Travel Contract

Travel Nurse RN - Case Manager, Utilization Review
Bakersfield, CA
Integrated Healthcare Services
5x8 hrs

$3,604/week

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Overview

Start DateASAP
Shift Breakdown5x8 hrs
Duration9 weeks

Pay

32% higher than average Registered Nurse / Utilization Review Nurse pay in California

Estimated total pay

$3,604/week

Description

Job Title

RN-Case Management (Utilization Review)

Location

Bakersfield, California

Employment Type

Clinical Nursing Travel

Contract Length

13 weeks

Work Schedule

Night shift
8 hours per day, 40 hours per week
Monday to Friday 8:00 AM - 4:30 PM with rotating weekend coverage

Job Summary

Utilization Review Nurse II performs utilization review and discharge planning activities, including evaluating medical records for inpatient admissions, coordinating with physicians and hospital services, ensuring proper documentation for reimbursement, and formulating discharge plans.

Key Responsibilities

Obtain and evaluate medical records to verify required documentation for admissions
Initiate Physician Advisories for unwarranted admissions
Conduct ongoing reviews and discuss care changes with attending physicians
Formulate and document discharge plans
Coordinate with hospital services to ensure efficient resource use
Identify pay source issues and provide intervention for referrals
Coordinate with admitting office and clinics regarding admissions and specialized tests
Review and approve surgery schedules to ensure authorization of elective procedures
Collaborate with correctional facilities on appropriate use of services
Educate providers on documentation requirements to maximize reimbursement
Assist in training Utilization Review Nurse I staff as needed

Required Qualifications

Experience & Education

Valid Registered Nurse license in California
Associate of Science in Nursing / Associate Degree in Nursing
Minimum 1 year of Utilization Review experience within the last year
Case Management experience
Experience with InterQual Guidelines
Knowledge of payor source documentation requirements and governmental regulations affecting reimbursement
Medical record evaluation skills

Licensure & Certifications

Current American Heart Association Healthcare Provider Basic Life Support (BLS) certification

Employer

Integrated Healthcare Services

Response timewithin an hour

Travel jobs$999–4,581/week

Jobs on Vivian200

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About Bakersfield, CA

As a Travel Utilization Review Nurse in Bakersfield, CA here's what you should know:

Cost of Living

Bakersfield's cost of living is lower than the national average, making it an affordable place to live.
Wages generally match up with the lower cost of living.

Weather

Summer average highs are around 95°F, and winter average lows are around 39°F.

Furnished Housing

Short term rentals are easy to find in Bakersfield, with many options available for furnished housing.

Transportation

Bakersfield is car-friendly, with a majority of residents relying on personal vehicles.
Public transportation options are available but may be limited compared to larger cities.

Demographics

Bakersfield has a diverse population with a wide age range.
Common health issues include respiratory conditions due to air quality concerns.
There is a growing population of travel nurses in the area.

Things to Do

Bakersfield offers a variety of restaurants featuring local and international cuisines.
The city has a vibrant arts and music scene, with opportunities to enjoy live performances.
Sports enthusiasts can partake in local events and outdoor activities such as hiking and biking.

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