US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Registered Nurse - Case Manager:
-
Employment Type:
Contractor
-
Location:
San Diego, CA (Onsite)
Do you meet the requirements for this job?
Registered Nurse - Case Manager
Careers Integrated Resources Inc
San Diego, CA (Onsite)
Contractor
- Job Title: Registered Nurse (RN) – Case Management (Utilization Review)
- Location: San Diego, CA – 92120
- Contract: 13 Weeks (Possible Extension)
- Schedule: Day Shift
- Pay (Local): $70/hr – $80/hr (W2)
- Pay (Travel): $2,700 – $3,350/week (Stipends Included)
- Perform comprehensive reviews of patient medical records to evaluate the necessity, appropriateness, and efficiency of healthcare services.
- Collaborate with physicians, healthcare providers, and insurance representatives to ensure compliance with clinical guidelines and regulatory standards.
- Manage patient care transitions, coordinate discharge planning, and promote cost-effective quality outcomes.
- Maintain accurate and timely documentation in accordance with facility policies and payer requirements.
- Apply critical thinking and evidence-based practices to support utilization management and case coordination decisions.
- Active California RN license (unrestricted).
- Minimum 2 years of recent experience in Case Management or Utilization Review.
- Strong understanding of InterQual or Milliman criteria.
- Excellent communication, organization, and clinical documentation skills.
- BLS certification (AHA preferred).
Get job alerts by email.
Sign up now!
Join Our Talent Network!