RN Case Manager / Utilization Review
Irvine, CA
American Traveler
5x8 hrs, Days
$2,886/weekOverview
- Start Date10/20/2026
- Shift Breakdown5x8 hrs
- ShiftDays
- Duration13 weeks
- SettingHospital
Pay
Description
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Oct 20, 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 5 years of experience and a CA RN license.
Details
- Case Management and Utilization Review role within a cancer specialty hospital setting
- Day shift schedule, 5x8 hours from 8:00 AM to 4:30 PM
- Weekend work required
- Uses Epic for documentation and InterQual criteria for utilization review
- Utilizes SBAR communication method
Requirements
- Active CA RN license required, in hand upon consideration (no pending license or EMSA accepted)
- BSN required
- BLS certification required
- Minimum 5 years of experience in case management/utilization review required
- Acute hospital experience required
- Long Term Acute Care/Rehab/Skilled Nursing experience required
- Experience with admission criteria, care coordination, and discharge planning required
- Proficiency with InterQual Criteria and Milliman Guidelines required
- Experience with UR admission criteria, appeals and denials, concurrent review, continued stay reviews, medical necessity, and retrospective review required
- Knowledge of CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and Joint Commission standards required
- Familiarity with Workers Compensation processes required
Additional Information
- Coordinate patient care, manage admissions, and oversee discharge planning within an acute cancer specialty hospital
- Conduct utilization reviews including concurrent and retrospective reviews to ensure medical necessity
- Flu vaccine or signed declination form required during flu season (October-March)
- No restrictive RTO rules for this position
- Local candidates accepted at local rate within a 75-mile radius
- First-time travelers are welcome to apply
- Travel pairs are allowed
- Former employees of this facility will not be considered for this position
Employer
American Traveler
83 nurses recommend working with American Traveler
Pros
Sebrona has been an incredible recruiter to work with during my job search for travel vascular sonography positions. From our very first conversation, she took the time to actually understand what I was looking for, not just throwing generic openings at me, but paying attention to my specialty, my preferences, and my timeline. She's responsive, communicative, and genuinely invested in finding the right fit rather than just filling a slot. Any time I had a question, she got back to me quickly with clear, honest answers. No runaround, no overselling a position just to close it out. Working with Sebrona has made the often stressful process of job hunting feel a lot more manageable. I'd recommend her to any traveler looking for a recruiter who actually listens and follows through.
Cons
None
1 nurse found this helpful
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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