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Travel RN Opportunity – Remote Utilization Review

Remote · USA Full-time New today

A leading acute care health system is actively seeking an experienced Registered Nurse – Utilization Review for a fully remote travel assignment. This is an outstanding opportunity for experienced Utilization Review nurses with acute care expertise, recent Epic experience, and strong InterQual knowledge looking for a stable remote contract with a nationally recognized healthcare organization. Position Details

  • Specialty: Utilization Review / Case Management
  • Position: Registered Nurse (RN)
  • Shift: Days – Monday through Friday (8:00 AM – 4:30 PM PST)
  • Guaranteed Hours: 40 Hours Weekly
  • Contract Length: 13 Weeks
  • Start Date: July 13, 2026
  • Location: Remote (Must Work Pacific Standard Time)

Why This Assignment Stands Out

  • Fully Remote Work Opportunity
  • Consistent Monday–Friday Day Schedule
  • Competitive Weekly Pay
  • Supportive Multi-Facility Utilization Review Team
  • Fast Submission & Interview Process
  • Opportunity for Contract Extension
  • Work with a nationally recognized acute care health system

Facility Highlights

  • Remote Acute Care Utilization Review Department
  • Epic Electronic Medical Record System
  • Supports Multiple California Acute Care Hospitals
  • Evidence-Based Utilization Management Practices
  • Collaborative Case Management Environment

Ideal Candidate

  • Active Registered Nurse (RN) License
  • Minimum 3 years of Acute Care Utilization Review experience in a hospital setting
  • OR 1 year of recent Remote Utilization Review experience
  • Previous Travel Experience Required (including remote travel assignments)
  • Recent Epic experience within the last 6–12 months
  • Strong working knowledge of InterQual Criteria (Required)
  • Experience with Medicare regulations, HMOs, IPAs, and utilization management processes
  • Self-motivated with excellent critical thinking, communication, and time management skills

Responsibilities

  • Perform concurrent and continued stay utilization reviews using InterQual criteria
  • Determine medical necessity and ensure compliance with evidence-based guidelines
  • Complete admission, retrospective, pre-certification, and prior authorization reviews
  • Collaborate with physicians, case managers, and interdisciplinary teams to support appropriate patient care
  • Review appeals, denials, discharge planning, and regulatory compliance requirements
  • Document all utilization review activities accurately within Epic while maintaining CMS, HIPAA, and organizational standards

Important Assignment Requirements

  • Acute Care Hospital Utilization Review experience is required
  • InterQual proficiency is a non-negotiable requirement
  • Recent Epic experience is required
  • Must be available to rotate between three supported facilities
  • Every third weekend rotation required based on department needs
  • Must strictly follow Pacific Time scheduling and California labor regulations
  • Overtime is not permitted unless pre-approved by leadership

This opportunity is actively interviewing experienced Utilization Review RNs and is expected to fill quickly. Qualified candidates are encouraged to apply immediately. Benefits:

  • Paid time off

Application Question(s):

  • Note: 1 year experience working in a remote Utilization review environment or 3 years experience working Utilization review in a hospital setting.

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