Travel RN - Case Management/Utilization Review - Case Management
American Traveler
American Traveler is seeking an experienced RN Case Manager for a 13‑week acute inpatient care coordination position requiring an active MD or Compact RN license and at least 1 year of acute care nursing experience. Requirements Active MD or Compact RN license required — pending licensure not accepted All certifications must be active at time of consideration Associate’s Degree in Nursing (ADN) required Minimum 1 year of experience in an acute medical/surgical, ED, or critical care nursing setting Experience with electronic medical record (EMR) systems required Knowledge of health care reimbursement systems including Medicare Advantage, Commercial payers, Medicaid, and CMS regulatory rules Last 4 digits of SSN and date of birth required for consideration Responsibilities Acute inpatient hospital setting focused on care coordination and discharge planning Responsibilities span the acute inpatient population including medical/surgical, ED, and critical care patients Daytime shift: 8:30 AM – 5:00 PM, 8‑hour shifts, 40 hours per week EMR: Epic (experience required) Conducts initial face‑to‑face assessments for newly admitted patients within 24 hours to identify discharge needs Collaborates with physicians, nursing staff, utilization review, and the broader care team to develop and document appropriate transition plans Coordinates referrals to in‑network post‑acute vendors including Home Health, DME, IV Infusion, SNF Sub‑Acute, and Acute Rehab Works with community providers and ambulatory case managers to facilitate safe discharges and prevent readmissions Local candidates are accepted — local and travel rates are the same Contingent workers may not exceed two years of total assignment time without a 90‑day break, per facility policy Benefits High Pay and Bonuses Medical, Dental and Vision Insurance with Day 1 Options 401(k) Plan Weekly Payroll Deposit Free Online CEUs Job ID: P-723730 Open Positions: 1 #J-18808-Ljbffr American Traveler
$2,220 per week
...Care Career is seeking a travel nurse RN Utilization Review for a travel nursing job in Hanover, Maryland.... ...Proficiency with InterQual criteria • Managed Care Utilization Review experience preferred... ...Care RN • Health Plan RN • Case Management RN with strong UR...TravelWeekly payContract workFor contractorsRemote workMonday to FridayShift work- ...community‑centered care. About the Role/Unit The Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of... ...Management, including coordination with Case Management Monitor utilization of hospital...SuggestedLive inShift work
$55 per hour
...seeking a Registered Nurse (RN) Home Health for a... ...Clinical or Client Services Manager Follow up with,... ...as necessary Case management and coordination... ...and services provided, utilizing a state-of-the-art... ...preferred. Ability to travel to cases as assigned....TravelWeekly payFull timeWork at officeLocal areaNight shift$55 per hour
...seeking a Registered Nurse (RN) for home health care... ...assistance program Travel mileage reimbursement Scholarship... ...or Client Services Manager. Follow up with,... ...assessments as necessary. Case management and... ...and services provided, utilizing a state‑of‑the‑art touch...TravelWeekly payFull timePart timeLocal areaFlexible hoursWeekend work- ...and retrospective chart review for clinical, financial and resource utilization information. Provides intervention... ...or trends in utilization management; monitors potential and... ...physician advisors for cases not meeting criteria. Requirements Current RN license in MD (or Compact...SuggestedShift work
- ...Utilization Review Nurse RN – Grace Medical Center, Baltimore, MD Job Summary Conduct initial, concurrent... ...patterns or trends in utilization management. Monitor potential and actual denials... ...escalations to physician advisors for cases not meeting criteria. Other tasks as...Shift work
- ...Humana in Maryland seeks a Registered Nurse (RN) Intern to join their National Medicaid team. This remote role involves conducting clinical reviews for behavioral health services, communicating with healthcare providers, and documenting findings. Candidates must be transitioning...InternshipRemote workFlexible hours
- ...RN - Utilization Review Utilization review nurses perform frequent case reviews, check medical records, speak with patients and care providers regarding treatment, and respond to the plan of care. They also make recommendations regarding the appropriateness of care...
