Travel Nurse RN - Utilization Review

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Portales, New Mexico.

Job Description & Requirements

• Specialty: Utilization Review
• Discipline: RN
• Start Date: 07/27/2026
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

This position is responsible for:

• Routine case management, discharge planning, swing bed coordinator and utilization review duties.
• Evaluating and screening potential admissions to the facilities swing bed program
• knowledgeable of criteria for Medicare, Medicaid, HMO, swing bed and private insurance coverage
• Initiate ongoing communication with the resident and resident's family to assess discharge needs.
• Actively involvement in daily rounds with bedside staff, physicians and ancillary team members
• Communicate with physicians to ascertain their plans for a timely discharge.
• document updates and discharge planning as an ongoing review.
• Manage and collaborate with the healthcare team on swing bed placement and complete MDS documentation as necessary.
• assist with obtaining referrals, prior authorization for Home Health Care, CME, SNF, acute rehab and appointments.
• Educates physicians and staff regarding appropriate level of care/utilization and required documentation that meets admission status
• Run Interqual for each IP and OBS patient admitted to the floor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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About LanceSoftBenefits

• Weekly pay
• Medical benefits