Travel Utilization Review RN — Optimize Care & Costs

Focus Staff; Santa Rosa (CA); On-site; USD 90,000 - 110,000; Full time

Job description

Job Description & Requirements

• Specialty: Utilization Review
• Discipline: RN
• Start Date: 06/15/2026
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit behind the scenes to maximize the quality and cost efficiency of health care services. Candidates need to possess phenomenal efficiency and attention to detail with a strong knowledge of procedures and patient safety. Being compassionate and sensitive is a prerequisite for the profession. The ideal candidate goes a step further by being a critical thinker and fast to act with emergencies.

Contract Assignment

• Duration: 13 weeks (Temporary)
• Shift: 5x8 days

Responsibilities

• Perform initial, concurrent, discharge, and retrospective reviews on all patients
• Review current charts for appropriateness and correct admission status
• Communicate directly with insurance companies and/or payor to obtain admission and continued stay certification or recertification
• Facilitate peer‑to‑peer appeal for concurrent denials
• Assign a working diagnosis related group (DRG) to all patients
• Communicate with physicians regarding patients who do not meet criteria to identify additional documentation needs or potential status changes
• Communicate effectively about problems or trends with insurance companies
• Perform chart analysis on quality surveillance and special studies
• All other responsibilities as needed

Requirements

• Motivated candidates looking for career growth
• AHA Current Basic Life Support certification for health care providers
• Experience analyzing documentation of clinical care
• Excellent communication skills with staff, physicians, patients, and families

Work Experience

At least 2 years of experience

Rewards

• Pay depends on location and experience
• Competitive package for the right candidate
• Flexibility to travel and work in various settings and environments

Job Type

Contract/Temporary/Travel

Job ID: a0xVt00000NdraHIAR