Travel Nurse Case Manager Utilization Review

1 week ago


Philadelphia, Pennsylvania, United States Medical Solutions Full time

We are seeking a skilled Travel Nurse Case Manager for our Utilization Review team in Oakland, California.

About the Job

This is a 13-week assignment with 36 hours per week, working 8-hour shifts. You will be responsible for utilizing your clinical expertise to review and manage patient cases, ensuring efficient use of healthcare resources.

Responsibilities
  • Utilize clinical judgment to review and manage patient cases
  • Collaborate with healthcare teams to optimize patient care and resource utilization
  • Analyze data to identify trends and areas for improvement
Requirements

To be successful in this role, you will need:

  • A valid RN license in the state of California
  • Experience in case management or a related field
  • Strong analytical and problem-solving skills
  • Excellent communication and interpersonal skills
What We Offer

As a travel nurse with Medical Solutions, you can expect:

  • A competitive estimated salary of $120,000 - $150,000 per year, based on experience and location
  • Weekly pay, holiday pay, and guaranteed hours
  • Pet insurance, company-provided housing options, and cancelation protection
  • Mileage reimbursement and a referral bonus program
  • Continuing education opportunities and licensure/certification reimbursement

We offer a comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) retirement plan. Our goal is to provide a supportive work environment that allows you to thrive both personally and professionally.



  • Philadelphia, Pennsylvania, United States Medical Solutions Full time

    Medical Solutions Job OpportunityWe are seeking a skilled travel nurse RN Case Manager for a utilization review position in Oakland, California.About the RoleType: Travel NursingDuraction: 13 weeksHours per week: 36 hoursShift: 8 hours, daysBenefitsCompetitive salary: $96.16/hour, estimated annual salary: $198,560/yearDay One medical, dental, and vision with...

  • Medical Case Manager

    3 weeks ago


    Philadelphia, Pennsylvania, United States Temple University Hospital Full time

    Temple University Hospital Job Description About the RoleWe are seeking a skilled Medical Case Manager to join our team at Temple University Hospital. This individual will be responsible for handling complex authorization issues and ensuring that precertification/authorization requirements are met.ResponsibilitiesThe successful candidate will serve as the...


  • Philadelphia, Pennsylvania, United States Temple University Hospital Full time

    Job OverviewTemple University Hospital seeks a skilled Nurse Utilization Review Specialist to join our team. This role is responsible for ensuring the efficient handling of complex authorization issues in the Pre-certification Department.Key ResponsibilitiesServing as the primary clinical resource for precertification/authorization issues, ensuring timely...


  • Philadelphia, Pennsylvania, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a dedicated travel nurse to fill a challenging Case Management role in Philadelphia, Pennsylvania. As part of our dynamic team, you will have the opportunity to work on high-priority cases and provide exceptional patient care.


  • Philadelphia, Pennsylvania, United States Nextus Billing Solutions Full time

    Responsibilities and DutiesEvaluate and prepare medical records to justify medical necessityAdvocate on behalf of clients to ensure services are covered by insurance companiesCommunicate effectively with care managers and other stakeholders to ensure smooth operationsRequirements and Qualifications:Experience conducting utilization reviews in a healthcare...


  • Philadelphia, Pennsylvania, United States The Children's Hospital of Philadelphia Full time

    About the PositionAt The Children's Hospital of Philadelphia, we are seeking a highly skilled and experienced Inpatient Nursing Case Manager to join our team. This is a full-time position requiring 40 hours of work per week, all on-site.Job SummaryWe are looking for an individual with at least five years of previous nursing experience, preferably with...


  • Philadelphia, Pennsylvania, United States Talent4Health Full time

    We are seeking a skilled Clinical Case Manager to join our team as a travel nurse RN. In this role, you will work with patients and their families to ensure seamless transitions through the healthcare system.About the JobThis is a 13-week contract opportunity with a leading healthcare organization in Philadelphia, Pennsylvania. As a Clinical Case Manager,...


  • Philadelphia, Pennsylvania, United States Temple Health Full time

    Job Summary:We are seeking a highly skilled and compassionate Case Manager to join our team at Temple Health. As a key member of our interdisciplinary team, you will play a critical role in ensuring seamless patient care transitions, efficient resource allocation, and effective communication among healthcare providers.**About Us:**Temple Health is a renowned...


