New!
Travel Nurse RN - Utilization Review - $2,213 to $2,308 per week in Beverly Hills, CA TravelNurseSource
Beverly Hills, CA1 day ago
- $2,213–$2,308
| Location | Torrance, CA |
RadHealth+ is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Torrance, California.
Role: RN Utilization Review (Remote)
Location: Torrance, CA
Shift: Day 5x8-Hour (08:00 - 16:30)
Pay: 50$/Hr
Job Description
Laptop, keyboard and mouse will be provided by the facility
MUST have CA license
We are seeking a detail-oriented and analytical Registered Nurse (RN) to join our Utilization Review team. In this role, you will evaluate the appropriateness, necessity, and efficiency of healthcare services, ensuring patient care aligns with established clinical guidelines, regulatory standards, and payer requirements.
Key Roles and Responsibilities
Clinical Reviews: Conduct admission, continued stay, and discharge reviews using evidence-based criteria (e.g., InterQual or MCG) to determine medical necessity.
Care Coordination: Collaborate with physicians, case managers, and multidisciplinary healthcare teams to facilitate efficient patient throughput and discharge planning.
Compliance & Documentation: Maintain accurate, timely documentation of review outcomes, payer communications, and denials management to ensure regulatory compliance.
Payer Liaison: Serve as a primary point of contact for insurance companies and managed care organizations to secure timely authorizations and address concurrent review inquiries.
Documents Required
Updated resume
RN license
Bls Certificate
Driving License
Covid Card
2 Supervisory References
Skills Checklist
At RADHealth+, a division of RADgov, Inc. we're redefining healthcare staffing by connecting exceptional talent with healthcare organizations that need them most. Our approach combines cutting-edge technology with personalized service to deliver staffing solutions that make a real difference.
Website Link:https://radhealthplus.com/
Locations: Nationwide
24/7 Support: Our dedicated team is always available to address your staffing needs, day or night.
Clinical Staffing
Travel and Local Registered Nurses (ICU, Med-Surg, OR, ER, Psych, Tele, all specialities.)
Advanced Practice Providers (NPs, PAs, CRNAs)
Physicians (MD/DO)
Certified Nursing Assistants & LPNs
Allied Health Professionals (PT, OT, RT, Lab Techs, Radiology, etc.)
Travel Nurses & Rapid Response Teams
Allied & Behavioral Health
Speech & Language Pathologists (SLPs)
Occupational Therapists (OTs)
Physical Therapists (PTs)
Respiratory Therapists
Radiologic and MRI Techs
LCSWs, Therapists, Counselors