Registered Nurse (RN) | Case Manager
Location: Irvine, CA
Agency: Cynet Health
Pay: $2,806 per week
Shift Information: Days - 5 days x 8 hours
Contract Duration: 13 Weeks
Start Date: 11/17/2026
Job Title: Case Manager and Utilization Review RN Profession: Registered Nurse Specialty: Case Manager Duration: 13 weeks Shift: Day Hours per Shift: 8 hours Experience: 5 years required License: State License required Certifications: BLS, BSN Must-Have: Acute Client experience Long Term Acute Care/Rehab/Skilled Nursing experience Epic documentation experience InterQual documentation experience Description: Case Manager and Utilization Review RN for Cancer Specialty Client. Five years of experience is required. Utilize Epic and InterQual documentation. SBAR communication is essential. Weekends are required. BLS, BSN, and State License are mandatory certifications. Skills and experience required include: Acute Client experience. Understanding of Long Term Acute Care/Rehab/Skilled Nursing. Knowledge of Admission Criteria. Care Coordination expertise. Discharge Planning abilities. Application of InterQual Criteria. Utilization of Milliman Guidelines. Understanding of UR Admission Criteria. Experience with UR Appeals and Denials. UR Concurrent Review experience. UR Continued Stay Reviews knowledge. UR Medical Necessity expertise. UR Retrospective Review experience. Understanding of CMS guidelines. Familiarity with CPT coding and billing. Knowledge of the Department of Health regulations. Understanding of DRG (Diagnosis Related Groups). Familiarity with HEDIS measures. Knowledge of HIPAA guidelines. Experience with ICD 10 coding. Awareness of NCQA standards. Understanding of OSHA regulations. Knowledge of The Joint Commission Core Measure/National Safety Goals. Understanding of Workers Compensation regulations.
...Objective Marshall is seeking HVAC Technicians who want to be part of a growing company... ...with the use of electronic devices such as laptops, tablets, smart phones. Be willing to... ...Proficient at installing, maintaining, repairing, and troubleshooting large tonnage...
...Scientific, where you'll contribute to managing pharmaceutical operations and ensuring quality... ...operational leadership for a Medical Information program while functioning as a Medical... ...Pro ficiency with Medical Information systems Location: Hybrid in the office one...
...Job Description Job Description United Staffing Solutions is Excited to Continue Serving NYS School Systems for the 20252026 School Year Now Hiring School Nurse RNs in Manhattan Full-time, part-time, and per diem assignments are available immediately. Pay...
...About the job Social Media Moderator Position: Social Media Moderator Location: REMOTE Company Overview: AYS Inc is a leading provider of innovative solutions in the field of digital marketing and social media management. Our team of experts is dedicated...
...Job Description Job Description Reporting to the Engineering Manager, the Industrial HVAC Engineer is responsible for supporting the design, performance, maintenance, and continuous improvement of HVAC and refrigeration systems used throughout LNG operations. This...