  • Philadelphia, Pennsylvania, United States Nextus Billing Solutions Full time

    Job SummaryThe Utilization Review Senior Specialist plays a vital role in ensuring timely authorization of medical services by performing various functions, including navigating electronic medical records, advocating for patients, and communicating with insurance carriers. This position requires strong analytical skills to evaluate medical records and...


  • Philadelphia, Pennsylvania, United States Temple Health Full time

    **Temple Health is Proud to Offer:**A rewarding career opportunity as a Registered Nurse Case Manager at Chestnut Hill Hospital. Our team is dedicated to providing excellent patient-centered care, and we are looking for a skilled nurse to join us in this effort.About the Role:The Case Manager is responsible for coordinating the care and services for an...


  • Philadelphia, Pennsylvania, United States Vibra Travels Full time

    Vibra Travels is a leading provider of travel nursing services, seeking highly skilled Registered Nurses for various assignments across the United States. As a travel nurse with Vibra Travels, you will have the opportunity to work in top-rated facilities, gain valuable experience, and enjoy a competitive hourly rate.Job OverviewWe are currently looking for...


  • Philadelphia, Pennsylvania, United States Vibra Travels Full time

    Vibra Travels is a renowned travel nursing agency that offers unparalleled opportunities for registered nurses like you. We are currently seeking an experienced RN to fill a challenging and rewarding position as a case manager in Philadelphia, Pennsylvania.">">About the Position:">">This 13-week contract offers a competitive hourly rate in addition to a...


  • Philadelphia, Pennsylvania, United States Insight Global Full time

    Are you a detail-oriented and organized RN or LPN looking for a new challenge? Insight Global is seeking a Clinical Quality Reviewer to join our team in PA and NJ. As a Clinical Quality Reviewer, you will be responsible for reviewing medical records, abstracting data, and ensuring compliance with HEDIS measures.Job SummaryWe are offering a partially remote...


  • Philadelphia, Pennsylvania, United States Children's Hospital of Philadelphia Full time

    OverviewChildren's Hospital of Philadelphia is committed to delivering exceptional care to its patients. As a Pediatric Case Manager, you will play a vital role in ensuring that our patients receive the highest quality care and support.About the RoleWe are seeking an experienced Registered Nurse with at least five years of experience to join our team as a...


  • Philadelphia, Pennsylvania, United States Children's Hospital of Philadelphia Full time

    About the Opportunity">This Full-Time position offers a unique opportunity to make a meaningful impact on the lives of patients and families at Children's Hospital of Philadelphia (CHOP). As a Registered Nurse Case Manager Inpatient, you will be part of a diverse community of healthcare professionals who are dedicated to delivering exceptional care.">Company...

  • Clinical Care Manager

    3 weeks ago


    Philadelphia, Pennsylvania, United States Community Behavioral Health. Full time

    Job SummaryWe are seeking a skilled Clinical Care Manager to join our team at Community Behavioral Health. This role involves managing the utilization of services, ensuring timely access to quality care for our members.About the RoleThe successful candidate will be responsible for conducting utilization review activities, population management, cross-system...


  • Philadelphia, Pennsylvania, United States Travel Nurse Across America Full time

    At Travel Nurse Across America, we are seeking a highly skilled Radiology Technologist to join our team for a 13-week travel assignment in Philadelphia, Pennsylvania. This is an excellent opportunity for experienced professionals to work on high-paying assignments in exciting locations across the country.About the JobThe successful candidate will be...


  • Philadelphia, Pennsylvania, United States Community Behavioral Health. Full time

    Key ResponsibilitiesThis is a full-time position that requires a minimum of 40 hours per week. The Clinical Care Manager will be responsible for the following tasks: Conducting utilization review activities, including interagency meetings, social determinants interviews, treatment team meetings, case consultations, care coordination, provider meetings,...


  • Philadelphia, Pennsylvania, United States Vibra Travels Full time

    Vibra Travels is a renowned provider of travel nursing services, currently seeking a highly skilled Travel RN Case Manager to join their team in the bustling city of Philadelphia, Pennsylvania.About the Opportunity:We are looking for a dedicated and compassionate nurse with acute care experience in ICU, step-down, med-surg/tele, and acute rehab to fill this...


  • Philadelphia, Pennsylvania, United States COMHAR, Inc. Full time

    Job Summary COMHAR, Inc. is a not-for-profit community based health and human service organization founded in 1975. We are seeking a Targeted Case Manager to join our team. This role involves assisting consumers in making full use of natural community supports in addition to all available mental health services.**Key Responsibilities:**- Assess the...