Travel Utilization Review RN
| Estimated Pay info | Based on similar jobs in your market$59 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Apple Valley, California |
About this job
Job Description
Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Apple Valley, California.
Job Description & Requirements- Specialty: Utilization Review
- Discipline: RN
- Start Date: 07/20/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
We are seeking an experienced RN Case Manager with a strong background in acute care hospital settings.
This role requires expertise in care coordination, discharge planning, medical necessity reviews, prior authorizations, and collaboration with interdisciplinary teams to optimize patient outcomes and resource utilization.
Required Qualifications
- Active Registered Nurse (RN) License
- Recent Acute Care Hospital Case Management experience
- Experience with Utilization Review and Care Coordination
- Strong understanding of Admission Criteria and Medical Necessity Reviews
- Experience obtaining Prior Authorizations
- Knowledge of Discharge Planning and Transitional Care
- Familiarity with CMS regulations, DRGs, and HIPAA requirements
- Acute Care Hospital Experience
- Case Management
- Utilization Management
- Care Coordination
- Discharge Planning
The ideal candidate will be responsible for coordinating patient care, facilitating safe and timely discharges, conducting utilization reviews, and ensuring compliance with regulatory and reimbursement guidelines.
About Prime StaffingAt Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.
We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
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