RN - Case Manager

Registered Nurse Utilization ReviewJob Title: Registered NurseProfession: NursingSpecialty: Utilization ReviewDuration: 13 weeksShift: DayHours per Shift: 8 hoursExperience: Minimum of 1 year in utilization reviewLicense: Valid state nursing license requiredCertifications: All required certifications must be in-hand when applyingMust-Have:Proficiency in EPIC and InterQual.Experience in clinical review and medical necessity determination.CPI Blue Card from the Crisis Prevention Institute required for all emergency room nurses.Description:Candidates must be highly proficient in EPIC and InterQual. Demonstrated experience using both systems for clinical review and medical necessity determination is required. This position is in person with the possibility to be remote, Monday through Friday, with no weekends or holidays. Pre-approved time off is allowed but cannot exceed five days. Shift times can start between 8 or 9 AM, depending on candidate availability. All required certifications must be in hand when applying. Previous charge experience and community hospital experience are preferred. Experience with acute hospital admission criteria, continued stay reviews, and medical necessity is required. References from two supervisors are required when applying. Local candidates will be considered. Candidates must be prepared for the possibility of no interview with the manager. Epic experience must be noted in the candidate's work history.Benefits:We offer competitive benefits, including:Medical, dental & vision insuranceFree and unlimited continuing education units (CEUs)24/7 dedicated Care Line and clinical liaison supportPersonalized career consultant and "single point of contact" serviceIndustry-leading pay rates, loyalty rewards & referral bonusesFree tax return assistance for travelers401(k) Retirement PlanHealth Savings Account (HSA)Disability Insurance (Short-Term and Long-Term)Life and AD&D InsurancePaid Sick Leave (where required by applicable state or local law)Supplemental Insurance PlansIdentity Theft ProtectionPet InsuranceEmployee Wellness ProgramsEmployee Assistance Program (EAP)Career Growth and Professional Development OpportunitiesDisclaimer: 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.About Cynet Health: 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.Job Board Disclaimer By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.