Travel Nurse RN - Utilization Review - $57 per hour in Arcata, CA
Adelphi Medical Staffing
Arcata, CA
JOB DETAILS
SALARY
$57–$57
SKILLS
Analysis Skills, Case Management, Clinical Study Publications, Communication Skills, Documentation, Documentation Review, Insurance, Maintain Compliance, Medical Records, Nursing Credentials, Organizational Skills, Patient Assessment, Quality of Care, Registered Nurse (RN), Regulatory Compliance, Utilization Management
LOCATION
Arcata, CA
POSTED
3 days ago
- Ref #: M-RN-293973
- Profession: Registered Nurse
- Specialty: Utilization Review
- Job Type: Contract/Travel
- Start Date: ASAP
- Location: Arcata, CA
- Shift Schedule: 8a-4:30p
- Shift Type: Days
- Rate: $2,052/36-hours
Requirements:
- Active RN license
- Graduate of accredited nursing program (BSN preferred)
- Previous utilization review or case management experience preferred
- Knowledge of payer guidelines and medical necessity criteria
- Strong analytical and documentation skills
- Excellent communication and organizational abilities
Responsibilities:
- Review patient records to assess medical necessity and level of care
- Ensure compliance with payer and regulatory guidelines
- Collaborate with providers and case management teams
- Submit clinical documentation to insurance companies
- Monitor length of stay and resource utilization
- Identify opportunities for cost-effective care delivery
- Participate in denial management and appeals process
- Document review findings accurately
About the Company
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