Travel ED Case Manager - $2,620 per week

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Duration: 13 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

We are seeking an experienced RN Case Manager with a strong background in acute care hospital settings. The ideal candidate will be responsible for coordinating patient care, facilitating safe and timely discharges, conducting utilization reviews, and ensuring compliance with regulatory and reimbursement guidelines.

This role requires expertise in care coordination, discharge planning, medical necessity reviews, prior authorizations, and collaboration with interdisciplinary teams to optimize patient outcomes and resource utilization.

• Active Registered Nurse (RN) License
• Recent Acute Care Hospital Case Management experience
• Experience with Utilization Review and Care Coordination
• Strong understanding of Admission Criteria and Medical Necessity Reviews
• Experience obtaining Prior Authorizations
• Knowledge of Discharge Planning and Transitional Care
• Familiarity with CMS regulations, DRGs, and HIPAA requirements
• Excellent communication, organizational, and critical-thinking skills

Preferred Skills

• Acute Care Hospital Experience
• Case Management
• Utilization Management
• Care Coordination
• Discharge Planning
• Needs Assessment
• Durable Medical Equipment (DME) Coordination
• Prior Authorization Management
• Regulatory Compliance
• CMS & Medicare Guidelines
• DRG Review
• HIPAA Compliance
• Interdisciplinary Collaboration

The ideal candidate is a detail-oriented RN Case Manager with acute care hospital experience who excels in utilization review, discharge planning, and care coordination. They should be knowledgeable in regulatory requirements, reimbursement guidelines, and patient advocacy while ensuring high-quality, cost-effective patient care.

About Prime Staffing

At Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.

We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.