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RN- ED Case Management (Utilization Review)

Careers Integrated Resources Inc
Bakersfield, CA Contractor
POSTED ON 12/25/2025
AVAILABLE BEFORE 1/22/2026
  • Job Title: RN ED Case Manager
  • Location: Bakersfield, CA 
  • Contract Length: 13 Weeks (Extension likely)
  • Shift: Night Shift 7p-7:30a/ 11p-7:30a Working 3 – 12hr shifts 1 week AND 3 - 12hr shift 1 - 8hr shift the next week
  • Local Pay: $70–$80/hour (W2) – Negotiable
  • Travel Weekly Gross: $2,800 – $3,300
    Stipends: Available for candidates residing 50 miles from the facility


Key Responsibilities

  • Review inpatient admissions and ongoing stays to determine medical necessity and appropriate level of care using InterQual guidelines
  • Obtain, evaluate, and manage medical records to ensure required documentation is complete and payor-compliant
  • Initiate Physician Advisories for unwarranted admissions or care deviations
  • Conduct continued stay reviews and collaborate with attending physicians on care plan changes
  • Develop, document, and coordinate comprehensive discharge plans
  • Serve as a utilization and reimbursement subject-matter expert for providers and clinical teams
  • Identify payor issues and coordinate referrals to appropriate financial or social services
  • Coordinate with admitting, clinic, and surgical scheduling teams to prevent inappropriate admissions and unauthorized procedures
  • Review and approve elective surgery schedules to confirm authorization and coverage
  • Coordinate care and authorization needs involving correctional facilities, including elective procedures and DME
  • Educate providers on documentation standards to maximize reimbursement and audit readiness
  • Assist with training and mentoring Utilization Review Nurse I staff (Level II scope)


Required Qualifications

  • Active Registered Nurse (RN) license in the State of California
  • BLS (AHA Healthcare Provider) certification (or obtain within 60 days of hire)
  • Utilization Review experience using InterQual guidelines
  • Minimum 1 year of Utilization Review experience in an acute care setting

Experience Pathways:

  • Level I: 
    2 years acute care RN experience, including at least 1 year in Medical/Surgical nursing
  • Level II (Required for this role):
    1 year utilization review and/or discharge planning experience in an acute care hospital OR 2 years of case management experience in a clinic or physician office performing utilization review or discharge planning


Preferred Qualifications

  • 1 year of Emergency Department Case Management experience

Salary : $70 - $80

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