Demo

RN Case Manager/Utilization Review

Sterling Therapy Solutions
Bakersfield, CA Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 4/21/2025

Job Opportunity: Registered Nurse (RN) – Case Manager (Utilization Review)

Location: Bakersfield, CA, 93301

Position Details

Shift Schedule: 8-hour Day Shift
Assignment Duration: 13 weeks
Pay Rate: Competitive weekly pay

About the Role

We are seeking an experienced Registered Nurse (RN) – Case Manager (Utilization Review) for a 13-week contract in Bakersfield, CA. This position focuses on coordinating patient care, ensuring appropriate resource utilization, and facilitating efficient patient transitions while collaborating with interdisciplinary teams.

Key Responsibilities

✔ Perform utilization reviews to ensure medical necessity and appropriate care levels.
✔ Collaborate with physicians, patients, and insurance providers to coordinate care and discharge planning.
✔ Evaluate patient care plans to ensure compliance with hospital policies and regulatory guidelines.
✔ Identify and resolve potential care barriers, ensuring timely patient transitions.
✔ Document reviews, patient assessments, and care plans accurately and promptly.
✔ Provide patient and family education regarding care plans and post-discharge needs.

Qualifications Required:

Active and unrestricted California RN license.
Minimum of 2 years of experience in Case Management and Utilization Review.
Current BLS certification.
Proficiency in utilization review and case management software.

Preferred:

Certified Case Manager (CCM) or ACM preferred.
✔ Strong understanding of Medicare, Medicaid, and private insurance guidelines.
✔ Excellent communication, analytical, and problem-solving skills.

Why Join Us?

Competitive Weekly Pay – Earn top rates based on experience.
Premier Healthcare Facility – Work in a leading hospital in Bakersfield, CA.
Professional Growth – Enhance your expertise in utilization review and case management.
Flexible Assignments13-week contract with 8-hour day shifts.

How to Apply

For more details or to submit your application for this RN Case Manager (Utilization Review) opportunity, contact [Sarthak/4088836947] today.

#CaseManager #UtilizationReview #RNJobs #CaliforniaNursingJobs #BakersfieldCAJobs #HealthcareCareers

Job Type: Contract

Pay: Up to $3,242.00 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift

Ability to Relocate:

  • Bakersfield, CA 93301: Relocate before starting work (Required)

Work Location: In person

Salary : $3,242

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