Travel RN - Case Management/Utilization Review - Case Management

Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerSan Francisco, California, United StatesPosition ID: P-774113Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 1Start date: 2026-11-16T00:00:00.000Z$3,268.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler is hiring an RN Case Manager for a hybrid role supporting complex case management across inpatient and community settings, requiring CA RN licensure and inpatient case management experience.DetailsSupports complex case management across the health system and virtually in the communityMay float between Emeryville and San Francisco offices as neededHybrid schedule with 2 days onsite and 3 days remote per weekDay shift schedule, 5x8-hour shifts from 0800-1630Uses Epic charting systemCase load ratio of 1:25RequirementsActive CA RN license requiredBLS certification required (AHA or ARC)Minimum 2 years of inpatient case management experience requiredTeaching hospital experience requiredCommunity hospital experience requiredPrior travel experience requiredExperience with utilization review, discharge planning, and care coordinationFamiliarity with InterQual criteria, CMS guidelines, DRG, HIPAA, and Joint Commission standardsPrevious charge experience preferredTrauma Level I or II experience preferredExperience in Behavioral Health, Emergency Department, SDU/PCU/IMC/Obs, or ambulatory settings preferredAdditional InformationResponsibilities include admission criteria review, concurrent and continued stay reviews, discharge planning, disease management, prior authorizations, and retrospective reviewsCoordinates needs assessments and durable medical equipment ordersMust reside within a 50-mile radius to qualify for local rateLocal candidates accepted at the local rateReturning staff must have a 1-year separation before returning as a travelerMaximum RTO of 7 days per contract, with only 1 holiday request permitted per contractHoliday coverage includes New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas DayMust complete lab work within 3-5 days of contract signingCan only be submitted to one Sutter Health facility at a timeHours per week: 40Hours per shift: 8