DetailsClient Name Providence Saint Mary Medical Center - Apple Valley Job Type Travel Offering Nursing Profession Registered Nurse (RN) Specialty Case Management Job ID 36168207 Job Title Registered Nurse (RN) - Case Management Weekly Pay $1712.0 Shift DetailsShift Days - 5 x 8 Scheduled Hours 40 Job Order DetailsStart Date 04/06/2026 End Date 07/06/2026 Duration 13 Week(s) Job Description Title Utilization Review Registered Nurse Schedule Weekend requirement: Minimum 4 day shifts within a 6-week period Orientation: 40 hours Assignment Details Daily census: ~40 patients Patient age groups: Neonates, adolescents, adults, geriatrics Requirements - CA RN license required; pending license accepted if fully licensed by start date - Minimum 3 years acute medical Care Manager/Utilization Management (UM) experience performing utilization review in a hospital setting - Recent Epic use required (within last 6-12 months) - Travel experience required; seasoned traveler only - Key systems/tools: Epic (charting) and InterQual Roles & Responsibilities - Conduct concurrent review, continued stay/review, prior authorization, retrospective review, and medical necessity determinations. - Manage appeals and denials processes. - Ensure compliance with Medicare regulations, DRG, CMS guidelines, and The Joint Commission core measures. - Collaborate with healthcare teams to provide quality patient care based on established protocols and standards. Compliance / Notes - Facility requires commitment to work 3 of the following 5 holidays: Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, New Year's Day - Flu vaccine status: Unknown - Dress code: Business attire Client DetailsAddress 18300 US Highway 18 City Apple Valley State CA Zip Code 92307 Job Board Disclaimer TLC Nursing Associates, Inc. is an equal-opportunity employer and fully complies with all applicable federal, state, and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, veteran status, or any other status protected under the law. Accuracy of Information: All job listings are subject to change, and while we strive to ensure that all job information, including job descriptions, pay packages, and shift details, is accurate and up-to-date, we cannot guarantee the availability or specifics of any position at the time of application. Pay packages and shift availability may vary based on facility needs and may be subject to changes before or after hire.
Job Title
Registered Nurse (RN) - Case Management