RN Utilization Review

Location: Orange, CA
Contract Type: Travel
Duration: 13 weeks
Shift: 5x8 Days (Monday–Friday, in-person; no weekends or holidays)
Pay: $2,520/week
Completion Bonus: $2,500 per contract (up to $7,500 after three contracts)

Job Description

Travel RN Utilization Review needed for an in-person acute care role focused on clinical review and medical necessity determination. Schedule is weekday days only with no weekends or holidays. Candidate must be highly proficient in Epic and InterQual and have hands-on experience using both for utilization review workflows. Pre-approved time off is limited per contract. Modules are completed pre-start and annually.

Key Responsibilities

• Perform utilization review and medical necessity determinations
• Conduct concurrent and continued stay reviews
• Apply InterQual criteria for admission and level-of-care decisions
• Complete clinical documentation and review activities in Epic
• Support admission criteria and CMS-related review processes
• Assist with MOON notices and payer-related review requirements
• Collaborate with care teams and payers regarding authorizations and status reviews

Qualifications

• Active California RN license required in hand at submission (EMSA not accepted)
• Minimum 1 year utilization review or related experience required
• High proficiency with Epic required
• Demonstrated InterQual experience required
• Acute hospital experience required
• Knowledge of CPT coding, billing, and medical necessity review preferred
• Two supervisor references required at submission
• No Nursys or background hits accepted
• Must meet RTO and compliance requirements at submission

Benefits

• Weekly pay with competitive rates
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Referral bonuses for referring talented professionals into our network
• Flexible schedules and dedicated recruiter support

About ATC Healthcare

ATC Healthcare has been a leader in healthcare staffing for nearly 40 years, offering personalized placement and support to healthcare professionals nationwide. With over 60 locations, we are committed to connecting skilled nurses, therapists, and clinicians with rewarding career opportunities.

Other Duties:
Please note this job summary is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may vary by assignment and may change at any time with or without notice.

Equal Opportunity Employer:
ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other category protected by Federal, State, or local law.

ID: 3168495