Travel RN Case Manager, Utilization Review - $2,150 per week

AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boca Raton, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Job Description & Requirements RN Case Manager, Utilization Review StartDate: ASAP Pay Rate: $1800.00 - $2500.00 POSITION SUMMARY RN Case Manager, Utilization Review (On-site) POSITION DUTIES The RN Case Manager (Home Health Review) plays a crucial role in monitoring post-acute patients to ensure they continue to meet the CMS criteria for services. As a key member of the patient’s care team, the RN Navigator acts as a patient advocate, providing proactive outreach to post-acute facilities to review patient needs. The Nurse makes recommendations to primary care providers regarding ongoing services and facilitates communication and coordination of care with clinic providers. Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance. Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements. Facilitates Case Conferences with post-acute agencies to evaluate patient progress toward goals and discharge plans. Ensures post-acute agencies address the problem list and provide appropriate follow-up for patient needs. This role does not involve direct patient care or patient contact. Instead, the nurse works collaboratively with home health agencies to review Plans of Care, ensure recertifications are appropriate, support compliance with Medicare guidelines, and help ensure patients are receiving the right level of care. MINIMUM REQUIRED QUALIFICATIONS EPIC experience required Must be licensed in Texas (RN) Must have knowledge of Medicare (Parts A & B)Must have at least 2 years Home Health experience LENGTH OF ASSIGNMENT 12 Weeks SHIFT / HOURS PER WEEK Days, M-F 8am-5pm SYSTEMS EPIC START DATE 8/31/2026 Facility Location Positioned on the southern tip of sunny Florida, this beach town is one of the Sunshine State’s crown jewels. You’ll find unique Spanish and Mediterranean architecture throughout the city as well as swanky boutiques and chic cafés. From the revitalized shopping area of Minzer Park to the sparkling blue waters that border the city, Boca Raton is a place that many people would long to call home. Job Benefits Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including: Medical, dental and vision benefits Earned time off and paid holidays Paid continuing education time 401(K) retirement planning Short-term disability, life insurance, paid jury duty Access to the largest network of facilities and providers in the country Industry experienced workforce management team Licensure and certification reimbursement About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. American Mobile Healthcare Job ID 3561045. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager, Utilization Review About AMN Healthcare Nursing AMN Healthcare is a leader in Nurse staffing. Our relationships with numerous healthcare facilities - including hospitals, home health agencies, and long-term care facilities - enable us to offer the most current travel nurse, local staffing, rapid response and crisis nurse jobs nationwide. We''re committed to finding you the best nursing job to fit your career goals. AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply. Benefits Company provided housing options Medical benefits Dental benefits Continuing Education