Travel Nurse RN - Case Manager - $1,751 per week in Austin, TX

Registered Nurse (RN) | Case Manager
Location: Austin, TX
Agency: Cynet Health
Pay: $1,751 per week
Shift Information: Days - 5 days x 8 hours
Contract Duration: 13 Weeks
Start Date: 11/17/2026

About the Position

Job Title: RN Utilization Review Profession: Registered Nurse Specialty: Utilization Review Duration: 13 Weeks Shift: 08:30 AM - 05:00 PM Hours per Shift: 8 Experience: Minimum of 2 years acute care utilization management experience License: Licensed RN (multistate or TX RN) Certifications: BLS Must-Have: Proficiency with InterQual/MCG and CMS regulations. Familiarity with payer portals and managed Medicare and Medicaid insurers. Proficient and adaptable with multiple technologies simultaneously. Remote work experience. Description: Provides health care services regarding admissions, case management, discharge planning, and utilization review. Reviews admissions and service requests for prospective, concurrent, and retrospective medical necessity and compliance with reimbursement policy criteria. Provides case management and consultation for complex cases. Assists departmental staff with issues related to coding, medical records, documentation, precertification, reimbursement, and claim denials or appeals. Assesses and coordinates discharge planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance with federally mandated and third-party payer utilization management rules and regulations. Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment.

Requirements

Required for Onboarding

• ACLS
• BLS
• Pharmacology
• Skills Checklist
• Specialty Exam