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Case Manager - Utilization Review
Location: Irvine, California
Start Date: 06-16-2026
End Date: 09-15-2026
Contract Type: Travel Contract
Shift Type: 3x12-Hour Day shifts, 7:00 AM - 7:30 PM, weekends required, every other weekend
Hours per Week: 36
Candidate Pay Rate: $70 per hour
About United Health Care Staffing
At United Health Care Staffing (UHC Staffing), we believe healthcare staffing should be more than just finding a job. We are here to connect amazing professionals with opportunities that make their careers exciting, rewarding, and meaningful. With us, you're not just signing up for a contract you are joining a team that's got your back, answers your calls, and maybe even cracks a joke or two to brighten your day. Think of us as the travel buddy who handles the logistics while you focus on what you do best helping people heal.
Roles & Responsibilities
- Coordinate seamless care for complex cancer patients, making a real difference in their journeys
- Conduct utilization reviews using InterQual and Milliman guidelines to ensure optimal resource use
- Plan thoughtful discharges and manage appeals to advocate fiercely for your patients
- Collaborate with interdisciplinary teams via SBAR for top-notch communication
- Navigate regulatory landscapes like CMS and HIPAA to uphold the highest standards
Qualifications
- RN with active state license, BLS certification, and BSN required
- 5 years of experience in case management or utilization review
- Proficiency in Epic documentation and InterQual criteria
- Background in acute hospital, LTAC, rehab, or skilled nursing settings
Education
- B
- S
- N
- r
- e
- q
- u
- i
- r
- e
- d
Knowledge & Skills
- Expertise in admission criteria, care coordination, and discharge planning
- Skilled in UR processes including concurrent reviews, medical necessity, and appeals
- Familiar with regulatory frameworks like DRG, ICD-10, HIPAA, and Joint Commission standards
Benefits
- Comprehensive medical, dental, and vision coverage to keep you thriving
- Generous paid time off for those well-deserved breaks
- 401K retirement plan to secure your future
- Life and disability insurance for peace of mind
- Travel reimbursement and licensure support
- Referral bonuses for bringing your talented friends along
Travel Perks: Explore Irvine, California
Dive into Southern California's sun-soaked vibes in Irvine! Hike the stunning trails of Crystal Cove State Park, catch waves at nearby Laguna Beach, explore the interactive exhibits at the Irvine Spectrum Center, or take a quick drive to Disneyland for magical weekend adventures.
Apply Now
Ready to start your next adventure as a Case Manager - Utilization Review? Let's get you moving forward!
Send your resume to [email protected] or call us at 408-441-9200 today.
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#CaseManagerJobs #UtilizationReviewRN #IrvineCAJobs #CaliforniaTravelNurse #HealthcareJobs #RNJobs #UHCareers #TravelNursing #CancerCare #EpicJobs