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Travel RN Case Manager / Utilization Review - $2,886 per week

American Traveler

American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Irvine, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 10/20/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Assignment Overview Shift: Days, 5x8hrs Hours: 40 hrs/wk Start Date: Oct 20, 2026 Length: 13 weeks Openings: 1 Description 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. Details Case Management/Utilization Review unit in a cancer specialty hospital Day shift schedule (5x8 hours), 8:00 AM to 4:30 PM Weekend coverage required Utilizes Epic EMR for documentation and InterQual criteria for case management Requirements Active CA RN license required in hand, no pending licenses or EMSA accepted BSN required Current BLS certification required Minimum 5 years of experience in case management/utilization review required Acute hospital experience required, including Long Term Acute Care/Rehab/Skilled Nursing settings Experience with admission criteria, care coordination, and discharge planning required Proficiency with InterQual criteria and Milliman guidelines required Experience with UR processes including 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 SBAR communication skills required Flu vaccine or signed declination form required during flu season (October-March) Additional Information Coordinate care, manage admissions, and oversee discharge planning for cancer patients Conduct utilization review including concurrent and retrospective reviews, medical necessity determinations, and appeals/denials management Previous employees of this health system will not be considered for this position First-time travelers are welcome to apply Travel pairs are accepted Local candidates accepted at local rate within a 75-mile radius No restrictive RTO rules American Traveler Job ID P-760545. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements. American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment. With our team behind you, you can relax and enjoy a rewarding travel career.

Vacancy posted more than 2 months ago

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