Travel RN Case Manager, Utilization Review - $2,150 per week

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boca Raton, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Job Description & Requirements RN Case Manager, Utilization Review StartDate: ASAP Pay Rate: $1800.00 - $2500.00 POSITION SUMMARY RN Case Manager, Utilization Review (On-site) POSITION DUTIES The RN Case Manager (Home Health Review) plays a crucial role in monitoring post-acute patients to ensure they continue to meet the CMS criteria for services. As a key member of the patient’s care team, the RN Navigator acts as a patient advocate, providing proactive outreach to post-acute facilities to review patient needs. The Nurse makes recommendations to primary care providers regarding ongoing services and facilitates communication and coordination of care with clinic providers. Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance. Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements. Facilitates Case Conferences with post-acute agencies to evaluate patient progress toward goals and discharge plans. Ensures post-acute agencies address the problem list and provide appropriate follow-up for patient needs. This role does not involve direct patient care or patient contact. Instead, the nurse works collaboratively with home health agencies to review Plans of Care, ensure recertifications are appropriate, support compliance with Medicare guidelines, and help ensure patients are receiving the right level of care. MINIMUM REQUIRED QUALIFICATIONS EPIC experience required Must be licensed in Texas (RN) Must have knowledge of Medicare (Parts A & B)Must have at least 2 years Home Health experience LENGTH OF ASSIGNMENT 12 Weeks SHIFT / HOURS PER WEEK Days, M-F 8am-5pm SYSTEMS EPIC START DATE 8/31/2026 Facility Location Positioned on the southern tip of sunny Florida, this beach town is one of the Sunshine State’s crown jewels. You’ll find unique Spanish and Mediterranean architecture throughout the city as well as swanky boutiques and chic cafés. From the revitalized shopping area of Minzer Park to the sparkling blue waters that border the city, Boca Raton is a place that many people would long to call home. Job Benefits Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including: Medical, dental and vision benefits Earned time off and paid holidays Paid continuing education time 401(K) retirement planning Short-term disability, life insurance, paid jury duty Access to the largest network of facilities and providers in the country Industry experienced workforce management team Licensure and certification reimbursement About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. AMN Healthcare Revenue Cycle Job ID 3561045. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager, Utilization Review About AMN Healthcare Revenue Cycle AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates. Benefits Medical benefits Dental benefits Company provided housing options Continuing Education