RN: Case Manager

Job Description:

This fully remote travel contract is designed for a licensed RN supporting utilization management activities, including admission reviews, prospective, concurrent, and retrospective medical necessity reviews, case management consultation, and discharge planning coordination. You will help address coding, documentation, precertification, reimbursement, and denial or appeal questions while applying InterQual or MCG criteria and CMS regulations. The assignment requires at least two years of acute care utilization management experience or equivalent, along with the ability to work independently and make sound decisions on complex cases.

Weather:

Austin generally offers comfortable, mild weather around this time of year, with pleasant daytime conditions that are well suited for exploring the city and surrounding areas. Cooler evenings and occasional rain may occur, so a light jacket and flexible plans are helpful.

Fun Things To Do:

• Local outing: Explore Austin’s parks, trails, and outdoor gathering spaces.
• City experience: Enjoy local music, arts, and entertainment venues.
• Day trip: Visit a nearby Hill Country community for scenic views, shops, and dining.
• Day trip: Spend a day at a nearby Texas state park for hiking and nature activities.
• Food outing: Sample Austin’s varied restaurants, cafés, and local specialties.

Job Specifics:

City and State: Austin, Texas Shift: 8-hour days Duration: 13 weeks Hours: 40 hours per week