Travel RN Opportunity – Remote Utilization Review
A leading acute care health system is actively seeking an experienced Registered Nurse – Utilization Review for a fully remote travel assignment. This is an outstanding opportunity for experienced Utilization Review nurses with acute care expertise, recent Epic experience, and strong InterQual knowledge looking for a stable remote contract with a nationally recognized healthcare organization. Position Details
- Specialty: Utilization Review / Case Management
- Position: Registered Nurse (RN)
- Shift: Days – Monday through Friday (8:00 AM – 4:30 PM PST)
- Guaranteed Hours: 40 Hours Weekly
- Contract Length: 13 Weeks
- Start Date: July 13, 2026
- Location: Remote (Must Work Pacific Standard Time)
Why This Assignment Stands Out
- Fully Remote Work Opportunity
- Consistent Monday–Friday Day Schedule
- Competitive Weekly Pay
- Supportive Multi-Facility Utilization Review Team
- Fast Submission & Interview Process
- Opportunity for Contract Extension
- Work with a nationally recognized acute care health system
Facility Highlights
- Remote Acute Care Utilization Review Department
- Epic Electronic Medical Record System
- Supports Multiple California Acute Care Hospitals
- Evidence-Based Utilization Management Practices
- Collaborative Case Management Environment
Ideal Candidate
- Active Registered Nurse (RN) License
- Minimum 3 years of Acute Care Utilization Review experience in a hospital setting
- OR 1 year of recent Remote Utilization Review experience
- Previous Travel Experience Required (including remote travel assignments)
- Recent Epic experience within the last 6–12 months
- Strong working knowledge of InterQual Criteria (Required)
- Experience with Medicare regulations, HMOs, IPAs, and utilization management processes
- Self-motivated with excellent critical thinking, communication, and time management skills
Responsibilities
- Perform concurrent and continued stay utilization reviews using InterQual criteria
- Determine medical necessity and ensure compliance with evidence-based guidelines
- Complete admission, retrospective, pre-certification, and prior authorization reviews
- Collaborate with physicians, case managers, and interdisciplinary teams to support appropriate patient care
- Review appeals, denials, discharge planning, and regulatory compliance requirements
- Document all utilization review activities accurately within Epic while maintaining CMS, HIPAA, and organizational standards
Important Assignment Requirements
- Acute Care Hospital Utilization Review experience is required
- InterQual proficiency is a non-negotiable requirement
- Recent Epic experience is required
- Must be available to rotate between three supported facilities
- Every third weekend rotation required based on department needs
- Must strictly follow Pacific Time scheduling and California labor regulations
- Overtime is not permitted unless pre-approved by leadership
This opportunity is actively interviewing experienced Utilization Review RNs and is expected to fill quickly. Qualified candidates are encouraged to apply immediately. Benefits:
- Paid time off
Application Question(s):
- Note: 1 year experience working in a remote Utilization review environment or 3 years experience working Utilization review in a hospital setting.
Work Location: Remote