Travel Nurse RN - Utilization Review

Job Description

Bestica is seeking a travel nurse RN Utilization Review for a travel nursing job in Apple Valley, California.

Job Description & Requirements

• Specialty : Utilization Review
• Discipline : RN
• Start Date : 12 / 28 / 2025
• Duration : 13 weeks
• 40 hours per week
• Shift : 8 hours, days
• Employment Type : Travel

3118374

RN  Utilization Review

Shift : Day 5x8-Hour (08 : 00 - 16 : 30)

Must have Acute care management experience

Charting System : EPIC

Years of experience REQ : 3-year acute medical Care Manager / UM experience performing utilization review in a hospital setting

Skills : Acute Hospital

Utilization Review

Admission Criteria

Appeals and Denials

Audits

Concurrent Review

Continued Stay Reviews

CPT (Current Procedural Terminology) coding and billing

Medical Necessity

Pre-Cert Review

Prior Authorization

Retrospective Review

Utilize InterQual Criteria

Regulatory

3118374\nRN Utilization Review\n\nShift : Day 5x8-Hour (08 : 00 - 16 : 30)\nMust have Acute care management experience\n\nCharting System : EPIC\n\nYears of experience REQ : 3-year acute medical Care Manager / UM experience performing utilization review in a hospital setting\n\n\nSkills : \nAcute Hospital\nUtilization Review\n\nAdmission Criteria\nAppeals and Denials\nAudits\nConcurrent Review\nContinued Stay Reviews\nCPT (Current Procedural Terminology) coding and billing\nMedical Necessity\nPre-Cert Review\nPrior Authorization\nRetrospective Review\nUtilize InterQual Criteria\nRegulatory

About Bestica

We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. Headquartered in San Antonio, TX, we were founded in 2005 and are certified as an 8(a) Business.

Benefits