Uci Medical Center

Registered Nurse Utilization Review

Job Title: Registered Nurse

Profession: Nursing

Specialty: Utilization Review

Duration: 13 weeks

Shift: Day

Hours per Shift: 8 hours

Experience: Minimum of 1 year in utilization review

License: Valid state nursing license required

Certifications: All required certifications must be in-hand when applying

Must-Have:

• Proficiency in EPIC and InterQual.
• Experience in clinical review and medical necessity determination.
• CPI Blue Card from the Crisis Prevention Institute required for all emergency room nurses.

Description:

Candidates must be highly proficient in EPIC and InterQual. Demonstrated experience using both systems for clinical review and medical necessity determination is required. This position is in person with the possibility to be remote, Monday through Friday, with no weekends or holidays. Pre-approved time off is allowed but cannot exceed five days. Shift times can start between 8 or 9 AM, depending on candidate availability. All required certifications must be in hand when applying. Previous charge experience and community hospital experience are preferred. Experience with acute hospital admission criteria, continued stay reviews, and medical necessity is required. References from two supervisors are required when applying. Local candidates will be considered. Candidates must be prepared for the possibility of no interview with the manager. Epic experience must be noted in the candidate's work history.

Benefits:

We offer competitive benefits, including:

• Medical, dental & vision insurance
• Free and unlimited continuing education units (CEUs)
• 24/7 dedicated Care Line and clinical liaison support
• Personalized career consultant and "single point of contact" service
• Industry-leading pay rates, loyalty rewards & referral bonuses
• Free tax return assistance for travelers
• 401(k) Retirement Plan
• Health Savings Account (HSA)
• Disability Insurance (Short-Term and Long-Term)
• Life and AD&D Insurance
• Paid Sick Leave (where required by applicable state or local law)
• Supplemental Insurance Plans
• Identity Theft Protection
• Pet Insurance
• Employee Wellness Programs
• Employee Assistance Program (EAP)
• Career Growth and Professional Development Opportunities

Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Health reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.

About Cynet Health: Cynet Health is a Joint Commission-accredited, Minority-Owned healthcare staffing agency headquartered in Sterling, Virginia, proudly serving healthcare facilities across the United States since its founding in 2010. As one of the nation's largest and fastest-growing healthcare staffing firms in the nation, we staff thousands of nursing, allied health, locum tenens, pharmacy, therapy, direct-hire, and non-clinical professionals across hospitals, clinics, long-term care facilities, labs and more. We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by BluePipes, recognized among the fastest-growing and most diverse staffing firms by Inc. 5000, Staffing Industry, WBJ and USPAACC-and remain deeply committed to excellence, inclusion, and community impact.

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