Utilization Review RN
Arcata, CA
AMN Healthcare Revenue Cycle
5x8 hrs

Job Description & Requirements
Utilization Review Nurse/Discharge Planner
StartDate: ASAP Pay Rate: $1800.00 - $2500.00

POSITION SUMMARY – CA - Utilization Review Nurse / Case Manager

POSITION DUTIES – Assess the medical necessity and appropriateness of healthcare services using InterQual, MCG, and payer guidelines, coordinate patient care across the continuum, secure authorizations, monitor resource utilization and length of stay, facilitate discharge planning, manage denials and appeals, collaborate with interdisciplinary teams, educate patients and families, and ensure regulatory compliance while promoting quality outcomes and cost-effective care.

MINIMUM REQUIRED QUALIFICATIONS – 

• Active Registered Nurse (RN) license in the state of California, in good standing.
• Associate Degree in Nursing (ADN) required.
• Minimum 4 years of recent clinical nursing experience in an acute care hospital, case management, utilization review, or discharge planning setting.

PREFERRED QUALIFICATIONS – Bachelor of Science in Nursing (BSN) preferred

LENGTH OF ASSIGNMENT – 13 weeks

SHIFT / HOURS PER WEEK – 8:00am - 4:30pm

SYSTEMS – CPSI/Evident

START DATE – ASAP

Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

• Medical, dental and vision benefits
• Earned time off and paid holidays
• Paid continuing education time
• 401(K) retirement planning
• Short-term disability, life insurance, paid jury duty
• Access to the largest network of facilities and providers in the country
• Industry experienced workforce management team
• Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.