Travel RN - Case Management/Utilization Review - Case Management

Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerEdmonds, Washington, United StatesPosition ID: P-766203Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 1Start date: 2026-11-16T00:00:00.000Z$2,642.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler is hiring an RN Case Manager for an acute care hospital setting requiring 2 years of acute care/med surg experience and a WA or compact RN license.DetailsAcute hospital Case Management/Utilization Review roleDay shift schedule, 5x8 hours, 8:00 AM to 4:30 PM, primarily Monday through FridaySome weekend coverage requiredHigh caseload on a fast-paced unitEpic EMR experience requiredFloating between sister facilities may be requiredRequirementsActive WA or compact RN license required in hand at time of considerationBLS certification requiredMinimum 2 years of acute care/med surg experience requiredDischarge planning experience in acute care facilities requiredFamiliarity with Washington state case management rules, regulations, and resources preferredExperience with care coordination, concurrent review, continued stay reviews, appeals and denials, and determining medical necessity per evidence-based guidelinesExperience utilizing InterQual and Milliman guidelinesKnowledge of CMS, DOH, HIPAA, ICD-10 coding, and regulatory compliance standards2 supervisory references covering 1 year of employment within the last 3 years requiredAdditional InformationResponsible for case management duties including admission criteria review, concurrent and continued stay reviews, discharge planning, and utilization reviewHoliday coverage required for 1 of 3 major holidays (Thanksgiving, Christmas, New Year's)Former Providence permanent employees must be separated from the health system for a minimum of 3 months to qualifyReturning staff must also reside outside a 50-mile radius of the facility to qualifyLocal candidates accepted at a lower bill rate within the 50-mile radiusFirst-time travelers are welcome to applyRTO requests must be submitted upfront during the application processHours per week: 40Hours per shift: 8