RN Case Manager / Utilization Review
Irvine, CA
American Traveler
5x8 hrs, Days
$2,853/weekOverview
- Start Date09/15/2026
- Shift Breakdown5x8 hrs
- ShiftDays
- Duration13 weeks
- SettingHospital
Pay
Description
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Sep 15, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring an experienced RN Case Manager/Utilization Review nurse for a cancer specialty hospital, requiring a BSN, active CA RN license, and 5 years of relevant experience.
Details
- Case Management/Utilization Review position at a cancer specialty hospital
- Day shift schedule, 5x8-hour shifts from 8:00 AM to 4:30 PM
- Weekend work required
- Utilizes Epic EMR and InterQual documentation
- Uses SBAR communication method
Requirements
- Active CA RN license required in hand, no pending licenses accepted
- BSN required
- Current BLS certification required
- Minimum 5 years of case management/utilization review experience required
- Acute hospital and Long Term Acute Care/Rehab/Skilled Nursing experience required
- Experience with InterQual Criteria and Milliman Guidelines required
- Utilization review experience including admission criteria, appeals and denials, concurrent review, continued stay reviews, medical necessity, and retrospective review
- Knowledge of CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and Joint Commission standards
- Care coordination and discharge planning experience required
- Epic charting experience required
Additional Information
- Responsible for care coordination, discharge planning, and utilization review functions
- Conducts admission criteria reviews, appeals and denials management, and concurrent and retrospective reviews
- Ensures compliance with regulatory standards including CMS, HIPAA, and Joint Commission requirements
- Flu vaccine or signed declination form required during flu season (October-March)
- No restrictive rules on requested time off
- First-time travelers are welcome to apply
- Travel pairs are allowed
- Local candidates accepted within a 75-mile radius at local rate
- Former employees will not be considered for this position
Employer
American Traveler
82 nurses recommend working with American Traveler
Pros
I had a great experience working with my recruiter Sebrona. She was incredibly responsive, got my application submitted quickly, and kept me updated throughout the entire process. She made the travel nursing job search smooth and stress-free. I really appreciated her communication and dedication to helping me find the right assignment. I would definitely recommend her to any travel nurse looking for a recruiter who truly wants the best for their nurses.
Cons
None
Recommends working with American Traveler
With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.
With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.
With our team behind you, you can relax and enjoy a rewarding travel career.
Irvine, CA
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