Utilization Review RN - per week

RadHealth+ is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Torrance, California.

Job Description & Requirements

Specialty: Utilization Review

Discipline: RN

Duration: 13 weeks

40 hours per week

Shift: 8 hours, days

Employment Type: Travel

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

About RadHealth+

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:

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

Benefits

401k retirement plan

Weekly pay

Dental benefits

Medical benefits

Referral bonus

Vision benefits

Contractor