Overview
Utilization Review Nurse, RN, travel assignment in Tuba City, AZ. Specialty: Utilization Review. Start date: 09/07/2026 for 13 weeks. Weekly pay: $2,185–$2,294 per week. Shift: 5x8 Days. Setting: Surgery Center. Employment type: Travel - Temporary Assignment.

Key Highlights
- Weekly pay: $2,185–$2,294 per week
- Contract duration: 13 weeks
- Shift: 5x8 Days
- Location: Tuba City, AZ (on-site assignment at a surgery center)
- Housing: Shared contractor housing available; property limited; no pets; housing form due 2 weeks prior to start (form uploaded in Medefis)
- Orientation: Every 2 weeks

Responsibilities
- Verify medical necessity for admission or continued services and monitor ongoing need for care; support discharge planning and transitions
- Collaborate with providers and the care team to ensure appropriate utilization and timely patient care
- Maintain accurate clinical documentation and coding to support proper reimbursement
- Communicate with payers to prevent denials; ensure compliance with CMS and Joint Commission requirements
- Monitor resource use, contribute to quality improvement, and support reporting related to utilization review activities
- Serve as a liaison among clinical care, finance, and regulatory requirements to align patient care with reimbursement standards

Requirements
- Education: Bachelor’s Degree in Nursing
- License/Certification: Valid, current, unrestricted RN license (in any U.S. state, territory, or the Commonwealth of Puerto Rico); AZ state license not required
- Certification: Basic Life Support (BLS) certification from the American Heart Association
- Experience: Minimum three (3) years of direct patient care; at least two (2) years in inpatient medical-surgical units, PACU, or higher-acuity inpatient settings (ICU, Step-Down, Telemetry, etc.) or equivalent direct care experience; experience with case management, purchased referred care, and utilization review processes; familiarity with electronic health record systems
- Additional: Demonstrated knowledge of electronic health record systems and ability to work in an inpatient/outpatient UR environment

Benefits and Support
- Housing assistance: Shared contractor housing available; hospital rental property limited; no pets; housing form due 2 weeks prior to start; form uploaded in Medefis
- Onboarding/Orientation: Orientation every 2 weeks
- Compliance readiness: Full compliance required 2 weeks prior to start date

Find more opportunities
If you’d like to explore other openings, apply at Healthforce Healthcare LLC: https://healthforce.applytojob.com/apply

PAY DISCLAIMER
Please note: Pay rates and guaranteed hours are estimates and may vary. Final compensation packages and confirmed hours will be discussed during the hiring process.

About Healthforce

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