RN job in Arcata CA

Ref #: M-RN-294094Location: Arcata, CAType: Contract/TravelStart: ASAPSchedule: Days, 8:00 a.m.-4:30 p.m.Hours: 36 hours/weekRate: $1,674 / 36 hoursRequirements:Active Registered Nurse (RN) licenseGraduate of an accredited nursing program; BSN preferredPrior utilization review or case management experience preferredKnowledge of payer guidelines and medical necessity criteriaStrong analytical skills and accurate clinical documentationExcellent verbal and written communication and organizational skillsKey Responsibilities:Review patient records to determine medical necessity and appropriate level of careEnsure documentation and decisions comply with payer and regulatory guidelinesCollaborate with treating providers and case management teams to coordinate carePrepare and submit clinical documentation to insurance companiesMonitor length of stay and resource utilization; identify opportunities for efficient, cost-effective careParticipate in denial management and appeals processesAccurately document review findings and maintain audit-ready records

Created: 2026-03-01