Travel Nurse RN - Case Management - $3,122 per week
Company: Prime Time Healthcare Nursing
Location: Bakersfield
Posted on: March 13, 2026
|
|
|
Job Description:
Prime Time Healthcare Nursing is seeking a travel nurse RN Case
Management for a travel nursing job in Bakersfield, California. Job
Description & Requirements - Specialty: Case Management -
Discipline: RN - Duration: 13 weeks - 40 hours per week - Shift: 8
hours, days - Employment Type: Travel Utilization Review Nurse II
represents the fully experienced level in utilization review and
discharge planning activities Obtains and evaluates medical records
for in-patient admissions to determine if required documentation is
present. Obtains appropriate records as required by payor agencies
and initiates Physician Advisories as necessary for unwarranted
admissions. Conducts on-going reviews and discusses care changes
with attending physicians and others. Formulates and documents
discharge plans. Provides on-going consultation and coordination
with multiple services within the hospital to ensure efficient use
of hospital resources Identifies pay source problems and provides
intervention for appropriate referrals Coordinates with admitting
office to avoid inappropriate admissions. Coordinates with clinic
areas in scheduling specialized tests with other health care
providers, assessing pay source and authorizing payment under
Medically Indigent Adult program as necessary. Reviews and approves
surgery schedule to ensure elective procedures are authorized.
Coordinates with correctional facilities to determine appropriate
use of elective procedures, durable medical goods and other
services. Answer questions from providers regarding reimbursement,
prior authorization and other documentation requirements. Learns
the documentation requirements of payor sources to maximize
reimbursement to the hospital Keeps informed of patient disease
processes and treatment modalities. Level II Teaches providers the
documentation requirements of payor sources to maximize
reimbursement to the hospital. Level II May assist in training
Utilization Review Nurse I's. Experience in California (other than
Kaiser), preferably more than 1 assignment. Able to do both
Utilization review and Care Coordination/Discharge planning.
Experience in acute care/ICU/ED units. Extra: Trauma facilities
experience. Experience with teaching facilities. Required ACUTE
CARE NURSING MEDICAL TERMINOLOGY UTILIZATION REVIEW DISCHARGE
PLANNING COORDINATION OF CARE About Prime Time Healthcare Nursing
Prime Time Healthcare is a leading provider of traveling healthcare
professionals nationwide. Our agency specializes in the placement
of RNs, LPNs, CNAs, and Allied Health professionals. Join the fun
and experience why healthcare professionals and client facilities
are joining the Prime Time TEAM. Benefits - 401k retirement plan -
Health savings account - Referral bonus - Medical benefits - Dental
benefits - Vision benefits
Keywords: Prime Time Healthcare Nursing, Porterville , Travel Nurse RN - Case Management - $3,122 per week, Healthcare , Bakersfield, California