GHR Healthcare - Travel is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Kinston, North Carolina.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 04/27/2026Duration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: Travel Registered Nurse (RN) – Utilization Review On-site Travel Contract – Kinston, NC\n On-site RN Utilization Review opportunity in Kinston, NC (28501) — 13-week travel contract for experienced utilization management nurses with EPIC expertise.
This on-site travel nurse role in utilization management offers meaningful clinical impact, collaboration with interdisciplinary teams, and a supportive workplace near parks, arts, and outdoor recreation.
Ideal for Registered Nurses looking for utilization review, case review, concurrent review, and payer liaison experience.\n\nJob Details\n\n Weekly Estimated Pay: $1,785 - $1,984\n Location: Kinston, NC (On-Site) — zip 28501\n Contract Type: 13-week travel contract (On-site)\n Shifts per Week: 5\n Shift Duration: 8-hour days (Monday–Friday, 8:30am–5:00pm)\n Schedule Perk: No weekends or on-call required\n Orientation: 24 hours\n Job Category: Registered Nurse, Utilization Review, Utilization Management, Travel Nurse\n\n\nQualifications\n\n Graduate from an accredited school of nursing (BSN preferred)\n Minimum of 2 years of Utilization Review or Utilization Management experience\n EPIC electronic medical record experience required\n Acute hospital experience required (inpatient concurrent review preferred)\n Prior travel nursing experience required\n Current NC RN license or compact state RN license\n BLS certification required\n ACM/CCM certification preferred\n\n\nResponsibilities\n\n Apply established criteria (InterQual and MCG) to evaluate appropriateness of admission, level of care, continued hospitalization, and readiness for care transition\n Conduct concurrent review and proactively resolve care, service, or transition delays in collaboration with the care team\n Serve as a utilization management nurse and payer liaison for third-party payers to support reimbursement and authorization\n Coordinate care with physicians, case managers, treatment teams, patients, and families to support discharge planning and transitions of care\n Communicate with physicians to obtain appropriate documentation to support authorization of services\n Manage insurance denials, peer-to-peer reviews, and appeals (preferred)\n Support timely movement of patients throughout the continuum of care and improve utilization metrics\n\n\n Experience the charm of Kinston, NC — a friendly city with a rich history, local arts, and easy access to outdoor recreation.
Join our healthcare team today and bring your expertise in EPIC, InterQual, and inpatient utilization management to a collaborative on-site environment in Kinston, NC.
Benefits 401K with Matching, Healthcare, Dental and Vision Equal Opportunity We are an equal opportunity employer and value diversity across our organization.
We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
GHR Healthcare - Travel Job ID #472444.
Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Posted job title: RN - Utilization ReviewAbout GHR Healthcare - Travel For over 30 years, GHR Healthcare has been the bridge between healthcare professionals and the facilities that need them nationwide.
We're committed to uncovering your ideal fit, supported by GHR's dedication to competitive compensation, transparent communication, and a devoted team that genuinely cares about your career journey.
You can trust us to stand by your side as your advocate, confidante, and partner in advancing your career.
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