Description

American Traveler is hiring a Utilization Review RN for a 13-week assignment in a rural Arizona hospital, requiring 3 years of clinical nursing experience with at least 2 years in inpatient care.

Details

• Position based in a JCAHO-accredited hospital serving a large referral area for the Navajo and Hopi Reservations
• Facility provides comprehensive inpatient/outpatient services including emergency, orthopedics, OB/GYN, and surgical procedures
• Schedule is Monday through Friday from 8am to 5pm
• Callback required on weekends and holidays
• 13-week assignment length

Requirements

• Active, unrestricted RN license valid in any US state, Puerto Rico, or US territory
• AZ or compact RN license accepted
• Current BLS certification through AHA required and must be maintained throughout employment
• Bachelor's Degree in Nursing required
• Minimum of 3 years of clinical nursing experience performing direct patient care
• At least 2 years of experience in an inpatient setting (medical-surgical, PACU, ICU, Step-Down, Telemetry) or home health direct care required
• Demonstrated knowledge of case management, purchased referred care, and utilization review processes required
• Demonstrated knowledge of electronic health record systems required

Additional Information

• Responsible for verifying medical necessity, confirming patient status, and monitoring ongoing need for services to reduce unnecessary length of stay
• Supports accurate clinical documentation for proper reimbursement
• Coordinates with providers and care team on discharge planning and transitions
• Manages resource use to control costs and communicates with payers to prevent denials
• Ensures compliance with CMS and Joint Commission requirements
• Contributes to reporting and quality improvement efforts
• Serves as liaison between clinical care, finance, and regulatory requirements
• Orientation occurs every 2 weeks
• COVID and flu vaccine exemptions may be accepted with a declination form
• Fingerprinting must be completed prior to start, done via mail during the compliance process
• Full compliance required 2 weeks prior to start date
• Shared contractor housing may be available based on availability; no pets or family allowed per hospital policy
• Housing application must be submitted 2 weeks prior to start date