- ...business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins... ...have the opportunity to use your clinical, managed care, utilization review, and verbal/... ...customers. ~ Unencumbered Registered Nurse (RN) license in Maryland (or Compact state)...Full timeRemote workMonday to FridayDay shift
- ...Case Manager RN Signon Bonus $5,000 for External Applicants! This is... ...will require up to 30% local travel for visits to providers' offices... ...tools and information/data review to conduct an evaluation of members... ...goals and objectives. Utilize case management processes in...TravelFull timeTemporary workLocal areaRemote workRelocation packageMonday to Friday1 day per week
- ...sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to... ...complete medical necessity reviews for behavioral health... ...review depending on case findings. Clinical Review... ...4:30 PM Central Time Travel: None; occasional travel...TravelFor contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
$40.12 - $62.19 per hour
...Utilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Part-time... ...patterns or trends in utilization management. Monitors potential and actual denials... ...to the physician advisors to review case not met with criteria. REQUIREMENTS...Part timeWeekend workDay shift$75k - $90k
Telligen is looking for a Senior Review Coordinator in Maryland who will perform utilization reviews and manage medical services. You will be responsible for training team members... .... The ideal candidate must hold an active RN license in Maryland and possess a degree in...$55 per hour
...seeking a Registered Nurse (RN) Home Health for a... ...Clinical or Client Services Manager. Follow up with,... ...assessments as necessary. Case management and... ...and services provided, utilizing a state‑of‑the‑art touch... ...preferred. Ability to travel to cases as assigned. Compensation...TravelWeekly payLocal area$86k
...RN Case Manager General Summary of Position The RN Case Manager provides... ...care. The RN Case Manager utilizes strong clinical judgment and... ...-of-living increases. Some travel to Baltimore City is... ...Collaborates with utilization review team members on medical necessity...TravelWork at office- ...health, preventive care, travel medicine, and... ...Provide support with chart reviews/documentation, scheduling... ...Passing the NCLEX-RN (National Council Licensure... ...testing, and case management solutions. As innovators... ...benefits and payments are utilized to meet these obligations...TravelFull timeContract workImmediate start
$55 per hour
...seeking a Registered Nurse (RN) Home Health for a... ...Clinical or Client Services Manager Follow up with,... ...as necessary Case management and coordination... ...and services provided, utilizing a state-of-the-art... ...preferred. Ability to travel to cases as assigned....TravelWeekly payFull timeWork at officeLocal areaFlexible hoursNight shift$55 per hour
...seeking a Registered Nurse (RN) Home Health for a... ...Clinical or Client Services Manager Follow up with, execute... ...as necessary Case management and coordination... ...and services provided, utilizing a state‑of‑the‑art touch... ...) preferred Ability to travel to cases as assigned Base...TravelWeekly payFull timePart timeLocal areaMonday to FridayFlexible hoursWeekday work- ...advancement. Registered Nurse (RN) Responsibilities... ...or Client Services Manager Follow up with, execute... ...assessments as necessary Case management and coordination... ...and services provided, utilizing a state‑of‑the‑art... ...) preferred Ability to travel to cases as assigned Equal...TravelWeekly payDaily paidLocal areaFlexible hours
$55 per hour
...seeking a Registered Nurse (RN) for home health in the... ...or Client Services Manager Follow up with, execute... ...as necessary Case management and coordination... ...management and services, utilizing a state‑of‑the‑art touch... ...) preferred Ability to travel to cases as assigned Prior...TravelWeekly payFull timeWork at officeLocal area- Charter Global is seeking a Utilization Review Specialist for a remote position focused on utilization management. The specialist will conduct prospective, concurrent, and retrospective reviews related to authorization and appropriateness of care, using clinical expertise...Remote jobContract work
$2,085 per week
...Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland. Job Description & Requirements... ...Inpatient Case Management Discharge Planning Utilization Review Care Coordination Transition of Care Planning...TravelWeekly payFor contractorsShift work$1,960 per week
...American Medical Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Annapolis... ...other healthcare professionals. Utilize key skills such as OASIS documentation... .... Check out our industry leading reviews on Google and Indeed to see how much...TravelContract workFor contractorsLocal areaWorldwideFlexible hoursShift workDay shift$55 - $62 per hour
...today! Registered Nurse (RN) Benefits: BAYADA... ...or Client Services Manager Follow up with, execute... ...assessments as necessary Case management and... ...and services provided, utilizing a state-of-the-art touch... ...preferred. Ability to travel to cases as assigned....TravelWeekly payFull timePart timeLocal areaFlexible hoursWeekend work$55 per hour
...seeking a Registered Nurse (RN) Home Health for a... ...Clinical or Client Services Manager. Follow up with,... ...assessments as necessary. Case management and... ...and services provided, utilizing a state‑of‑the‑art touch... ...preferred. Ability to travel to cases as assigned. Compensation...TravelWeekly payLocal area- American Traveler is looking for an experienced RN Case Manager in Glen Burnie, Maryland. This position is a 13-week contract focusing on acute inpatient care coordination. Candidates must have an active MD or Compact RN license and at least 1 year of acute care nursing...TravelContract work
- Physical Therapy Utilization Review Advisor PRIMARY PURPOSE Counsels providers (physical therapists, occupational therapists, and physicians... ...to reasonable accommodation. Physical: Computer keyboarding, travel as required Auditory/visual: Hearing, vision and talking...TravelWork at office
$72.7k
...incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in... ...incumbent will manage an active case load of members in his/... ...Current State of PA RN licensure OR Current multi... ...Other than English) None TRAVEL REQUIREMENT 0% - 25%...TravelRemote jobTemporary workFor contractorsWork at officeLocal area- ...Description: The Medical Nurse Reviewer applies clinical... ...necessity reviews, utilization audits, and... ...provider, and pharmacy cases for potential overpayments... ...unrestricted Registered Nurse (RN) license in state of... ...home health, or case management experience....Full timeWork at officeRemote workFlexible hours
- ...Job Overview Travel Cath Lab RN – 4‑week assignment in Glen Burnie, Maryland. Fusion Medical Staffing... ...prior to procedures, including reviewing medical history and performing physical... ...procedures or using equipment Mental: Manage frequent public interaction, meet deadlines...TravelTemporary work
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