American Traveler is hiring an experienced RN Case Manager/Utilization Review nurse for a cancer specialty hospital, requiring 5 years of experience and a CA RN license.
Requirements
- Active CA RN license required, in hand upon consideration (no pending license or EMSA accepted)
- BSN required
- BLS certification required
- Minimum 5 years of experience in case management/utilization review required
- Acute hospital experience required
- Long Term Acute Care/Rehab/Skilled Nursing experience required
- Experience with admission criteria, care coordination, and discharge planning required
- Proficiency with InterQual Criteria and Milliman Guidelines required
- Experience with UR admission criteria, appeals and denials, concurrent review, continued stay reviews, medical necessity, and retrospective review required
- Knowledge of CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and Joint Commission standards required
- Familiarity with Workers Compensation processes required
Responsibilities
- Case Management and Utilization Review role within a cancer specialty hospital setting
- Day shift schedule, 5x8 hours from 8:00 AM to 4:30 PM
- Weekend work required
- Uses Epic for documentation and InterQual criteria for utilization review
- Utilizes SBAR communication method
- Coordinate patient care, manage admissions, and oversee discharge planning within an acute cancer specialty hospital
- Conduct utilization reviews including concurrent and retrospective reviews to ensure medical necessity
- Flu vaccine or signed declination form required during flu season (October-March)
- No restrictive RTO rules for this position
- Local candidates accepted at local rate within a 75-mile radius
- First-time travelers are welcome to apply
- Travel pairs are allowed
- Former employees of this facility will not be considered for this position
Benefits
- High Pay and Bonuses
- Medical, Dental and Vision Insurance with Day 1 Options
- 401(k) Plan
- Weekly Payroll Deposit
- Free Online CEUs
- Generous Housing Allowance
- Travel and Licensure Reimbursements
- Non-taxed Per Diem and Subsidy
- Traveler Rewards and Discounts
Job ID: P-
Open Positions: 1
#J-18808-LjbffrTravel RN - Case Management/Utilization Review - Case Management in irvine at Unknown Company
- Typical pay
- $71,760–$121,680
For context, most registered nurses earn between $71,760–$121,680 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.