TalentBurst, Inc is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California.
8-4:30, 9-5:30 PST
Laptop, keyboard and mouse will be provided by the facility
MUST have CA license
Previous Charge Experience: -
Years of Experience: 3 years
Note: At least 3 years of acute Case Management / Utilization Management experience.
Patient Ratio Experience: 1:40
Charting System: Epic – Required
Teaching Hospital Experience: -
Community Hospital Experience: -
LTAC Experience: -
Trauma Level I Experience: -
Trauma Level II Experience: -
Travel Experience Required: No
Note: Will depend on experience.
None specified.
Acute Hospital
Ambulatory
Admission Criteria
Care Coordination
Concurrent Review
Continued Stay Reviews
Determine Medical Necessity per Evidence-Based Guidelines
Disease Management
Plan of Care
Pre-Cert Review*
Prior Authorizations*
Retrospective Review*
Utilize InterQual Criteria
Admission Criteria
Concurrent Review
Continued Stay Reviews
CPT (Current Procedural Terminology) Coding and Billing
Medical Necessity
Pre-Cert Review*
Prior Authorization*
Retrospective Review*
Utilize InterQual Criteria
CMS – Centers for Medicare and Medicaid Services
CPT (Current Procedural Terminology) Coding and Billing
Department of Health
DRG – Diagnosis Related Groups
HIPAA Guidelines – Health Insurance Portability and Accountability Act
The Joint Commission / Core Measures / National Safety Goals
ICU
Medical-Surgical (MS)
Pediatrics*
Remote Utilization Review (UR) Work
CA and Medi-Cal Experience/Knowledge*
*Preferred skill/certification.
TalentBurst, Inc Job ID #26-30037. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Utilization Review Registered Nurse
TalentBurst Health & Life Sciences is an established provider of healthcare workforce solutions, servicing healthcare facilities across the United States for over 15 years. As a Joint Commission Certified Agency, our commitment to quality, integrity, and exceptional service has made us a trusted name in the healthcare staffing landscape.
Our mission is to bridge the gap between healthcare professionals seeking fulfilling opportunities and healthcare organizations striving to maintain their high standards of care. We are committed to providing top-notch healthcare professionals with access to facilities where they can focus on delivering exceptional patient care and thrive.
Whether you're a nurse, allied health professional, or administrative personnel, we have the expertise to match your skills and aspirations with the perfect placement.
| Location | Torrance, CA |
| Industry | Staffing/Employment Agencies |
| Company Size | 5,000 to 9,999 employees |
| Year Founded | 2002 |
| Website | http://www.talentburst.com/ |
For over 20 years, TalentBurst Inc. has been an award-winning provider of cutting-edge Workforce Management Solutions. With a strong commitment to staying ahead in the tech landscape, we pioneer innovative approaches to talent acquisition. Our expertise spans Life Sciences, and Healthcare Staffing, Banking, Financial, IT, and Engineering, as well as Global Employer of Record (EOR), Agent of Record (AOR), State, Local Government and Education (SLED), and IC validation/compliance services. Additionally, our division, TalentProcure, leads the industry with offerings such as High Hazard Payroll, Managed Services, and Vendor on Premise (VOP) solutions.
Due to our prioritization of excellent standards, we are Joint Commission Certified and are a certified Minority Business Enterprise (MBE) in the USA and Canada. Supporting over 130 Fortune 500 companies globally, we excel in navigating the landscape of talent acquisition. In a world of constant change, we embrace developing people-centric solutions that address the unique demands of our clients. Stay connected by visiting our website and following us on social media!
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