Local Contract Nurse RN - Utilization Review - $37-39 per hour
hace 2 días
Torrance
LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. • Specialty: Utilization Review, • Discipline: RN, • Start Date: 02/23/2026, • Duration: 8 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Local Contract Remote Registered Nurse – Utilization Review Pay Rate: $45/hour on W2 Start Date: February 23, 2026 Contract Length: 8 weeks Schedule: Day Shift | Monday–Friday Hours: 5x8s | 40 hours per week Shift Time: 8:00 AM – 4:30 PM Work Environment: 100% Remote • Perform utilization review for inpatient, observation, and extended hospital outpatient services, • Review clinical documentation to determine medical necessity and appropriate level of care, • Apply InterQual criteria consistently and accurately (hard requirement), • Manage utilization review processes for a variety of adult and pediatric acute and chronic diagnoses, • Collaborate with physicians, care managers, and interdisciplinary teams, • Ensure compliance with Medicare regulations and payer-specific requirements, • Document determinations and actions clearly within Epic, • Department is 100% remote, • Supports multiple service lines and levels of care, including inpatient, observation, and extended hospital outpatient, • High-volume, fast-paced utilization management environment, • Active Registered Nurse license (CA), • InterQual experience required – hard stop, • Epic proficiency required – recent use within the last 6–12 months, • Minimum 3 years of acute care Care Manager or Utilization Review experience in a hospital setting, • Experience must be hospital-based (not health plan or medical group), • Experience working with HMOs, IPAs, and managed care payers, • Strong working knowledge of Medicare regulations and UM-related processes, including:, • CC44s, • ABNs, • HINNs, • MCSNs, • Excellent clinical judgment, critical thinking, and documentation skills, • $45/hour competitive pay, • Weekly direct deposit, • Dedicated recruiter and compliance support, • Fully remote utilization review role, • Stable weekday schedule, • Exposure to diverse patient populations and service lines Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we’re 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. • Weekly pay, • Medical benefits