Registered Nurse (RN) - Utilization Review Travel Job in Kinston, North Carolina

We are seeking an experienced Utilization Review Registered Nurse (RN) for a 13-week on-site travel nursing assignment in Kinston, North Carolina. This acute care hospital position is ideal for a detail-oriented RN who excels in utilization management, medical necessity review, and interdisciplinary collaboration. Working closely with the care team, you will help evaluate admissions, level of care, continued stays, and care transitions while supporting timely authorizations and reimbursement processes. Located in eastern North Carolina, Kinston offers a welcoming community atmosphere, easy access to outdoor recreation, and a relaxed pace of life that makes it a great place to live and work.

Job Details

• Weekly Estimated Pay: $1,935 - $2,150
• Location: Kinston, North Carolina
• Setting: Acute hospital, on-site utilization review
• Start Date: 7/6/2026
• Duration: 13-week travel assignment
• Schedule: Monday through Friday
• Shifts Per Week: 5
• Shift Duration: 8-hour day shifts
• Hours Per Week: 40
• Weekend Requirement: None
• Call Requirement: None
• Orientation: 24 hours
• EMR: Epic

Job Requirements

• Minimum 2 years of Utilization Review RN experience
• Recent acute hospital nursing experience required
• Previous travel nurse experience required
• Experience with hospital-based utilization review and utilization management processes
• Experience using InterQual and MCG criteria to support admissions and level of care determinations
• Epic experience required
• Experience with payer portals, prior authorizations, and denials preferred
• Experience in denials management, including insurance denials, peer-to-peer review, and appeals, preferred
• Graduate of an accredited school of nursing; BSN preferred
• Active North Carolina RN license or compact RN license required
• BLS certification required
• ACM and/or CCM certification preferred

Responsibilities

• Perform concurrent utilization review to assess appropriateness of admission, level of care, and continued hospitalization
• Apply established clinical criteria to support medical necessity and appropriate patient status
• Collaborate with physicians, case management, and the interdisciplinary healthcare team to resolve care progression and transition delays
• Communicate with third-party payers to provide clinical information supporting authorization and reimbursement
• Use payer portals to manage authorizations, denials, and related documentation
• Partner with providers to ensure documentation supports authorization of services
• Assist with care coordination across the continuum to promote timely and appropriate transitions of care
• Support denials prevention and participate in appeals or peer-to-peer processes as needed

Apply now to take the next step in your travel nursing career in Kinston, North Carolina.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.