Travel RN - Case Management/Utilization Review - Case Management

American Traveler

Philadelphia (Philadelphia County)

On-site

USD 104,000 - 113,000

Full time

7 days ago
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Job summary

American Traveler is hiring a Case Management RN for a hospital case management role requiring 3+ years of hospital case management experience and a compact or PA RN license. Day shift, 40 hrs/wk, 13 weeks, no weekends or on-call, uses Epic, business casual dress.

Active RN license (Compact or PA), BLS, BSN are required, plus 3+ years discharge planning. Familiarity with InterQual/Milliman criteria and CMS/HIPAA regulations is expected; PA fingerprint/Childline clearances may apply.

Qualifications

  • Active RN license (Compact or PA)
  • BLS certification
  • BSN
  • 3+ years hospital case management and discharge planning experience
  • Experience with InterQual and Milliman utilization review criteria
  • Knowledge of utilization review processes including admission criteria, appeals and denials, concurrent review, and medical necessity determinations
  • Familiarity with CMS, HIPAA, ICD-10, DRG, Joint Commission requirements
  • PA fingerprint clearance and Childline clearance
  • Valid references and copies of certifications

Responsibilities

  • Coordinate patient care, discharge planning, and utilization review activities for assigned caseload
  • Apply InterQual and Milliman guidelines to support admission and continued stay reviews
  • Collaborate with healthcare team to ensure regulatory compliance and quality care standards
  • RTO and time-off considerations will be handled per policy
  • Block scheduling cannot be accommodated
  • Local candidates within 50 miles may receive different pay rates
  • First-time travelers are welcome to apply
  • Labs completed within 48 hours of contract signing
  • Orientation modules completed within the first 8 hours of orientation

Skills

Case management
Discharge planning
Utilization review
CMS HIPAA knowledge
InterQual Milliman

Education

BSN

Tools

Epic

Job description

Let American Traveler be your trusted companion on your traveler journey!

Reproduction and distribution of these materials is prohibited without the expressed written authorization of American Traveler Staffing Professionals.

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Profession

Locations

Schedule

Pay

Updating Results

Updating Results

$2,488/wk or ask about local

Philadelphia, Pennsylvania

On Hold

On Hold

Assignment Overview

Overview

Magnet Hospital

Be First to Apply

Posted 4 days ago

Shift

Days, 5x8hrs

Hours

40 hrs/wk

Start Date

Oct 19, 2026

Length

13 weeks

Openings

2

Actual start date is typically 3-4 weeks from time the offer is received. Start dates are determined based on facility needs and credentialing requirements.

Low

The facility has received few submissions so far. Be one of the first to apply — offer rates tend to be higher at this stage

Description

American Traveler is hiring a Case Management RN for a hospital case management role requiring 3+ years of hospital case management experience and a compact or PA RN license.

Details
  • Hospital-based Case Management unit
  • Adult and geriatric patient population on MS/MS Tele units
  • Day shift schedule, 5x8 hours, 8:00 AM to 4:30 PM
  • No weekend or on-call requirements
  • 1 holiday coverage required
  • May float to other units depending on need
  • Uses Epic charting system
  • Business casual dress code with white lab coat required
Requirements
  • Active RN license (Compact or PA) required at time of consideration
  • BLS certification required
  • BSN required
  • 3+ years of hospital case management and discharge planning experience required
  • Experience with InterQual and Milliman utilization review criteria required
  • Knowledge of utilization review processes including admission criteria, appeals and denials, concurrent review, and medical necessity determinations
  • Familiarity with regulatory standards such as CMS, HIPAA, ICD-10, DRG, and Joint Commission requirements
  • PA fingerprint clearance and Childline clearance required, which may involve travel and processing time
  • Valid references and copies of certifications required for consideration
Additional Information
  • Coordinate patient care, discharge planning, and utilization review activities for assigned caseload
  • Apply InterQual and Milliman guidelines to support admission and continued stay reviews
  • Collaborate with healthcare team to ensure regulatory compliance and quality care standards
  • RTO must be submitted prior to consideration; time off requests after submission will not be accommodated
  • Block scheduling cannot be accommodated
  • Candidates residing within 50 miles are considered local and may be offered a different pay rate
  • First-time travelers are welcome to apply
  • Labs must be completed within 48 hours of contract signing
  • Modules completed within the first 8 hours of orientation are non-billable

These details are based on information provided by the facility and may include inaccuracies or be subject to updates. Please verify all details with your recruiter.

Pay

$2,488/wk

Assignment Total (13 Weeks)

$32,344

Annual Equivalent (52 Weeks)

$129,376

Weekly Wages

$920/wk

Regular Hours

$23.00 x 40 hours/wk = $920

Weekly Stipends

$1,568/wk

Lodging

$156.00 x 7 days = $1,092

Meals & Incidentals

$68.00 x 7 days = $476

$2,488/wk

In compliance with state pay transparency laws, we disclose that the estimated weekly pay range for this role is $2,279 - $2,488. The $2,488 weekly pay shown in this posting, along with related figures, corresponds to the higher end of this range. Weekly travel pay includes tax-free stipends per IRS guidelines. Weekly local pay is fully taxable and therefore lower due to additional employer-paid taxes and related costs.

