RN Case Manager – Utilization Review
Bakersfield, CA
Host Healthcare
5x8 hrs, Nights
Referral Bonus
$3,336/weekOverview
- Start Date06/15/2026
- Shift Breakdown5x8 hrs
- ShiftNights
- Duration13 weeks
Pay
Benefits
- Referral bonus
- School loan reimbursement
- Vision benefits
- Wellness and fitness programs
- Company provided housing options
- License and certification reimbursement
- Life insurance
- Medical benefits
- Mileage reimbursement
- Pet insurance
- Discount program
- Employee assistance programs
- Guaranteed Hours
- Health savings account
- Holiday Pay
- 401k retirement plan
- Continuing Education
- Dental benefits
Qualifications
- Associate of Science in Nursing, Bachelor of Science or Bachelor of Science in Nursing
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
Host Healthcare
231 nurses recommend working with Host Healthcare
Pros
Friendly, professional,
Cons
None
Recommends working with Host Healthcare
3 nurses found this helpful
At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don’t have to.
We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what’s important to you.
During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment.
Travel comfortably with Host Healthcare.
About Bakersfield, CA
As a Travel Nurse Case Manager in Bakersfield, CA here's what you should know:- 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.
- Summer average highs are around 95°F, and winter average lows are around 39°F.
- Short term rentals are easy to find in Bakersfield, with many options available for furnished housing.
- 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.
- 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.
- 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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