Location: Duarte, CA

Start Date: 2025-10-31T17:26:02.000Z

Contract Type: Travel Contract

Shift Type: NOC

Hours per Week: 40 hrs per week

Candidate Pay Rate: Competitive pay rate (DOE) — market-based compensation for experienced UR RNs

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

• Review clinical records and determine medical necessity using InterQual and Milliman criteria
• Conduct concurrent and retrospective reviews to support appropriate utilization and care transitions
• Communicate clearly with providers using SBAR to advocate for patient care and necessary authorizations
• Coordinate with interdisciplinary services (Pharmacy, PT, Respiratory, Social Services, etc.) to support discharge planning
• Document review findings and decisions accurately in EPIC and InterQual documentation systems
• Support appeals, denials, and prior authorization workflows with evidence-based rationale
• Participate in audits, quality improvement activities, and data abstraction to improve outcomes

Qualifications

• Active RN license in the state of California required
• Minimum 3 years of relevant nursing experience (acute hospital/utilization review preferred)
• EPIC experience REQUIRED — you should be fluent in clinical charting and documentation
• BLS certification REQUIRED; Certified Case Manager (CMC) is preferred
• Experience with InterQual and Milliman guidelines for medical necessity determinations
• Prior experience with concurrent review, prior authorizations, appeals/denials, and discharge planning
• COVID-19 vaccine and booster required per facility policy (medical/religious exemptions only)

Education

• Associate Degree in Nursing (ADN) required; BSN preferred
• Active RN license in California

Knowledge & Skills

• InterQual and Milliman clinical criteria
• EPIC charting and documentation workflows
• CPT and ICD-10 coding fundamentals
• CMS, NCQA, HEDIS, DRG, HIPAA and OSHA regulatory knowledge
• Concurrent review, continued stay reviews, pre-cert and retrospective review processes
• Strong communication (SBAR), critical thinking and time management skills
• Ability to coordinate with multiple departments and providers effectively

Benefits

• Competitive weekly pay that rewards your experience
• Medical, Dental & Vision coverage to keep you healthy
• 401(k) retirement savings plan so you can plan ahead
• Paid Time Off to recharge and stay sharp
• Licensure assistance & reimbursement to support your career
• Referral bonus program — share the love and earn rewards
• A supportive interdisciplinary team that values your input
• Flexible scheduling options where possible

Travel Perks: Explore Duarte, CA

Explore the foothills and trails of the San Gabriel Mountains and nearby Angeles National Forest for great hikes and fresh air. Spend downtime in charming Old Town Pasadena (shops, restaurants, the Rose Bowl and Huntington Library & Gardens are nearby). Enjoy nearby Azusa and Glendora local eats, or make a weekend trip into downtown Los Angeles for museums, theaters, and beaches along the coast — plenty of Southern California variety within easy reach.

Hashtags

#UtilizationReviewRN #DuarteCAJobs #HealthcareJobs #UHCCareers #RNJobs #EPICJobs #CaseManagement #NightShiftNurse #TravelNurse #MedicalNecessity