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Registered Nurse - Utilization Review

$1,946.5 per month

Providence SoCal Shared Services Case Management

Details

Client Name
Providence SoCal Shared Services Case Management

Job Type
Travel

Offering
Nursing

Profession
Registered Nurse

Specialty
Utilization Review

Job ID
38399697

Job Title
Registered Nurse - Utilization Review

Weekly Pay
$1946.5


Shift Details

Shift
7:00 AM - 3:00 PM

Scheduled Hours
40


Job Order Details

Start Date
10/26/2026

End Date
01/25/2027

Duration
13 Week(s)


Job Description
Exciting Opportunity for Experienced Care Managers!

Job Description:


- Work Schedule: Day Shift, 5x8-Hour (08:00 - 16:30 PST)
- Equipment Provided: Laptop, keyboard, and mouse
- License Requirement: Must possess a valid CA license
- Required Experience:
- 3 years of previous Charge Experience
- Experience with Epic charting system (recent use within the last 6-12 months)
- Knowledge of Medicare regulations and processes (2MN rule and more)
- Proven Utilization Management experience in an acute hospital setting


- Role Overview:
- Support a variety of service lines and levels of care (inpatient, outpatient, OBS)
- Collaborate with interdisciplinary teams to manage adult and pediatric patients with diverse diagnoses
- Conduct concurrent reviews, medical necessity determinations, and continued stay reviews
- Execute effective care coordination and benefits eligibility assessments


- Special Skills Required:
- Familiarity with InterQual Criteria
- CPT coding and billing knowledge
- Understanding of CMS guidelines and HIPAA compliance

- Unit Details:
- 100% remote work environment
- Rotation between four facilities
- Every other weekend commitment required


- Additional Information:
- Must comply with all CA labor laws regarding breaks and lunches
- Strong emphasis on flexibility and teamwork


Why BHS Workforce (BHS):
At BHS, we connect dedicated nurses and allied health clinicians with the best assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who's with you every step of the way. Join us and see how our clinicians come first. We put our heart and money where our mouth is and promise you will not be disappointed!


Client Details

City
Torrance

State
CA

Zip Code
90503


Job Board Disclaimer

Compensation rates, benefits, and assignment details are subject to change and may vary based on factors including, but not limited to, experience, location, client requirements, and compliance with applicable laws and regulations. Final employment terms are confirmed at the time of offer and onboarding.
Vacancy posted 2 days ago
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