Travel Nurse RN - Case Manager - $2,806 per week in Irvine, CA

Job Title: Case Manager Utilization Review RN Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 Experience: Minimum 5 years acute hospital experience License: State Registered Nurse License Certifications: BLS, BSN, Chemo Certification encouraged Must-Have: - Epic & InterQual documentation experience - Acute hospital experience - Care coordination experience - Discharge planning experience - Experience with admission criteria and criteria utilization Description: We are seeking a Case Manager and Utilization Review RN for a cancer specialty hospital. This role requires a minimum of 5 years of acute hospital experience. Epic and InterQual documentation skills are essential. Strong SBAR communication skills are required. Weekend shifts may be necessary. The RN will handle care coordination and discharge planning. Knowledge of CMS guidelines, CPT coding, and DRG is expected. Experience with utilization review processes, including concurrent reviews and retrospective reviews, is crucial. The candidate should be familiar with HIPAA guidelines and have experience with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. This position involves working in compliance with national safety goals and quality assurance standards.