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Utilization Review RN - $2,000 per week

$2,000 per week
Temporary

RadHealth+

RadHealth+ is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Torrance, California.

Job Description & Requirements

  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Role: RN Utilization Review (Remote)
Location: Torrance, CA
Shift: Day 5x8-Hour (08:00 - 16:30)
Pay: 50$/Hr

 

Job Description

Laptop, keyboard and mouse will be provided by the facility
MUST have CA license

 

We are seeking a detail-oriented and analytical Registered Nurse (RN) to join our Utilization Review team. In this role, you will evaluate the appropriateness, necessity, and efficiency of healthcare services, ensuring patient care aligns with established clinical guidelines, regulatory standards, and payer requirements.

 

Key Roles and Responsibilities

 

Clinical Reviews: Conduct admission, continued stay, and discharge reviews using evidence-based criteria (e.g., InterQual or MCG) to determine medical necessity.

 

Care Coordination: Collaborate with physicians, case managers, and multidisciplinary healthcare teams to facilitate efficient patient throughput and discharge planning.

 

Compliance & Documentation: Maintain accurate, timely documentation of review outcomes, payer communications, and denials management to ensure regulatory compliance.

 

Payer Liaison: Serve as a primary point of contact for insurance companies and managed care organizations to secure timely authorizations and address concurrent review inquiries.

 

Documents Required
Updated resume
RN license
Bls Certificate
Driving License
Covid Card
2 Supervisory References
Skills Checklist

About RadHealth+

At RADHealth+, a division of RADgov, Inc. we're redefining healthcare staffing by connecting exceptional talent with healthcare organizations that need them most. Our approach combines cutting-edge technology with personalized service to deliver staffing solutions that make a real difference.

 

Website Link:

 

Locations: Nationwide

 

24/7 Support: Our dedicated team is always available to address your staffing needs, day or night.

 

Clinical Staffing

Travel and Local Registered Nurses (ICU, Med-Surg, OR, ER, Psych, Tele, all specialities.)

Advanced Practice Providers (NPs, PAs, CRNAs)

Physicians (MD/DO)

Certified Nursing Assistants & LPNs

Allied Health Professionals (PT, OT, RT, Lab Techs, Radiology, etc.)

Travel Nurses & Rapid Response Teams

 

Allied & Behavioral Health

Speech & Language Pathologists (SLPs)

Occupational Therapists (OTs)

Physical Therapists (PTs)

Respiratory Therapists

Radiologic and MRI Techs

LCSWs, Therapists, Counselors

Benefits

  • 401k retirement plan
  • Weekly pay
  • Dental benefits
  • Medical benefits
  • Referral bonus
  • Vision benefits
Vacancy posted 4 hours ago
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