Facility

Facility details are only available for registered travelers.

Signing up is easy. Click below to join and get started on your journey with American Traveler.

Facility Information

Facility address requires login

Bed Count

--

Setting

--

--

--

EMR

--

Teaching Facility

--

American Traveler Benefits

View All

Health

Day 1

Day 1

401k with match

Opt In

...and many more!

View All

Why American Traveler?

Unmatched Support and Transparency

Your recruiter is your trusted partner, providing personalized guidance with full transparency.

Empowering Technology

Find jobs, self-apply, and manage your career with tools that put you in control.

Exceptional Pay and Benefits

Enjoy competitive pay and comprehensive benefits — designed with your success in mind.

Nationwide Opportunities and Proven Expertise

Explore 1,000s of opportunities with the support of our 25+ years of experience guiding your success.

Job ID: P-753603

On Hold

$2,488/wk or ask about local

Philadelphia, Pennsylvania

On Hold

$2,488/wk or ask about local

Philadelphia, Pennsylvania

On Hold

Assignment Overview

Overview

Magnet Hospital

Be First to Apply

Posted 4 days ago

Shift

Days, 5x8hrs

Hours

40 hrs/wk

Start Date

Oct 19, 2026

Length

13 weeks

Openings

2

Actual start date is typically 3-4 weeks from time the offer is received. Start dates are determined based on facility needs and credentialing requirements.

Low

The facility has received few submissions so far. Be one of the first to apply — offer rates tend to be higher at this stage

Description

American Traveler is hiring a Case Management RN for a hospital case management role requiring 3+ years of hospital case management experience and a compact or PA RN license.

Details
  • Hospital-based Case Management unit
  • Adult and geriatric patient population on MS/MS Tele units
  • Day shift schedule, 5x8 hours, 8:00 AM to 4:30 PM
  • No weekend or on-call requirements
  • 1 holiday coverage required
  • May float to other units depending on need
  • Uses Epic charting system
  • Business casual dress code with white lab coat required
Requirements
  • Active RN license (Compact or PA) required at time of consideration
  • BLS certification required
  • BSN required
  • 3+ years of hospital case management and discharge planning experience required
  • Experience with InterQual and Milliman utilization review criteria required
  • Knowledge of utilization review processes including admission criteria, appeals and denials, concurrent review, and medical necessity determinations
  • Familiarity with regulatory standards such as CMS, HIPAA, ICD-10, DRG, and Joint Commission requirements
  • PA fingerprint clearance and Childline clearance required, which may involve travel and processing time
  • Valid references and copies of certifications required for consideration
Additional Information
  • Coordinate patient care, discharge planning, and utilization review activities for assigned caseload
  • Apply InterQual and Milliman guidelines to support admission and continued stay reviews
  • Collaborate with healthcare team to ensure regulatory compliance and quality care standards
  • RTO must be submitted prior to consideration; time off requests after submission will not be accommodated
  • Block scheduling cannot be accommodated
  • Candidates residing within 50 miles are considered local and may be offered a different pay rate
  • First-time travelers are welcome to apply
  • Labs must be completed within 48 hours of contract signing
  • Modules completed within the first 8 hours of orientation are non-billable

These details are based on information provided by the facility and may include inaccuracies or be subject to updates. Please verify all details with your recruiter.

Pay

$2,488/wk

Assignment Total (13 Weeks)

$32,344

Annual Equivalent (52 Weeks)

$129,376

Weekly Wages

$920/wk

Regular Hours

$23.00 x 40 hours/wk = $920

Weekly Stipends

$1,568/wk

Lodging

$156.00 x 7 days = $1,092

Meals & Incidentals

$68.00 x 7 days = $476

$2,488/wk

In compliance with state pay transparency laws, we disclose that the estimated weekly pay range for this role is $2,279 - $2,488. The $2,488 weekly pay shown in this posting, along with related figures, corresponds to the higher end of this range. Weekly travel pay includes tax-free stipends per IRS guidelines. Weekly local pay is fully taxable and therefore lower due to additional employer-paid taxes and related costs.

Facility

Facility details are only available for registered travelers.

Signing up is easy. Click below to join and get started on your journey with American Traveler.

Facility Information

Facility address requires login

Bed Count

--

Setting

--

--

--

EMR

--

Teaching Facility

--

American Traveler Benefits

View All

Health

Day 1

Day 1

401k with match

Opt In

...and many more!

View All

Why American Traveler?

Unmatched Support and Transparency

Your recruiter is your trusted partner, providing personalized guidance with full transparency.

Empowering Technology

Find jobs, self-apply, and manage your career with tools that put you in control.

Exceptional Pay and Benefits

Enjoy competitive pay and comprehensive benefits — designed with your success in mind.

Nationwide Opportunities and Proven Expertise

Explore 1,000s of opportunities with the support of our 25+ years of experience guiding your success.

Reproduction and distribution of these materials is prohibited without the expressed written authorization of American Traveler Staffing Professionals.

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or drag and drop your file here.
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