Travel Nurse RN - Utilization Review - $2,900 to $3,000 per week in Greenbrae, CA

Registered Nurse (RN) | Utilization Review
Location: Greenbrae, CA
Agency: job.com
Pay: $2,900 to $3,000 per week
Shift Information: Days - 5 days x 8 hours
Contract Duration: 13 Weeks
Start Date: ASAP

About the Position

We are seeking an experienced Registered Nurse (RN) – Utilization Review to join our healthcare team in an acute care hospital setting. The ideal candidate will be responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services while ensuring compliance with established guidelines and standards.

Key Responsibilities

• Perform utilization review to assess medical necessity and appropriateness of patient care
• Conduct initial patient assessments and ongoing case evaluations
• Apply InterQual criteria to determine level of care and authorization decisions
• Collaborate with physicians, case managers, and healthcare teams to optimize patient outcomes
• Ensure accurate and timely documentation in EPIC EMR system
• Review patient records for compliance with regulatory and hospital standards
• Participate in discharge planning and care coordination as needed

Requirements

RN Case Manager with experience as follows:

• Must have strong Utilization Review and InterQual experience REQUIRED!
• Conducting patient initial assessments
• Acute Care hospital experience
• EPIC EMR documentation experience
• Active CA RN License