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RN - Case Manager

Providence Health & Service

Remote Utilization Management RN

This position involves remote utilization management nursing. Candidates must have recent experience with Epic and InterQual within the last 6-12 months. The role involves conducting concurrent reviews, continued stay reviews, pre-certification reviews, and retrospective reviews. Candidates must demonstrate knowledge of CMS guidelines and be proficient in determining medical necessity per evidence-based guidelines. Work will involve a variety of service lines and levels of care. Flexibility is required as the team supports multiple facilities and caregivers will rotate between them. Adherence to all labor laws, including lunch and break regulations, is strictly required. Candidates must commit to working a percentage of holiday shifts as specified. The position may require floating between nearby facilities as needed. All work-related communication devices will be provided for the assignment if necessary.

We offer competitive benefits, including:

  • Medical, dental & vision insurance
  • Free and unlimited continuing education units (CEUs)
  • 24/7 dedicated Care Line and clinical liaison support
  • Personalized career consultant and "single point of contact" service
  • Industry-leading pay rates, loyalty rewards & referral bonuses
  • Free tax return assistance for travelers
  • 401(k) Retirement Plan
  • Health Savings Account (HSA)
  • Disability Insurance (Short-Term and Long-Term)
  • Life and AD&D Insurance
  • Paid Sick Leave (where required by applicable state or local law)
  • Supplemental Insurance Plans
  • Identity Theft Protection
  • Pet Insurance
  • Employee Wellness Programs
  • Employee Assistance Program (EAP)
  • Career Growth and Professional Development Opportunities

Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Health reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.

Cynet Health is a Joint Commission-accredited, Minority-Owned healthcare staffing agency headquartered in Sterling, Virginia, proudly serving healthcare facilities across the United States since its founding in 2010. As one of the nation's largest and fastest-growing healthcare staffing firms in the nation, we staff thousands of nursing, allied health, locum tenens, pharmacy, therapy, direct-hire, and non-clinical professionals across hospitals, clinics, long-term care facilities, labs and more. We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by BluePipes, recognized among the fastest-growing and most diverse staffing firms by Inc. 5000, Staffing Industry, WBJ and USPAACC-and remain deeply committed to excellence, inclusion, and community impact.

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Vacancy posted 8 hours ago
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