Location: Duarte, California

Start Date: ASAP

Contract Type: Travel Contract

Shift Type: Night shifts

Hours per Week: 40 hrs per week

Candidate Pay Rate: Competitive pay rate (based on experience) — details provided during screening

About United Health Care Staffing

At United Health Care Staffing (UHC Staffing), we believe healthcare staffing should be more than just finding a job. We are here to connect amazing professionals with opportunities that make their careers exciting, rewarding, and meaningful. With us, you're not just signing up for a contract you are joining a team that's got your back, answers your calls, and maybe even cracks a joke or two to brighten your day. Think of us as the travel buddy who handles the logistics while you focus on what you do best helping people heal.

Roles & Responsibilities

• Perform utilization review and concurrent reviews using InterQual and Milliman guidelines to determine medical necessity
• Document thorough clinical findings in Epic and maintain accurate data abstraction
• Coordinate care across disciplines including Pharmacy, Respiratory, PT, Social Services and Transportation
• Communicate clearly with providers using SBAR to support authorization and appeals workflows
• Manage prior authorizations, pre-cert reviews, retrospective reviews and appeals/denials processes
• Drive quality improvement by identifying opportunities in medical necessity determination and documentation
• Support discharge planning and care coordination to help patients transition safely and efficiently

Qualifications

• Current Registered Nurse (RN) license (California) required
• Minimum 3 years of RN experience (acute care/utilization review/related settings)
• EPIC experience REQUIRED; demonstrated proficiency documenting in Epic
• BLS certification REQUIRED; CMC preferred
• Experience with InterQual and/or Milliman guidelines
• Travel experience required — no first-time travelers
• COVID-19 vaccine + booster required (medical/religious exemptions only); flu vaccine required (medical exemptions only)

Education

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) preferred
• Active RN license in California

Knowledge & Skills

• Utilization Review and Case Management principles
• Determining medical necessity per evidence-based guidelines
• Prior authorization, pre-certification, concurrent and retrospective review processes
• Familiarity with CPT, ICD-10 coding, DRG, HEDIS measures and CMS/NCQA regulations
• Strong communication, critical thinking, problem-solving and time management
• Care coordination and discharge planning across varied settings
• Proficiency with clinical documentation in Epic and use of InterQual criteria

Benefits

• Competitive weekly pay and timely W2 payroll
• Medical, Dental & Vision coverage options
• Generous paid time off so you can actually recharge
• 401(k) retirement savings plan
• Licensure assistance & reimbursement to keep your credentials current
• Referral bonus program — bring a friend and both win
• Travel reimbursement and housing stipend for eligible travel assignments
• A supportive team that values your clinical judgment and growth

Travel Perks: Explore Duarte, California

Explore the San Gabriel Valley from your assignment base — hike trails in the nearby Angeles National Forest, stroll through Old Town Monrovia or Pasadena’s boutiques and cafes, visit the Huntington Library & Botanical Gardens in nearby San Marino, or take a short drive into Los Angeles for museums, dining and beaches. Plenty of local parks, scenic drives and weekend getaway options make downtime enjoyable.

Hashtags

#UtilizationReviewRNJobs #DuarteCAJobs #HealthcareJobs #UHCCareers #RNJobs #TravelNurse #EpicJobs #InterQual #NightShiftJobs #CaseManagement