Clinical Case Review Jobs in California
Clinical Case Review jobs in California are in strong demand, concentrated in managed care organizations, health insurance plans, and large integrated hospital systems, with openings ranging from entry-level utilization review coordinator through senior clinical reviewer and medical director roles. The busiest hiring markets are Los Angeles, San Francisco, and San Diego, where employers such as Kaiser Permanente, Anthem Blue Cross of California, and Centene Corporation maintain major operations. The most sought-after specialties include utilization management, workers' compensation case review, and behavioral health clinical review. Find a role that fits below and apply directly.
Find Clinical Case Review JobsOverview
Showing 5 of 14+ Clinical Case Review jobs
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Sep 14, 2026
- Length: 13 weeks
- Openings: 2
Description
American Traveler is seeking a Registered Nurse - Case Manager for an ambulatory case management role requiring an active CA RN license and Epic EMR experience.
Details
- Ambulatory case management setting within a hospital system
- Day shift schedule, Monday through Friday, 8:00 AM to 5:00 PM
- 13-week contract assignment
- No weekend, on-call, or floating requirements
Requirements
- Active CA RN license required in-hand at time of application (EMSA license not accepted)
- Current BLS certification required
- Minimum 1 year of case management/utilization review experience
- Minimum 1 year of acute care setting experience
- Epic EMR experience required and must be documented in work history
- Must pass EKG exam (up to 3 attempts allowed)
- Two supervisor references required
Additional Information
- Responsibilities include care coordination, plan of care development, and disability case management
- Performs utilization review functions including concurrent review, medical necessity review, pre-certification review, and prior authorization review
- Experience in surgical services or women's services specialty units is a plus
- First-time travelers may be considered for this role
- No RTO permitted within the first two weeks of the assignment
- Maximum 7 days of RTO per 13-week contract preferred, and all RTO must be submitted with the initial application and cannot be changed afterward
- Local candidates accepted at the same pay rate
- Previous employees must have been separated for at least 1 year to be eligible to return as a traveler
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Sep 14, 2026
- Length: 13 weeks
- Openings: 2
Description
American Traveler is seeking a Registered Nurse - Case Manager for an ambulatory case management role requiring an active CA RN license and Epic EMR experience.
Details
- Ambulatory case management setting within a hospital system
- Day shift schedule, Monday through Friday, 8:00 AM to 5:00 PM
- 13-week contract assignment
- No weekend, on-call, or floating requirements
Requirements
- Active CA RN license required in-hand at time of application (EMSA license not accepted)
- Current BLS certification required
- Minimum 1 year of case management/utilization review experience
- Minimum 1 year of acute care setting experience
- Epic EMR experience required and must be documented in work history
- Must pass EKG exam (up to 3 attempts allowed)
- Two supervisor references required
Additional Information
- Responsibilities include care coordination, plan of care development, and disability case management
- Performs utilization review functions including concurrent review, medical necessity review, pre-certification review, and prior authorization review
- Experience in surgical services or women's services specialty units is a plus
- First-time travelers may be considered for this role
- No RTO permitted within the first two weeks of the assignment
- Maximum 7 days of RTO per 13-week contract preferred, and all RTO must be submitted with the initial application and cannot be changed afterward
- Local candidates accepted at the same pay rate
- Previous employees must have been separated for at least 1 year to be eligible to return as a traveler
See All 14 Clinical Case Review Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find Clinical Case Review JobsClinical Case Review Jobs by City in California
Where California roles are concentrated, by current openings.
Clinical Case Review Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
What California Employers Look For
The qualifications that appear most often in clinical case review jobs across California.
- Active California RN license or licensed clinical social worker credential required
- Minimum two to five years of clinical practice experience in an acute or managed care setting
- Working knowledge of InterQual or Milliman Care Guidelines for medical necessity review
- Experience with California Department of Managed Health Care regulations and compliance standards
- Proficiency in electronic health record systems such as Epic or Cerner for documentation
- Strong written communication skills for producing clear, defensible clinical determination letters
Clinical Case Review Jobs in California: Frequently Asked Questions
How do you become a clinical case review in California?
Most clinical case review positions in California require an active clinical license issued by a California board, most commonly an RN license from the California Board of Registered Nursing or a clinical social work license from the California Board of Behavioral Sciences. Employers typically expect a bachelor's degree in nursing or a related clinical field alongside direct patient care experience before transitioning into a review role. Certifications such as the Accredited Case Manager credential strengthen applications considerably.
Which companies hire clinical case reviews in California?
Employers hiring clinical case reviews in California right now include American Traveler, HiredFirst, and Kern Medical, based on current listings on Migrate Mate as of August 2026. California's large managed care market means health plans and integrated delivery systems consistently post the highest volume of clinical case review openings in the state.
Which California cities have the most clinical case review jobs?
Eureka, Irvine, and Burbank have the most clinical case review openings in California. Los Angeles and San Diego concentrate openings because of their dense networks of major health plans, hospital systems, and workers' compensation insurers, while San Francisco draws demand from large integrated systems and technology-sector employer health programs headquartered in the Bay Area.
How can I get hired as a clinical case review in California with little or no experience?
The most realistic entry path is applying for utilization review coordinator or case management assistant roles at large California health plans or hospital systems, which often require only an active clinical license rather than years of review experience. Kaiser Permanente and Dignity Health run structured onboarding programs that bring clinicians with acute care backgrounds into review functions. Building familiarity with InterQual criteria and completing a case management certificate through a California community college or professional association gives candidates a practical edge over other applicants.
Where can I find and apply to clinical case review jobs in California?
You can find and apply to clinical case review jobs in California on Migrate Mate, which lists current California openings across health plans, hospital systems, and managed care organizations. Find roles that fit your license type, specialty, and preferred location, then apply directly to the employer through each listing.
See All 14 Clinical Case Review Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find Clinical Case Review Jobs