RN II-Case Management/ Utilization Review

About US:
Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private &public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems.


Founded in March 1996, we have a presence in all 50 States. Tryfacta has Ranked number 1 as one of the fastest-growing companies by Inc. Magazine (Inc. 5000)!

Tryfacta is certified by the Joint Commission for Healthcare Staffing Services & has numerous ISO Certifications that capture our commitment to continuous improvement.

Job Summary:
Tryfacta is seeking a RN II-Case Management/ Utilization Review for our client in San Luis Obispo, CA 93405 . This is a 13 Week contract assignment. If you meet the qualifications listed below and are interested, please Apply Now!

P Job Position: RN II-Case Management/ Utilization Review
Department: RC - Revenue Cycle
Location: San Luis Obispo, CA 93405
Duration: 13 weeks with high possibilities of extension
Shift: 4 x 10s (7:00AM - 05:30PM)
Weekly Range $3000-$3200

Responsibilities for this position include, but are not limited to:

Job Summary
The RN II - Case Management/Utilization Review (CNA) is responsible for coordinating patient care, conducting utilization reviews, and supporting discharge planning processes in an acute care hospital setting. This role ensures appropriate resource utilization, compliance with healthcare regulations, and optimal patient outcomes.
Key Responsibilities

• Perform utilization review to ensure medical necessity and appropriate level of care
• Coordinate and manage patient care plans throughout hospitalization
• Collaborate with interdisciplinary teams to support timely and effective discharge planning
• Monitor patient progress and adjust care plans as needed
• Ensure compliance with hospital policies, regulatory standards, and payer requirements
• Advocate for patients to ensure quality care and efficient resource use

Minimum Qualifications

• Current Registered Nurse (RN) license in the state of practice (Required)
• Basic Life Support (BLS) certification through the American Heart Association (Required)
• Associate Degree in Nursing (ADN) or equivalent (Required)
• Minimum of 1 year of hospital-based care management experience (Required)
• 3-5 years of nursing experience in an acute care hospital setting (Required)

Preferred Qualifications

• Bachelor's Degree in Nursing (BSN)
• Recent experience in utilization review, discharge planning, and/or inpatient case management

Tryfacta is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.