Job Overview: We are seeking a highly skilled and compassionate Inpatient Review Clinician (RN) to join our team in California. As an Inpatient Review Clinician, you will play a critical role in assessing inpatient services, ensuring optimum outcomes, and promoting cost-effective care for our members. This is a remote opportunity with a permanent night shift schedule, working 12 hours, 3 days a week, from 7:30 PM to 8:30 AM Pacific Time. Key Responsibilities: Assess inpatient services to ensure medically appropriate and cost-effective care Analyze clinical service requests against evidence-based guidelines Conduct inpatient reviews to determine financial responsibility and ensure compliance with regulations Collaborate with multidisciplinary teams to promote our care model and ensure seamless care coordination Process requests within required timelines and refer cases to Medical Directors as needed Requirements: Graduate from an Accredited School of Nursing 3+ years of hospital acute care/medical experience Active, unrestricted State Registered Nursing (RN) license in good standing, with a valid California RN license Valid driver's license with a good driving record and reliable transportation Preferred Qualifications: Bachelor's Degree in Nursing Recent hospital experience in ICU, Medical, or ER unit Experience with InterQual or MCG guidelines Utilization Management Certification (CPHM) What We Offer: Competitive salary range: $30.37 - $59.21 per hour Comprehensive benefits package Opportunities for professional growth and development A dynamic and supportive work environment How to Apply: If you are a motivated and compassionate RN looking to make a difference in the lives of our members, we encourage you to apply. Please submit your application through our website. We are an Equal Opportunity Employer (EOE) M/F/D/V and welcome applications from diverse candidates. Apply Now Apply for this job