Travel Nurse RN - Utilization Review
Job Description
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Encode INC is seeking a travel nurse RN Utilization Review for a travel nursing job in Middleburg Heights, Ohio.
Job Description & Requirements\n
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- Specialty: Utilization Review
- Discipline: RN
- Start Date: 08/24/2026
- Duration: 12 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
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Urgent Hiring – Utilization Management (UM) Registered Nurse
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Location: Southwest General Health Center – Middleburg Heights, OH
Position: Utilization Management (UM) RN / Utilization Specialist
Schedule: Full-Time | 40 Hours/Week | Monday–Friday | 8:00 AM – 4:30 PM + Every 3rd Weekend
Pay Rate: $65 per hour and $2600 per week.
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Position Overview:
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We are actively seeking an experienced Utilization Management Registered Nurse (UM RN) to join the team at Southwest General Health Center. This is an on-site opportunity for a highly skilled RN with extensive Utilization Review and Case Management experience who can work efficiently in a fast-paced acute care environment.
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Responsibilities:
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- Perform 25–30 utilization reviews per day while ensuring timely and accurate documentation.
- Review medical necessity using InterQual and MCG Criteria.
- Complete utilization reviews utilizing standardized documentation templates.
- Collaborate with physicians, case managers, and interdisciplinary teams regarding patient status and level of care.
- Ensure compliance with payer guidelines, regulatory standards, and hospital policies.
- Utilize Cerner EMR for documentation and patient review activities.
- Participate in weekend coverage on a rotating schedule (every 3rd weekend).
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Minimum Qualifications:
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- Active Registered Nurse (RN) License.
- Minimum 5 years of recent RN experience.
- 2–3 years of recent Utilization Management/Utilization Review or Case Management experience.
- Case Managers with strong Utilization Management experience will be considered.
- Previous travel assignment experience is required.
- Hands-on experience with:\n
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- Cerner EMR
- InterQual
- MCG Criteria
- Standardized Templates
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- Ability to independently complete 25–30 reviews per day.
- Must be available to work 100% onsite (Remote work is not available).
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Preferred Qualifications:
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- ACM (Accredited Case Manager) or CCM (Certified Case Manager) Certification.
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Why Apply?
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- Competitive pay rates.
- Immediate interview opportunities.
- Work with a respected healthcare organization.
- Long-term assignment with a stable schedule.
- Opportunity to make an impact in patient care and resource management.
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📩 We're actively interviewing and submitting qualified candidates. Apply today if you meet the requirements or know someone who would be a great fit!
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About Encode INC\n \n At Encode, we empower organizations and individuals through innovative, human-centric workforce and technology solutions. With decades of experience and a proven track record, we deliver more than just healthcare staffing, we provide integrated, strategic support across industries, with particular strength in federal and government contracts.\n Benefits\n
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- 401k retirement plan
- Vision benefits
- Dental benefits
- Referral bonus
- Life insurance
- Medical benefits
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