Travel Nurse RN - Utilization Review
Middleburg Heights, OH
Encode INC
5x8 hrs, Days
Referral Bonus

Urgent Hiring – Utilization Management (UM) Registered Nurse
 

Location: Southwest General Health Center – Middleburg Heights, OH
Position: Utilization Management (UM) RN / Utilization Specialist
Schedule: Full-Time | 40 Hours/Week | Monday–Friday | 8:00 AM – 4:30 PM + Every 3rd Weekend
Pay Rate: $65 per hour and $2600 per week.
 

Position Overview:
 

We are actively seeking an experienced Utilization Management Registered Nurse (UM RN) to join the team at Southwest General Health Center. This is an on-site opportunity for a highly skilled RN with extensive Utilization Review and Case Management experience who can work efficiently in a fast-paced acute care environment.
 

Responsibilities:

• Perform 25–30 utilization reviews per day while ensuring timely and accurate documentation.
• Review medical necessity using InterQual and MCG Criteria.
• Complete utilization reviews utilizing standardized documentation templates.
• Collaborate with physicians, case managers, and interdisciplinary teams regarding patient status and level of care.
• Ensure compliance with payer guidelines, regulatory standards, and hospital policies.
• Utilize Cerner EMR for documentation and patient review activities.
• Participate in weekend coverage on a rotating schedule (every 3rd weekend).

Minimum Qualifications:

• Active Registered Nurse (RN) License.
• Minimum 5 years of recent RN experience.
• 2–3 years of recent Utilization Management/Utilization Review or Case Management experience.
• Case Managers with strong Utilization Management experience will be considered.
• Previous travel assignment experience is required.
• Hands-on experience with:
  • Cerner EMR
  • InterQual
  • MCG Criteria
  • Standardized Templates
• Ability to independently complete 25–30 reviews per day.
• Must be available to work 100% onsite (Remote work is not available).

Preferred Qualifications:

• ACM (Accredited Case Manager) or CCM (Certified Case Manager) Certification.

Why Apply?

• Competitive pay rates.
• Immediate interview opportunities.
• Work with a respected healthcare organization.
• Long-term assignment with a stable schedule.
• Opportunity to make an impact in patient care and resource management.

📩 We're actively interviewing and submitting qualified candidates. Apply today if you meet the requirements or know someone who would be a great fit!