Catalytic Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.
Job Description & Requirements
- Specialty: Utilization Review
- Discipline: RN
- Start Date: 06/15/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
About Catalytic Solutions
At Catalytic Solutions, we’re redefining what healthcare staffing should feel like. We believe outstanding patient care begins with clinicians who feel supported, respected, and empowered. That’s why we combine personalized recruiter relationships with transparent, tech-driven processes that make every assignment simple, seamless, and rewarding.
We partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. Behind every placement is our experienced operations team handling compliance, credentialing, and communication so you can focus on delivering exceptional care.
Catalytic Solutions—where clinicians thrive, partners trust us, and healthcare staffing gets smarter.
Exciting Opportunity for Remote Utilization Review RN!
Job Description:
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Position: Remote Utilization Review Registered Nurse
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Specialty: Utilization Review
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Shift: Day 5x8-Hour (08:00 - 16:30)
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Years of Experience: 3 years required
- Note: 1 year experience in a remote Utilization Review environment or 3 years in a hospital setting
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Charting System: Epic (recent use required within the last 6-12 months)
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Travel Experience: Required, can be from other remote jobs
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Certifications: Preferred certifications in Utilization Review
Key Skills:
- Acute Hospital experience (hardstop requirement)
- Admission Criteria
- Appeals and Denials
- Audits
- Concurrent Review
- Continued Stay Reviews
- Data Abstraction
- Medical Necessity Determination per Evidence-Based Guidelines
- Pre-Cert Review and Prior Authorizations
- Retrospective Review
- Experience with InterQual Criteria
Regulatory Knowledge:
- CMS Guidelines
- CPT (Current Procedural Terminology) coding and billing
- Department of Health compliance
- DRG (Diagnosis Related Groups)
- HEDIS Measures
- HIPAA Compliance
- ICD 10 Coding
- NCQA Standards
- OSHA Practices
- The Joint Commission Standards
Additional Qualities:
- Knowledge of CA and Medi-Cal
- Strong case management experience with HMOs, IPAs, and Medicare regulations
- Flexibility to rotate between multiple facilities (3 facilities supported)
- Must adhere to Pacific Standard Time
Patient Care Details:
- Patient Ratios: Days: 1:40
- Weekend Coverage: Every Other or Every Third weekend
- Patient Age Groups: Neonates, Infants, Adolescents, Adults, Pediatrics, Geriatrics
Why Catalytic Solutions (CatSol):
At CatSol, we connect dedicated therapists with rewarding assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who’s with you every step of the way. Join us — where your expertise makes a difference every day!
Catalytic Solutions Job ID #18363986. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,07:00:00-15:00:00
About Catalytic Solutions About Catalytic Solutions
At Catalytic Solutions, we’re redefining what healthcare staffing should feel like. We believe outstanding patient care begins with clinicians who feel supported, respected, and empowered. That’s why we combine personalized recruiter relationships with transparent, tech-driven processes that make every assignment simple, seamless, and rewarding.
We partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. Behind every placement is our experienced operations team handling compliance, credentialing, and communication so you can focus on delivering exceptional care.
Catalytic Solutions—where clinicians thrive, partners trust us, and healthcare staffing gets smarter.
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Benefits
- Benefits start day 1
- Sick pay
- Life insurance
- Referral bonus
- Health savings account
- Discount program
- Medical benefits
- Dental benefits
- Vision benefits
- Wellness and fitness programs
- License and certification reimbursement
- Pet insurance