Travel RN - Case Management/Utilization Review - Case Management

Travel RN - Case Management/Utilization Review - Case Management

American Traveler

Santa Rosa, California, United States

Position ID: P-765272

Position status: Open

Assignment type: travel

Shift: Days

Length (weeks): 13

Openings: 1

Start date: 2026-11-02T00:00:00.000Z

$3,183.00/week (estimated advertised weekly pay)

Description

American Traveler is hiring an RN Case Manager with a CA RN license and 2+ years of case management experience for a 13-week acute hospital assignment.

Details

• Acute hospital case management/utilization review unit
• Coordinates utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation
• Oversees care coordination for acute patient populations to prevent unnecessary admissions or readmissions
• Provides discharge planning and intervention for high-risk Emergency Department patients
• Day shift schedule, 5x8 hours, 8:30 AM - 5:00 PM
• Minimum of 2 weekend shifts required per month
• If floated, will only float within Case Management

Requirements

• Active CA RN license required
• BLS certification (AHA or ARC) required
• Minimum 2 years of case management experience required
• Minimum 1 year of charge nurse experience required
• Patient ratio experience of 1:20 or more required
• Travel experience required
• Teaching hospital, community hospital, LTAC, and Trauma Level I/II experience preferred
• Knowledge of InterQual Criteria and Milliman Guidelines
• Experience with utilization review processes including admission criteria, appeals and denials, concurrent review, continued stay reviews, medical necessity, and retrospective review
• Familiarity with regulatory standards including CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and The Joint Commission standards
• Two supervisor references obtained within the past year required
• Current Nursys licensure verification and certifications with valid expiration dates required

Additional Information

• Coordinates care across the continuum to promote patient wellness, improve outcomes, and minimize denials of payment among patients with complex health needs
• Local candidates accepted at local rate within a 50-mile radius
• Returning staff/travelers must have a 1-year separation before returning to this facility
• Maximum RTO of 7 days per contract
• Only 1 holiday request approved per contract, applicable to New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
• Must be available for lab work within 3-5 days of contract signing
• 7-year work history verification required for all candidates