Utilization Review RN
Arcata, CA
Prime Staffing
5x8 hrs
$1,960/weekOverview
- Start DateASAP
- Shift Breakdown5x8 hrs
- Duration13 weeks
Pay
Description
About the Position
Specialty: RN – Utilization Review
Experience: 2+ years of experience in utilization review, case management, or acute care nursing
License: Active State or Compact RN License
Certifications: BLS – AHA; Certified Case Manager (CCM) preferred
Must-Have: Strong understanding of insurance guidelines, medical necessity criteria (e.g., InterQual or MCG), and discharge planning
Description: The Utilization Review RN is responsible for reviewing medical records to determine the appropriateness and medical necessity of hospital admissions and continued stays. The nurse collaborates with providers, insurance companies, and case managers to ensure compliance with coverage guidelines and supports optimal patient outcomes while managing healthcare costs.
Requirements
Required for Onboarding:
- Active RN License
- BLS
Employer
Prime Staffing
6 nurses recommend working with Prime Staffing
Pros
Responsive, friendly. Advocates for me.
Cons
None
Recommends working with Prime Staffing
2 nurses found this helpful
At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.
We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
About Arcata, CA
As a Travel Utilization Review Nurse in Arcata, CA here's what you should know:- The cost of living in Arcata, CA is slightly higher than the national average, primarily due to housing costs.
- However, wages generally match up with the cost of living.
- Arcata experiences mild summers with average highs around 63°F and cool winters with average lows around 40°F.
- Short term rentals and furnished housing options can be found in Arcata, but availability may vary depending on the season.
- Arcata is relatively car-friendly, but it also offers public transportation options for residents and visitors.
- Arcata is known for its diverse population, with a mix of age ranges.
- Common health issues may include allergies due to the proximity to nature.
- Arcata attracts a good number of travel nurses due to its healthcare facilities and university.
- Arcata offers a variety of activities including local restaurants, art galleries, live music venues, and outdoor recreational opportunities such as hiking, biking, and beach activities.
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