tenant-paid utilities · Census ACS 2024
all local households, not nurse pay · Census ACS 2024
Fresno area index 102.2, where 100 is the national average.
Fresno sits in California's Central Valley, offering nurses an affordable launchpad to Yosemite, Kings Canyon, and Sequoia national parks within roughly an hour's drive. The Tower District brings local flavor with eateries, shops, and nightlife, while the city's diverse patient populations give RNs broad clinical experience.
Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.
How this role fits you
Add your preferences
Choose your specialty, travel preference, and license stage to see how this role fits.
The work you want
Where you'd go
Where you are
On your path
Case Management is a specialty you move into. Bedside years first. That experience is what gets you in.
Worth asking
We can’t answer these from the listing we have. Good ones to ask a recruiter or in the interview.
- Can you walk me through base pay range and differentials?
- What should I expect for weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
