AZ - RN Case Management/Utilization Review
Apply NowCompany: Tuba City Regional Health Care
Location: Tuba City, AZ 86045
Description:
Details
Client Name
Tuba City Regional Health Care
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Case Manager
Job ID
31202855
Job Title
AZ - RN Case Management/Utilization Review
Weekly Pay
$2948.0
Shift Details
Shift
Day - 8x5 - 08AM
Scheduled Hours
40
Job Order Details
Start Date
04/21/2025
End Date
07/21/2025
Duration
13 Week(s)
Job Description
Job Title: Registered Nurse - Care Manager, Utilization Review
Job Specialty: Care Manager, Utilization Review RN
Job Duration: 13 Weeks
Shift: Monday to Friday, 8am-5pm with weekend on-call rotation (1 weekend a month)
Guaranteed Hours: Not specified
Experience: Minimum of 3 years of clinical nursing experience, with at least 2 years on a medical-surgical unit, PACU, or higher acuity inpatient unit (ICU, Step-Down, Telemetry, etc.) or home health (direct care). Must have 1 year of traveling experience as a contractor.
License: Valid, current, full, and unrestricted Professional Nursing License to practice as a Registered Nurse in any state, Commonwealth, or territory.
Certifications: Must maintain current Basic Life Support (BLS) certification by the American Heart Association (AHA) throughout employment.
Must-Have:
- Fingerprinting to be submitted and cleared prior to start.
- Current immunizations, negative TB skin test proof from the last two years, documentation of 2 MMR vaccinations, Tdap, and Flu shot.
- Clean background check and negative 10-panel drug screen within 7 days prior to arrival.
Job Description:
- Serve as an Outpatient/Inpatient Case Manager/Utilization Review Registered Nurse responsible for direct supervision and supportive contact for specific patient assignments and high-risk patients.
- Design and manage a continuum of care focusing on empowering clients to achieve demonstrable outcomes and self-sufficiency.
- Perform Utilization Review and Management/Clinical Documentation Chart Reviews of patients in the acute clinical care and ambulatory care settings.
- Collaborate with the Social Work Case Manager on Discharge Planning and Care Transitions.
- Work closely with the Physician Advisor and participate in the Utilization Review Committee, conducting Clinical Documentation Chart Reviews related to peer review, financial or insurance determination, or claims denials.
- Link clients with Community Social Service providers, health care providers, substance abuse, and mental health providers to achieve specific goals.
- Experience working with culturally diverse low-income populations facing barriers to self-sufficiency, such as illiteracy, welfare dependency, domestic violence, substance abuse, and mental health issues.
- Commitment to Case Management Services and collaboration with Purchased and Referred Care Case Specialist.
- Orientation every two weeks.
- COVID vaccinations required (no religious exemptions accepted; medical exemptions require approval).
A culturally rich and diverse environment awaits, providing comprehensive services to a large region. Join a multidisciplinary team of dedicated professionals committed to high-quality care delivery.
Client Details
Address
167 Main St
City
Tuba City
State
AZ
Zip Code
86045
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Client Name
Tuba City Regional Health Care
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Case Manager
Job ID
31202855
Job Title
AZ - RN Case Management/Utilization Review
Weekly Pay
$2948.0
Shift Details
Shift
Day - 8x5 - 08AM
Scheduled Hours
40
Job Order Details
Start Date
04/21/2025
End Date
07/21/2025
Duration
13 Week(s)
Job Description
Job Title: Registered Nurse - Care Manager, Utilization Review
Job Specialty: Care Manager, Utilization Review RN
Job Duration: 13 Weeks
Shift: Monday to Friday, 8am-5pm with weekend on-call rotation (1 weekend a month)
Guaranteed Hours: Not specified
Experience: Minimum of 3 years of clinical nursing experience, with at least 2 years on a medical-surgical unit, PACU, or higher acuity inpatient unit (ICU, Step-Down, Telemetry, etc.) or home health (direct care). Must have 1 year of traveling experience as a contractor.
License: Valid, current, full, and unrestricted Professional Nursing License to practice as a Registered Nurse in any state, Commonwealth, or territory.
Certifications: Must maintain current Basic Life Support (BLS) certification by the American Heart Association (AHA) throughout employment.
Must-Have:
- Fingerprinting to be submitted and cleared prior to start.
- Current immunizations, negative TB skin test proof from the last two years, documentation of 2 MMR vaccinations, Tdap, and Flu shot.
- Clean background check and negative 10-panel drug screen within 7 days prior to arrival.
Job Description:
- Serve as an Outpatient/Inpatient Case Manager/Utilization Review Registered Nurse responsible for direct supervision and supportive contact for specific patient assignments and high-risk patients.
- Design and manage a continuum of care focusing on empowering clients to achieve demonstrable outcomes and self-sufficiency.
- Perform Utilization Review and Management/Clinical Documentation Chart Reviews of patients in the acute clinical care and ambulatory care settings.
- Collaborate with the Social Work Case Manager on Discharge Planning and Care Transitions.
- Work closely with the Physician Advisor and participate in the Utilization Review Committee, conducting Clinical Documentation Chart Reviews related to peer review, financial or insurance determination, or claims denials.
- Link clients with Community Social Service providers, health care providers, substance abuse, and mental health providers to achieve specific goals.
- Experience working with culturally diverse low-income populations facing barriers to self-sufficiency, such as illiteracy, welfare dependency, domestic violence, substance abuse, and mental health issues.
- Commitment to Case Management Services and collaboration with Purchased and Referred Care Case Specialist.
- Orientation every two weeks.
- COVID vaccinations required (no religious exemptions accepted; medical exemptions require approval).
A culturally rich and diverse environment awaits, providing comprehensive services to a large region. Join a multidisciplinary team of dedicated professionals committed to high-quality care delivery.
Client Details
Address
167 Main St
City
Tuba City
State
AZ
Zip Code
86045
Job Board Disclaimer
By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text HELP for more info, or STOP to unsubscribe.
Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.